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The Emergency Medicine Manual

Dunn RJ

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Updates

Rebuttals in de-escalation

15/05/2026 by Bob Dunn

A segment on rebuttals and refusals has been added to the Management of violence page.

Categories Updates Tags Clinical skills

History taking in de-escalation

15/05/2026 by Bob Dunn

The Management of violence page has been updated with additional information about history taking in de-escalation.

Categories Updates Tags Clinical skills

Communication in de-escalation

12/05/2026 by Bob Dunn

The Management of violence page has been updated with additional information about communication inde-escalation.

Categories Updates Tags Clinical skills

Positioning in de-escalation

12/05/2026 by Bob Dunn

The Management of violence page has been updated with additional information about positioning in de-escalation.

Categories Updates Tags Clinical skills

Identification in de-escalation

12/05/2026 by Bob Dunn

The Management of violence page has been updated with additional information about personal identification in de-escalation.

Categories Updates Tags Clinical skills

Preparation for de-escalation

12/05/2026 by Bob Dunn

The Management of violence page has been updated with additional information about preparation for de-escalation.

Categories Updates Tags Clinical skills

Staff choice for de-escalation

12/05/2026 by Bob Dunn

The Management of violence page has been updated with additional information on choosing the best person to attempt de-escalation.

Categories Updates Tags Clinical skills

Benefits of de-escalation

06/05/2026 by Bob Dunn

The Management of violence page has been updated with additional information on the benefits of de-escalation.

Categories Updates Tags Clinical skills

Post restraint care

06/05/2026 by Bob Dunn

The Restraint page has been updated with additional information about post restraint care.

Categories Updates Tags Clinical skills

Chemical restraint

06/05/2026 by Bob Dunn

The Restraint page has been further updated with additional information about various other aspects of chemical restraint.

Categories Updates Tags Clinical skills

Restraint removal

06/05/2026 by Bob Dunn

The Restraint page has been updated with additional information about restraint removal.

Categories Updates Tags Clinical skills

Self protection from the agitated patient

02/05/2026 by Bob Dunn

The Restraint page has been updated with additional information about self protection.

Categories Updates Tags Clinical skills

Types of restraint

02/05/2026 by Bob Dunn

The Restraint page has been updated with additional information about the types of restraint.

Categories Updates Tags Clinical skills

Childhood abuse and burden of mental health disorders

02/05/2026 by Bob Dunn

The Emergency mental health services page has been updated with estimates of the contribution of childhood abuse to various mental health disorders.

Categories Updates Tags Mental health

Lorazepam for chemical restraint

02/05/2026 by Bob Dunn

The Restraint page has been updated with additional information about lorazepam when used for chemical restraint

Categories Updates Tags Clinical skills

Medications for chemical restraint

02/05/2026 by Bob Dunn

The Restraint page has been updated with additional information about other common medications used for chemical restraint

Categories Updates Tags Clinical skills

Necrotising fasciitis

01/05/2026 by Bob Dunn

The Necrotising fasciitis page has had some other minor updates and has been moved to follow the Cellulitis page.

Categories Updates Tags ID

Necrotising fasciitis key points

01/05/2026 by Bob Dunn

Key points have been added to the Necrotising fasciitis page.

Categories Updates Tags ID

US in necrotising fasciitis

01/05/2026 by Bob Dunn

The Necrotising fasciitis page has been updated with additional information about US in necrotising fasciitis.

Categories Updates Tags ID

4 weeks of anticoagulation post cardioversion for AF

01/05/2026 by Bob Dunn

The Stroke prevention in AF page has been updated to better indicate that 4 weeks of anticoagulation is required in patients who have been cardioverted.

Categories Updates Tags Resuscitation
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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

Urea:Creatinine ratio = urea (mmol/L) / creatinine (mmol/L) (NB not micromol/L)

Medical wisdom

Eradication of all latent failures in a system is limited primarily by cost but also because it is difficult before the fact to see how such failures might contribute to an accident.

The version of the Manual I use the most is

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