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The Emergency Medicine Manual

Dunn RJ

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Updates

hsTnI normal ranges

12/04/2026 by Bob Dunn

The Troponins in ACS page has been updated with additional information about normal ranges for hsTnI

Categories Updates Tags Cardiology

Followership

12/04/2026 by Bob Dunn

The Leadership page has been updated with additional information about followership

Categories Updates Tags Clinical skills

Other supraventricular tachycardias

12/04/2026 by Bob Dunn

The Other supraventricular tachyarrhythmias page has had some minor updates.

Categories Updates Tags Resuscitation

Supraventricular tachycardia

05/04/2026 by Bob Dunn

The Supraventricular tachycardia page has had some minor updates.

Categories Updates Tags Resuscitation

Atrial fibrillation arrhythmia management

05/04/2026 by Bob Dunn

The Atrial fibrillation arrhythmia management page has had some minor updates.

Categories Updates Tags Resuscitation

Bradycardias

05/04/2026 by Bob Dunn

The Bradycardias page has had some minor updates.

Categories Updates Tags Resuscitation

P waves

05/04/2026 by Bob Dunn

All instances of ‘p waves’ in the manual have been corrected to ‘P waves’ .

Categories Updates Tags Cardiology

SVT

05/04/2026 by Bob Dunn

The Supraventricular tachycardia page has had some minor updates.

Categories Updates Tags Resuscitation

Augmented Valsalva manoeuvre – correction

05/04/2026 by Bob Dunn

The Introduction to arrhythmias page has been corrected to properly describe the timing and sequence of the augmented Valsalva manoeuvre.

Categories Updates Tags Resuscitation

Terminology change of ‘true seizure’ to ‘epileptiform seizure’

01/04/2026 by Bob Dunn

The Assessment of isolated seizures page has been updated with replacement of the word ‘true seizure’ with the preferred term of ‘epiliptiform seizure’.

Categories Updates Tags Neurology

Terminology change of pseudoseizure to functional seizure

01/04/2026 by Bob Dunn

The Assessment of isolated seizures page has been updated with replacement of the word ‘pseudoseizure’ with the preferred term of ‘functional seizure’.

Categories Updates Tags Neurology

Functional seizure management

01/04/2026 by Bob Dunn

The Assessment of isolated seizures page has been updated with additional information about the treatment of functional seizures.

Categories Updates Tags Neurology

Functional seizures

01/04/2026 by Bob Dunn

The Assessment of isolated seizures page has been updated with additional information about functional seizures.

Categories Updates Tags Neurology

First pass intubation success rate

01/04/2026 by Bob Dunn

The Endotracheal intubation page has been updated with a short segment on the first pass success rate.

Categories Updates Tags Resuscitation

Duration of labour

01/04/2026 by Bob Dunn

The Normal labour and delivery page has been updated with additional information about the expected range of duration of labour.

Categories Updates Tags Obstetrics

Age adjusted D dimer in suspected DVT

01/04/2026 by Bob Dunn

The Deep venous thrombosis page has been updated with additional information supporting the use of an age adjusted D dimer cut off in suspected non high risk DVT.

Categories Updates Tags Haematology

General anaesthesia for clot retrieval in stroke

29/03/2026 by Bob Dunn

The Stroke management page has been updated with additional information about the beneficial effects of general anaesthesia in clot retrieval for stroke.

Categories Updates Tags Neurology

Thrombectomy in basilar artery occlusion

29/03/2026 by Bob Dunn

The Management of stroke page has been updated with additional information about the benefits of thrombectomy in basilar artery occlusion.

Categories Updates Tags Neurology

PPIs and gastric cancer risk

29/03/2026 by Bob Dunn

The Peptic ulcer disease page has been updated with a revised section on the risk (or now thought not) of gastric cancer following prolonged PPI use.

Categories Updates Tags Abdominal

Benefits of regional anaesthesia for fractured neck of femur

29/03/2026 by Bob Dunn

The Femoral fractures page has been updated with additional information about the benefits of regional anaesthesia for fractured neck of femur.

Categories Updates Tags Orthopaedics
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Contributors
Associate Professor Robert Dunn

Previous contributors
Associate Professor Meredith Borland
Dr Deborah O'Brien
Dr Stuart Dilley
Dr Jennifer Brookes
Associate Professor Deborah Leach

Formula of the day

Respiratory acidosis: each 10 mmHg increase in pCO2 increases HCO3- by 1 mmol/L within 10 min, 3-4 mmol/L within 4 days

Medical wisdom

Organizations are ambiguous, often intentionally, about the relationship between production targets, efficient use of resources, economy and costs of operations, and acceptable risks of low and high consequence accidents. This ambiguity has to be resolved by the actions of practitioners at the sharp end of the system.

The version of the Manual I use the most is

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