IABP in cardiogenic shock
The Mechanical cardiovascular support page has been updated to downplay the usefulness of IABP in cardiogenic shock.
Resuscitation
Genetic factors and channelopathies are AF risk factors
The Assessment of atrial fibrillation or flutter page has been updated with the addition of genetic factors and channelopathies as causes for AF.
Stroke prevention in AF
The Stroke prevention in atrial fibrillation page has been significantly revised, simplified and updated, reflecting the improved understanding we have of DOACs and anti-platelet agents.
CHA2DS2VASc score is dead…..long live the CHA2DS2VA score
The Assessment of atrial fibrillation or flutter page has been updated with the removal of the CHADS2 score and replacement of the CHA2DS2VASc score with the CHA2DSVA score.
Flecainide in AF
The Atrial fibrillation arrhythmia management page has been updated with some additional information about the use of Flecainide.
AF discharge advice
A short segment about other management of new onset AF has been added to the Atrial fibrillation arrhythmia management page.
Thyroid function testing in AFib
The Assessment of atrial fibrillation or flutter page has been updated with advice that TFTs are not advised acutely with new onset AF, but are better performed once the patient has recovered from the acute episode.
Spurious hypotension
A new segment on spurious hypotension has been added to the Blood pressure monitoring page. You might want to check a few things before acting on a single reading.
Atrial flutter
The Atrial fibrillation or flutter page has been updated with some additional information about how not to miss atrial flutter.
Syncope and PE
The Syncope page has had a few minor changes, including a statement that PE is an uncommon cause of syncope in ED patients.
Adrenaline in digital blocks
The Regional anaesthesia page has been updated to reflect that lignocaine with adrenaline is safe for digital nerve blocks.
IV catheter failure and amount in vein
The Difficult IV access page has been updated with information about the amount of catheter in the vein and failure rate, following US guided access.
More about MAC values
The Inhalational anaesthetic agents page has been updated with some additional information about MAC values.
MAC of N2O – correction
The Inhalational anaesthetic agents page has been corrected so the MAC value of N2O is now shown as 102 instead of 1.02 as previously stated. Thanks to Luke for picking this up.
Anticoagulation for AF
The Stroke prevention in atrial fibrillation page has been updated including some minor modifications regarding anticoagulation (and timing of) prior to cardioversion.
Pupillary responses post ROSC and outcome
The Post arrest care page has been updated with information about the outcome following ROSC of patients without pupillary reflexes.
Blood group O and haemorrhage
The Complications of blood transfusion page has been updated with information about how blood group O is associated with a higher risk of haemorrhage and a lower risk of thrombosis than other blood group types. Perhaps we should be considering this when deciding on therapies such as thrombolysis and treatment of low risk thrombosis?
Transthoracic impedance and respiration – correction
The Electrical cardioversion page has been corrected to indicate that transthoracic impedance is decreased by expiration not by inspiration as previously stated. Thanks to Simon for picking this up and letting us know.
CT of PCA infarction
A CT image of posterior cerebral infarction following raised ICP has been added to the Assessment of intracranial pressure page.
AF reversion options – correction
The AF reversion options flowchart has been corrected to indicate that amiodarone should be given if there is IHD, structural heart disease or age > 55 years. Previously it indicated that it should not be given in these patients. Thanks to Sally for picking this up.