Electrical storm
A segment on ventricular ‘electrical storm’ has been added to the Ventricular arrhythmias page.
Resuscitation
Left ventricular paced rhythm
The Pacemakers page has been updated with a new ECG demonstrating left ventricular paced rhythm.
First degree HB ECG
A new ECG of an impressive first degree heart block has been added to the Bradycardias page.
When NSaline is preferable
The Intravenous fluids page has been updated to include additional information about when NSaline is the preferred initial IV solution.
Chronic pain and opioids
The Chronic pain page has been revised to better emphasise the lack of efficacy in the use of opioids to manage this condition.
Multi-detector CT and atrial thrombus
The Management of atrial fibrillation page has been updated to include information about the role of multi-detector CT in the diagnosis of left atrial thrombus.
ECG of SVT
A new ECG demonstrating SVT has been added to the Supraventricular tachycardia page.
Ventricular arrhythmias
The Ventricular arrhythmias page has had some minor wording updates and an enlargement of the ECG images on the page.
ECGs enlarged
The ECG images on the Assessment of atrial fibrillation or flutter page have been enlarged.
ECG of atrial flutter with 3:1 AV block
An ECG image of atrial flutter with 3:1 AV block has been added to the Assessment of atrial fibrillation or flutter page.
Hydrocortisone and fludrocortisone in septic shock
The Management of sepsis page has been updated with additional information about the role of hydrocortisone and fludrocortisone in the management of ICU patients with septic shock, following the publication of the following related articles: Venkatesh, B, Finfer, S, Cohen, J, et al. Adjunctive Glucocorticoid Therapy in Patients with Septic Shock. N Engl J Med … Read more
Hartmann’s solution preferred
Multiple pages in the Circulatory resuscitation section have been updated to indicate that Hartmann’s solution is usually the preferred initial IV resuscitation fluid.
Normal saline or ‘balanced’ solutions?
The Intravenous fluids page has been updated to include some additional information about the adverse effects of Normal saline. A small table comparing the 2 fluids has been added.
Medication incompatibility with Hartmann’s solution
The Intravenous fluids page has been updated to include additional information about incompatibility of various medications with Hartmann’s solution.
Ventricular pause ECG
An ECG demonstrating some ventricular pauses has been added to the Bradycardias page.
Bichamber pacing ECG
An ECG of bichamber paced rhythm has been added to the Pacemakers page to replace a similar image of lower quality.
Atrial paced rhythm ECG
An ECG of atrial paced rhythm has been added to the Pacemakers page. This replaces an ECG that was labelled as showing mostly atrial pacing then some bi-chamber pacing, however only actually showed bichamber pacing.
Capture beat – correction
The Ventricular arrhythmias page has been updated with a correction of the explanation of a capture beat. The statement ‘occurs when an SVT conducts in a normal fashion’ has been replaced with ‘occurs when a sinus or atrial impulse conducts through the AV node in a normal fashion between wide QRS complexes because the ventricle … Read more
CHB with ventricular standstill ECG
An ECG of CHB with ventricular standstill has been added to the Bradycardias page.
Cushing’s ulcer not Curling’s
The Assessment of intracranial pressure page has been updated and the ulcer caused by increased ICP now correctly renamed as a Cushing’s ulcer, instead of a Curling’s ulcer as previously described. Thanks Simon for picking this up.