Delta gap
Some information about the delta gap has been added to the Metabolic acidosis page.
Updates
Free abdominal fluid in trauma
A small segment about the management of small amounts of free abdominal fluid in trauma has been added to the Management of abdominal trauma page.
Elbow dislocation
Indications for operative intervention following elbow dislocation have been added to the Elbow and forearm injuries page.
Committees
A new page about Committees has just been added.
Panniculitis and Erythema Nodosum
The Cellulitis mimics page has been updated with additional information about panniculitis and erythema nodosum.
Gelatin and starch solution effects on coagulation
The Intravenous fluids page has been updated with additional information about the potential anti-coagulant effects of gelatin and starch solutions.
Management priorities in trauma coagulopathy
The Management of the trauma patient page has been updated with details about the most common management priorities in trauma induced coagulopathy.
Hypothermia in trauma
The Management of the trauma patient page has been updated with details about the adverse effects and prevention of hypothermia in trauma.
Foley catheter tamponade of haemorrhage
The Management of the trauma patient page has been updated including details about the Foley catheter balloon tamponade technique for penetrating trauma.
EXTEM, FIBTEM, APTEM and more
The Coagulation testing page has been updated with additional information about ROTEM viscoelastometry testing, especially the different assays used and goal directed coagulation therapy.
Anti factor Xa assay
The Coagulation testing page has been updated with information about anti factor Xa testing in the monitoring of LMWH and factor Xa inhibitors.
Standard coagulation tests
The Coagulation testing page has been updated with basic information about the common coagulation tests, including those used to monitory NOACs
Retrohepatic caval injuries and embolisation
The Liver trauma page has been updated with some additional information about the management of retrohepatic caval injuries and the role of embolization following liver trauma.
Risk of DVT following lower limb fracture
The Deep venous thrombosis page has been updated with a revised incidence rate of DVT following lower limb injury. It is much closer to 0.6% than the 6% figure previously reported.
Serotonin toxicity
The Serotonin toxicity page has been updated with additional information about the differential diagnoses that need to be considered.
Panic disorder
The Anxiety disorders page has been extensively revised with additional information about the assessment and management of panic attacks.
Decompressive craniectomy following TBI
The Prevention of secondary brain injury page has been updated with additional information about the role of decompressive craniectomy following TBI.
Circulatory management of the trauma patient
The Management of the trauma patient page has been updated with additional information about haemostatic resuscitation and the treatment of trauma induced coagulopathy.
Treatment of hypovolaemia
The Treatment of hypovolaemia page has been updated with additional information about the principles of therapy and the blood product transfusion ratios in resuscitation.
Trauma induced coagulopathy
The Disorders of clotting page has again been updated with additional information regarding trauma induced coagulopathy.