Dunn RJ
The Non accidental injury page has been updated with information about the rarity of bruising in children < 6 months of age presenting to the ED with presentations not related to NAI (1.3% overall, 0.2% in children presenting without trauma). Pierce MC et al. The prevalence of bruising among infants in pediatric emergency departments. Ann … Read more
The PE in special populations page has been updated with particular reference to d dimer levels during pregnancy. Some relevant references are: Greer, IA. Pregnancy Complicated by Venous Thrombosis. New England Journal of Medicine 2015;373(6):540-47. http://www.nejm.org/doi/full/10.1056/NEJMcp1407434. Kline, JA, Williams, GW, Hernandez-Nino, J. D-dimer concentrations in normal pregnancy: new diagnostic thresholds are needed. Clin Chem 2005;51(5):825-9. … Read more
The Risk stratification of suspected ACS page has been revised and updated with particular emphasis on the role of hs troponin only and 1 hour delta hsTnT strategies in ACS.
The rate of delayed ICH following blunt head trauma has been downwardly revised on the Management of head trauma page following a recent review on the subject. This has implications for the need for admission and repeat CT head in this group of patients. Miller J, Lieberman L, Nahab B, et al. Delayed intracranial hemorrhage … Read more
A hsTnT based risk stratification pathway for suspected ACS has been added to the Risk stratification of ACS page.
The Urinary tract infection in children and Urinary catheterisation pages have been updated with some additional information following the recent publication of a review article on the subject in EMA. Cheek JA, Craig SS, Seith RW, et al. Urine collection in young children. Emerg Med Australas 2015;27(4):348-50.
A short page on Glaucoma has been created.Thanks to Andrew Perry for supplying the additional details.
The Acute angle closure glaucoma page has been updated with additional details of the pathophysiology of this condition. Thanks to Andrew Perry for supplying the additional details.
A small section on the ImmunoXpert inflammatory biomarker system that may aid in differentiating viral from bacterial infections has been added to the Serum proteins page.
The Post arrest care page has been updated with some additional information about the role of post ROSC PCI following the release of guidelines on the subject in the July edition of JACC.
The Deep venous thrombosis and Management of PE pages have been updated with some additional information about the home treatment of PE.
The Deep venous thrombosis page has been updated with more information about the utility of age adjusted d dimer for VTE. The use of an age adjusted cut off can safely reduce imaging by 20% in patients > 75 years of age. (link)
The Spinal immobilisation page has been updated with information questioning the currently common practice of cervical immobilisation. (link)
The Stroke management page has been updated with a new summary of the results and implications of the many endovascular clot retrieval trials recently published.
The Stroke management page has been updated to reflect the new sBP target of <140mmHg in patients with primary ICH.
The Troponins in ACS page has been extensively revised to reflect new understanding of the role of hsTnT in the evaluation of chest pain.
The Troponins in ACS page has been updated with additional information about the role of a single low level hsTnT in excluding ACS in ED patients with acute chest pain.
The Conflict management page has been updated with information about the phases of conflict and some additional causes of conflict between individuals have also been added.
The Subarachnoid haemorrhage page has been updated with some additional details about the epidemiology and natural history of intracerebral aneurysms following a recent guideline published on the topic. Thompson BG, Brown RD, Jr., Amin-Hanjani S, et al. Guidelines for the Management of Patients With Unruptured Intracranial Aneurysms: A Guideline for Healthcare Professionals From the American … Read more
The Troponins in ACS page has been updated with a section on hsTnT as a predictor of CVasc risk.