Fever and sepsis prognosis
The Assessment of sepsis page has been updated with additional information about the prevalence and outcome of body temperature in sepsis.
Resuscitation
Local anaesthesia with adrenaline
The potential risk of lignocaine with adrenaline has been downplayed on the Local anaesthesia page.
Lignocaine maximal dose – correction
The maximum safe dose of plain lignocaine (lidocaine) has been corrected from 5mg/kg to 3mg/kg on the Local anaesthesia page. Amide anaesthetics have also now been correctly described as weak bases instead of weak acids. Thanks to Joe for picking these errors up.
Intranasal / inhalational sedation
The Procedural sedation page has been revised with additional information about intranasal/inhalational procedural sedation in the ED
Fasting and ED procedural sedation
The Procedural sedation page has been revised with additional information downplaying the importance of fasting status prior to procedural sedation in the ED.
PR interval and AFib risk
Information about the PR interval and the risk of subsequently developing atrial fibrillation has been added to the Assessment of atrial fibrillation or flutter page.
Endotracheal extubation – correction
The Endotracheal extubation page has been corrected so adequate ventilation is now defined by an SpO2 > 90% and HR < 140 bpm instead of an SpO2 < 90 and HR > 140bpm as previously stated. Thanks to Farzad for picking this up.
Midazolam concentration
The Induction agents page has been updated highlighting the 2 different concentrations of midazolam ampoules – a potential source of drug administration error.
AF assessment
The Assessment of atrial fibrillation or flutter page has been updated with a number of minor improvements.
AF management
A series of improvements and additions have been made to the Atrial fibrillation/flutter arrhythmia management page. One recommendation of note is that metoprolol is considered as the first line rate control agent, if IV diltiazem is not available (as in Australia).
Spontaneous reversion of AF
A segment about the role of observation in patients with rapid AF has been added to the Atrial fibrillation/flutter arrhythmia management page.
Bag mask pre-oxygenation
The Anaesthetic equipment and Endotracheal intubation pages have been updated with revised sections on pre-oxygenation.
ECG predictors of subsequent AFib
A short segment on ECG predictors of subsequently developing atrial fibrillation has been added to the Assessment of atrial fibrillation or flutter page.
Decompressive craniectomy
The Prevention of secondary brain injury page has been updated with a significant revision of the segment on decompressive craniectomy.
Monitoring in cerebral injury
A new page entitled Monitoring in cerebral injury has been added to the Cerebral resuscitation section.
Neuromuscular blockade monitoring
The Neuromuscular blockade monitoring page has been significantly revised and updated.
Transcutaneous pacing
The Pacemakers page has been revised with the section on transcutaneous pacing being substantially expanded.
Duration of AF and stroke risk
The Stroke prevention in Atrial fibrillation/flutter page has been updated with some additional information about the duration of AF thought to confer increased stroke risk.
Post intubation gastric decompression
The Post intubation care page has been modified to increase the importance of early gastric decompression following intubation in ED patients.
Intubation first pass success rate
The Endotracheal intubation page has been updated with information about the first pass success rate in ED patients.