Dunn RJ
[avatar user=”robjdunn” size=”original” align=”left” /] The Paracetamol page has been updated, including additional information regarding the Australasian treatment nomogram and how it compares to the nomogram used in the UK and Ireland.
[avatar user=”robjdunn” size=”original” align=”left” /]
The Risk stratification in suspected ACS page has been updated, including information about the lack of utility of exercise stress testing in low-intermediate risk patients < 40 years of age who present to the ED with chest pain.
[avatar user=”robjdunn” size=”original” align=”left” /] Just when you thought troponin couldn’t be less specific for ACS, additional non ACS causes of elevated troponin have been added to the Non ACS causes of elevated troponin. It is telling in itself that there is a whole page on this subject! So if you do troponins on patients … Read more
The Anti-convulsants for immediate seizure control page has been updated with information about IV valproate and levetiracetam.
The Seizures page has been updated with the International League Against Epilepsy’s 2014 definition of epilepsy.
The Lyme disease page has been updated with some additional information following the NEJM review article on the subject published today.
A segment on arterial insufficiency secondary to extensive venous thrombosis has been added to the Deep venous thrombosis page.
A small section on using the IJV to estimate venous pressure has been added to the Cardiovascular examination page.
The Infectious gastroenteritis page has been extensively revised including a more comprehensive section on assessment and management.
The Missile injuries page has been updated with a small segment on the management of missile wounds.
The Management of the trauma patient page has been updated with a segment on damage control laparotomy.
The Influenza page has been updated to reflect the new evidence that indicates anti viral agents are less effective in the treatment of influenza than previously thought, reducing illness duration by only 14 – 17 hours and having little effect on rates of pneumonia or hospitalisation. Add these to the long list of drugs shown to be … Read more
The Management of PE page has been updated to reflect the lack of benefit and excess of adverse effects in patients with intermediate risk PE (echocardiographic changes without hypotension) treated with thrombolysis compared to placebo which was reported in a trial just published in the NEJM.,
A large section on the investigation of anaemia has been added to the Anaemia page.
The Insect envenomation page has been updated with some additional information about bee stings.
The Basic life support page has been updated to emphasise that advanced airway techniques, when performed quickly, improve the effectiveness of chest compression. This is probably due to improved co-ordination between chest compression and ventilation.
The Drowning page has been updated with a reduction in the emphasis on water temperature and an increase in the importance of immersion time as factors in the prognosis following drowning.
The Packed cell transfusion page has been updated with information about the 5% (absolute) increase in infection risk associated with a liberal transfusion strategy (Hb > 9g/dL) compared to a more restrictive strategy.
The Oxygen therapy page has been updated with information about high flow nasal cannula therapy, used in infants and as apnoeic oxygenation prior to intubation.
The Thrombolytic therapy in stroke page has been updated to incorporate ACEM’s revised statement on the subject updated in March 2014 that states: “ACEM recognises intravenous thrombolysis as a potentially beneficial intervention for acute ischaemic stroke. There is however, conflicting evidence such that the administration of stroke thrombolysis by ED staff is a controversial area and cannot currently … Read more