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The Emergency Medicine Manual

Dunn RJ

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Clinical skills

Limitations of albumin corrected calcium

05/03/2020 by Bob Dunn

The Calcium page has been updated with additional information about the limitations of albumin corrected calcium and the importance of ionised calcium to direct therapy.

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Analysis of serum vs plasma

27/02/2020 by Bob Dunn

The Specimen collection page has been updated with additional information about the differences between analysis of plasma and serum.

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Haemolysis of samples

27/02/2020 by Bob Dunn

The Interpretation of investigation results page has been updated with additional information about sample haemolysis, particularly when sample tubes are under filled.

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Patiromer

28/01/2020 by Bob Dunn

The Hyperkalaemia page has been updated to include some additional information about Patiromer – an ion exchange resin that recently became available in Australia.

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Patient safety

21/01/2020 by Bob Dunn

The Patient safety page has been updated with improved conciseness and additional information about why comparisons between health care and aviation may be inappropriate.

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Clinical decision making

08/01/2020 by Bob Dunn

The Clinical decision making page has had a number of minor updates of wording.

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Chromogenic factor X levels

02/01/2020 by Bob Dunn

The Coagulation testing page has been updated with information about chromogenic factor X assays.

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Limitations of POC INR measurement

02/01/2020 by Bob Dunn

The Coagulation testing page has been updated with additional information about the limitations of POC INR testing.

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Lactate and alkalosis

05/12/2019 by Bob Dunn

The Metabolic acidosis page has been updated to better emphasise that lactate can be elevated due to alkalosis alone.

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ECG of severe hyperkalaemia

15/11/2019 by Bob Dunn

The Ion effects on the ECG page has been updated with an ECG of severe hyperkalaemia.

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Potassium reference range

08/10/2019 by Bob Dunn

The Potassium page has been updated with the Australian reference range of 3.5-5.2 mmol/L.

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Urea reference ranges

08/10/2019 by Bob Dunn

The Urea and creatinine page has been updated with a table of normal reference ranges for the Australian population.

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Lactate

24/09/2019 by Bob Dunn

The Metabolic acidosis page has been updated with additional information about lactate.

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Hypoparathyroidism

24/07/2019 by Bob Dunn

The Hypocalcaemia page has had some minor updates, mostly relating to the causes of hypoparathyroidism.

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MRI safety

27/06/2019 by Bob Dunn

The Magnetic resonance imaging page has been significantly revised, particularly regarding MRI safety.

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Accuracy of POC gases and lab values

09/04/2019 by Bob Dunn

The Specimen collection page has been updated, including the addition of a segment on the accuracy of POC blood gas measurement compared to formal laboratory measurement.

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Venous vs arterial lactate

28/02/2019 by Bob Dunn

The Metabolic acidosis page has been updated with important information about the level of agreement between arterial and venous lactate. Venous and arterial values should not be used interchangeably.

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Domestic violence

28/02/2019 by Bob Dunn

The Domestic violence page has had a major revision including the addition of multiple areas aimed to provide practical advise.

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Futile care

26/02/2019 by Bob Dunn

The Extent of medical treatment page has been updated with a section on futile care.

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How to break the news of death

26/02/2019 by Bob Dunn

The Bereavement section has been updated, including a revised section on how to break the news of death.

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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

20 mmol of IV KCL in 100 mL of NSaline, given over 1hour increases serum K+ by approximately 0.5 mmol/L at completion, 0.25 mmol/L one hour after completion

Medical wisdom

There is no learning without risk, so disappointment when learning is inevitable. If you are never disappointed, you are either not taking enough risk to improve yourself, or you have set your sights too low.

The version of the Manual I use the most is

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