Paracetamol ingestion algorithm
The Paracetamol ingestion algorithm on the Paracetamol page has been updated with the expanded indications for oral activated charcoal contained in the September 2015 Australian management guidelines.
Toxicology
Paracetamol toxicity
Some minor revisions to the Paracetamol page have been made, including the NNT (7) for charcoal within 2 hours of ingestion.
Buprenorphine
Some additional information about buprenorphine has been added to the Opioid antagonists & partial antagonists page.
Tolerance, dependence and addiction
The Illicit drug use page has been revised including a better description of the differences between drug tolerance, dependence and addiction.
Management of withdrawal in patients on MATOD
Additional information about the management of opioid withdrawal in patients on medication assisted treatment for opioid dependence (MATOD) has been added to the Opioid antagonists & partial antagonists page.
Home use naloxone
The Opioid antagonist and partial agonists page has been updated with information about the recent decision to make naloxone available without prescription in Australia.
Thiamine deficiency due to alcohol
The Ethanol page has been updated with information about the rarity of thiamine deficiency in the Australian population after thiamine supplementation of flour was introduced in 1991.
Hydroxycobalamin adverse effects
Some additional details about the (mostly red discolouration) adverse effects of hydroxycobalamin has been added to the Cyanide page.
Cyanide – anion gap acidosis – correction
The Cyanide page has been updated to correct the statement that cyanide causes a non-anion gap acidosis -it causes an anion gap acidosis as stated elsewhere on the page.
NBOMes
A short segment on NBMOes has been added to the Other drugs of abuse page.
Supratherapeutic paracetamol ingestion
The management of supratherapeutic paracetamol ingestion has been revised on the Paracetamol page.
New paracetamol management guidelines
Recommendations from the latest Australian and New Zealand paracetamol management guidelines have been added to the Paracetamol page.
J-T interval prolongation
Some information about the usefulness of J-T interval prolongation as a marker of K channel blockade in patients with QRS prolongation has been added to the Electrocardiography and other relevant pages.
CT of oesophageal corrosive injury
A CT demonstrating severe oesophageal injury following strong acid ingestion has been added to the Corrosives page.
CXR of acid ingestion
A CXR following strong acid ingestion has been added to the Corrosives page.
TCAD toxicity ECG
An ECG demonstrating TCAD toxicity has been added to the Antidepressant toxicity page.
Organophosphate PPE and therapy
The Organophosphates page has been updated with additional information regarding PPE and therapy with atropine and pralidoxime iodide.
Intensive intervention in the ED for smoking cessation
A brief addition outlining the effects of an intensive intervention in the ED for smoking cessation has been added to the Smoking cessation page
Hazards of smoking
The Smoking page has been updated with some additional information about the hazards of smoking.
Cystine
The Smoking cessation page has been updated with information about cysteine.