Esmolol in refractory VF
The Advanced cardiac life support page has been updated with the addition of esmolol as a last gasp therapy in refractory VF based on the results of one small study.
Dunn RJ
The Advanced cardiac life support page has been updated with the addition of esmolol as a last gasp therapy in refractory VF based on the results of one small study.
An ECG of frequent R on T ectopic beats has been added to the Ventricular arrhythmias page.
The Assessment of atrial fibrillation and flutter page has been updated with a few additional ECG features of AFib.
The Complications of pacemakers page has had a number of minor revisions and additions.
The Pacemakers page has had a number of minor revisions and additions.
The Bradycardias page has been updated with additional information about Mobitz type II heart block.
The Bradycardias page has been updated with additional information about Mobitz type I heart block.
The Supraventricular tachycardias page has been revised, including some additional information about the treatment of AF with an accessory pathway.
The Difficult vascular access page has been updated with some additional information about preparation for US guided vascular access – in particular the use of the most important piece of equipment that influences success – the chair!
A CXR image of a VAD has been added to the Mechanical cardiovascular support page.
The segment on VADs on the Mechanical cardiovascular support page has been revised and updated.
A segment on cardiac arrest in patients with a ventricular assist device (VAD) has been added to the Advanced life support page.
The Sudden cardiac death page has been updated with additional information about aVR in patients with Brugada syndrome.
The Stroke prevention in atrial fibrillation / flutter and Other anti-coagulants pages has been updated to indicate that DOACs are now thought to be safe for use in non-prosthetic valvular atrial fibrillation, with the exception of rheumatic mitral stenosis.
The Supraventricular tachycardia page has had a few minor modifications, including emphasising the usefulness of augmenting the valsalva manoeuvre.
The Atrial fibrillation / flutter management page has been updated to improve clarity, especially in relation to anti-coagulation prior to cardioversion.
The Airway management in trauma page has been updated with a short segment on the timing of intubation in patients with hypovolaemia.
The Assessment of sepsis page has been updated with a short segment on presepsin as a biomarker of sepsis.
The Endotracheal intubation page has been revised in various parts with particular emphasis on prevention and management of airway fluid collection.
The Procedural sedation page has been extensively revised and re-organised including the addition of significant additional detail in many areas.