Large bore peripheral IV cannulae
The segment on large bore peripheral cannulae in the Peripheral intravenous access page has been merged with the segment on RIC lines in the Peripheral venous cannula insertion page.
Resuscitation
Substances to avoid giving through a peripheral IV line
The Peripheral venous access page has been updated with a revised section on substances best avoided being given through a peripheral venous line.
Intraosseous access
The Intraosseous access page has had a minor reorganisation and update.
US guided vascular access
A new page called US guided peripheral venous access has been created from the contents of the Difficult IV access page.
Stroke prevention in AF
The Stroke prevention in atrial fibrillation page has had a number of other updates.
LAA occlusion in AF
The Stroke prevention in atrial fibrillation page has been updated with additional information about LAA occlusion.
Device detected AF
The Assessment of atrial fibrillation/flutter page has been updated with additional information about device detected AF.
Limitations of the CHA2DS2VA score
The Stroke prevention in atrial fibrillation page has been updated with additional information about the limitations of the CHA2DS2VA score.
CHA2DS2VA and stroke risk table
The table on the Stroke prevention in atrial fibrillation page previously demonstrating the CHA2DS2Vasc score and stroke risk has been updated to demonstrate the CHADS2VA score and stroke risk.
Atrial fibrillation stroke risk
The Stroke prevention in atrial fibrillation page has been updated with a revised segment on AF stroke risk.
Minimum O2 flow rate through a Hudson mask is 5L/min.
The Oxygen therapy page has been updated with expanded details on the minimum O2 flow rate through a Hudson face mask.
PaO2 and PaCO2
All instances of PO2 and PCO2 in the manual have been updated to PaO2 and PaCO2 whenever relevant to prevent readers thinking that PO2 and PCO2 may mean venous PO2 or PCO2.
Ensuring extent of neuromuscular paralysis is measured and reversed prior to extubation
The Endotracheal extubation page has been updated with additional emphasis on ensuring the extent of neuromuscular paralysis is measured and reversed prior to extubation. In particular, do not assume neuromuscular blockade will have worn off after a few hours in ED patients.
Duration of action of rocuronium
The Non depolarising neuromuscular blocking agents page has been updated with additional information about the duration of action of rocuronium, particularly emphasising it is highly variable and may be very significantly prolonged.
Beat to beat variation in QRS amplitude in AF
The Assessment of atrial fibrillation or flutter page has been updated with information about the beat to beat variation in QRS amplitude in AF,
Treatment of AF through an accessory pathway
The Supraventricular tachycardia page has been updated to better reflect the dangers of AV nodal blockade in AF through an accessory pathway.
Features of AFib through an accessory pathway
The Supraventricular tachycardia page has been updated with additional information about the features of AF through an accessory pathway.
Important correction : AFib and accessory pathway – ventricular rate often > 200bpm
The Supraventricular tachycardia page has had a significant correction. Previously it was stated that in AFib with an accessory pathway the ventricular rate was often < 200bpm, when it is actually commonly > 200bpm.
Pacemaker lead positions
The Permanent transvenous pacemakers page has been updated with additional information about lead positions.
His bundle pacing diagram
The Permanent transvenous pacemakers page has been updated with a diagram of a typical 2 lead His bundle pacemaker configuration.