The Emergency Medicine Manual

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New contents for the 5th Edition

This list includes major reviews of existing topics but not additional flowcharts and images.
Please read this list before you decide you don't need to upgrade to the 5th Edition!
Due to the restructure of the content, the new items may be found in another section of the manual than as listed below.

Administration

IMGs
Future directions for ED information systems
Planning
Team roles
Supervision styles
Delegation
Potential solutions to ED overcrowding
NHMRC recommendations for guideline development
Disaster definitions
Surge and ED capacity
Strategies for managing medical professionals as patients
Stress in EPs
Frequent ED attenders
Privacy law
The expert witness
Legal evidence
Exam preparation checklist
Effective study techniques
Features of effective teaching
Signs of stress
Healthy and unhealthy stress
Impact of stress
Team roles table
Team tasks
Management training
Dysfunctional team behaviours
Project management
Supervision behaviours
Supervision needs of medical staff groups
Reverse delegation
Barriers to delegation
Tasks to delegate
Reasons for delegation
Conflict management skills
Short stay medicine
Priniciples of patient flow
Waste

Anaesthetics

3 in 1 block
US guided nerve blocks
Video laryngoscopes
Predicting difficult bad mask ventilation
3:3:2 rule for predicting difficult intubation
Sensitivity to neuromuscular blockade
Pros and cons of cricoid pressure
Comparison of induction agents table
Remifentanyl
Airway management in hypovolaemia
Airway management in the obese
Post intubation sedation and paralysis
Tramadol
Buprenorphine
Intranasal fentanyl dosage chart
Effects of local anaesthetics on nerve function
Topical lignocaine cream (LMX4)
Neuromuscular blockage overview
Emergency cricothyroidotomy kits
Fasting for paediatric sedation
Dexmedetomidine

Cardiology

JVP
Clicks
Murmur intensity
Accuracy of dynamic manoeuvres
Murmur differentiation tables
Valve severity tables
Austin flint murmur
Emergency echocardiography (L2 section)
Indications for pacing
LV aneurysm additions
Infective endocarditis prophylaxis revision
Troponin review
Differential diagnosis of ST elevation
Cardiogenic shock additions
Reversal of thrombolytic therapy
Tricuspid valve anatomy
Tricuspid regurg severity
Clinical sensitivity for detection of valvular lesions
Rheumatic fever treatment
Anatomy of the Right ventricle
Anatomy of the L ventricle
CHEDS2 score
AFib catheter ablation
Multidetector CT angiography
San Francisco Syncope rule

Ejection fraction table
PLAX normal dimensions table
Sensitivity of ECG for ACS
Lead misplacement
Accrochage
Fragmented QRS
80 lead ECG
CCTA for valve lesions
Diagnostic table for pericardial tamponade
Auscultatory accuracy for heart murmurs table
Cardiovascular medicine
Valsalva for SVT
LDL cholesterol
Colestipol
Ezetimibe
Gemfibrozil
Moxonidine
Pindolol
Lercanidipine

Clinical pharmacology

Drug distribution following IV bolus administration
High risk medications in the elderly
Safe prescribing
Prescribing considerations
Therapeutic drug level monitoring
Special access scheme
Drug regulation
IV drug incompatibility
Synergistic drug interactions
Aliskiren

Clinical skills

Personality
Feedback
Groupthink
Written communication
Determining the extent of treatment
Responsibilities of team members in harm prevention
Two challenge rule
Clinical handover
Human factors
Hazardous attitudes
Attention coning
Sentinel events
Risk register
Practical approach to DAMA
Declaration of competing interests
Achieving trust
Empathy and sympathy
Framing effect
Extrapolation bias
SAIF IR
I PASS the BATON
Using interpreters
Reasons for violence
Preparing for potential violence
How to apologise

Dermatology

Potency of topical corticosteriods
Basal cell carcinoma
Causes of erythroderma
Pityriasis rubra pilaris
Seborrhoeic keratosis
Lentigines
Pathophysiology of psoriasis

Endocrine

Anatomy of the Thyroid
Insulin glulisine, determir
Subcutaneous insulin infusion
Glitinides
Incretin augmenters and mimetics
Myxoedema coma
Obesity
Fulvestrant

ENT

Innervation of the larynx
Anatomy of the larynx
Indications for IV antibiotics in otitis externa

Environmental

Jellyfish revision
Pressure immobilisation summary and table
Australian antivenom summary and table
Tick revision
Scorpion revision
Epidemiology of Funnel Web envenoming
Management of unidentified spider bites
Venom induced consumptive coagulopathy
Management of VICC
Snake bite in children
Snake bite effects table
Arrhythmia management in hypothermia
Risk factors for heat wave related death
Defibrillator shock
Electrical weapons
Drowning definitions
Type I DCS
Type II DCS
Pathophysiology of altitude illness
AGE vs DCS comparison table

Sponge toxicity
Medical clearance for flying

Gastro

Anatomy of the pancreas
Obturator hernia
Hep A transmission
Anatomy of the spleen
Examination of the spleen
Examination of the liver
Achalasia
Oesophageal spasm
Wandering spleen
Pneumotosis intestinalis
Intrahepatic gas
Inflammatory bowel disease update
Treatment of Hepatitis B
Chronic Hepatitis B
Cyclical vomiting syndrome
Investigation of abdominal pain
Causes of acute liver failure in children
Examination in jaundice
Pain in appendicitis
Additional LRs for appendicitis
Macroscopic analysis of peritoneal fluid
Autoimmune hepatitis
Primary biliary sclerosis
Sclerosing cholangitis
Faecal incontinence
Complications of gastric banding surgery
Splenic infarction
Criteria for oesophageal dissolution techniques
NGT placement length and accuracy
Terlipressin
Childs ? Pugh classification of liver disease
 

Haematology

Recurrent DVT
Isolated below knee DVT
DVT risk in lower limb immobilisation
Normal WCC in children
AML revision
Intravenous iron
Monoclonal gammopathy revision
Fondaparinux
Bivalirudin
Spherocytosis causes and update
Agents most associated with febrile neutropenia
Bedside tests of coagulation
Bone marrow
Increased platelet count and increased bleeding
General factors affecting clotting
Haematocrit and bleeding risk
Beau?s lines
Dabigatran
Rivaroxiban
Cell markers
Eculizumab for PNH
Vena caval filters
Features of intraperitoneal gas on the supine AXR

Immunology

Tests of cell mediated immunity
Efalizumab
Alefacept
Ustekinumab
Abatacept

Infectious diseases

HZV
Cryptococcosis
Health care acquired infections
Hand hygiene
Surgical scrub
Gloves
Disinfection efficacy table
Immune reconstitution inflammatory syndrome
HPV and Rotavirus immunisation
Ertapenem
Emtricitabine
Maraviroc
Raltegravir
Cidofovir
Foscarnet
WHO classification of HIV infection
Avian influenza
Rat bite fever
Cutaneous abscesses

Investigations

Mirror artefact
US principles and modes
Colour Doppler
Standoffs
Perflutren
CRP additions
Mg additions
Abdo US revisions ? to gastro
CIN additions
Radiation doses revision
Accuracy
Test turnaround time
Mithramycin
Urea creatinine ratios
Limitations of eGFR
Coefficients of variation for LFTs
Mixed picture LFTs and causes
MRI safety terms
CT principles
Patterns of LFT abnormality
Analytical precision

Neurology

Psychogenic gait
Motor examination of the limbs update
Patterns of motor loss
Localising the cause of weakness
Sensory examination update
Patterns of sensory loss

Transient global amnesia update
Abbreviated mental test score
ED stroke and TIA care bundle
California TIA score
ROSIER score
Stroke unit components

ECASS III and EPITHET trial results
MRA in arterial dissection in the neck
Fischer scale for SAH
Treatment of viral meningitis
Outcomes from encephalitis
Levetiracetam
Pregabalin
Primidone
Oxcarbazepine
Lacosamide
International headache society 2005 update
Pitfalls in headache assessment
Medication overuse headaches
NICS guideline for migraine treatment
Prevention of migraine recurrrence
Freidman and Jacobson criteria for idiopathic intracranial hypertension
Effects of venous sinus thrombosis
WHO 2007 reclassification of intracranial tumours
Lifestyle factors in MS
Epley manoeuvre
Semont manoeuvre
Causes of stroke
CT features of stroke
Alberta stroke score
Modified Rankin score
Revision of imaging in stroke
Shunt survival rates
Management of AVM
Assessment and management of delirium
Rotigotine
Polio
CT findings of ICH
Test characteristics of CT and DWI MRI in stroke
ICH specific management
Hydrocephalus

O&G

Complications of prematurity
Prediction and prevention of premature labour

Ophthalmology

Intraocular pressure measurement revision
iCare tonometer
Cleaning of tonometers
Upper lid eversion technique
Optical section
Conical beam
Posterior vitreous detachment
Retinitis pigmentosa
Ocular ultrasound
Uveitis

Ortho

Ossification ages of epiphyses of common bones
Relations of the clavicle
Bursae around the knee
Clavicular fracture operative treatment
Blood supply of the head and neck of the femur
Neer classification of humeral fractures
Gartland classification of supracondylar humeral fractures
Epicondylar fractures of the humerus
Scaphoid fracture management review
Navicular fractures
Grade IV-VI classification of AC Joint dislocation
Duration of therapy for osteomyelitis
Distal bicepital rupture
Olecranon fractures
Radiological features of tibial plateau fractures
Radiological features of thoracic spinal fractures
Fibroxanthoma / fibrous cortical defect
Fibrous dysplasia
Normal radiological alignment of the bones of the foot
Accessory ossicles of the ankle and foot
Avulsion fractures of the calcaneum
Plantar fasciitis
Tibialis posterior tendon rupture

Paediatrics

Measles transmission
Complications of prematurity
Causes of critically unwell neonate
Neonatal ETT sizes
Wheezing in childhood
Paediatric appendicitis score
Target and crescent signs of intussuception
Diagnosis of CNS tumours
Pompe?s disease
Fabry?s disease
Neonatal maintenance fluid requirements

Neonatal immune function
Erythema toxicum neonatorum
Milaria
Nonatal acne
Infantile acropustulosis
Congenital cutaneous candidiasis
Neonatal herpes
Effect of fever on vital signs
EZ-IO
BIG
FAST-1
Whooping cough prophylaxis and treatment
Failure to thrive

Prehospital care

Cardiac arrest and CPR revision
Prehospital ECG
Paediatric BLS revision
Cardiac compression technique revision
Paediatric ACLS drug doses
Termination of resuscitation

Psychiatry

Clozapine induced myocarditis
Ziprasidone
Additional risk factors for suicide
Asking about suicide
Mania and hypomania table

Renal

Anatomy of the Ureter
Urethral anatomy
Medical expulsive therapy for ureteric calculi
Drugs associated with ureteric stone formation
Percutaneous nephrolithotomy
Ureteroscopy for renal colic
Darbopoetin
Penile zipper injuries
Carcinoma of the bladder treatment
Complications of ileal conduits
US of the kidney
UTI LRs
Dutasteride

Rheumatology

Anklosing spondylitis diagnosis
Temporal arteritis diagnosis
Polymyalgia rheumatica LRs and update
US in Polymyalgia
Metastatic spinal disease
Aspiration techniques of the wrist, shoulder, elbow, ankle
Monoarthritis diagnosis flowchart

Respiratory

ECG changes in pneumothorax
Echocardiographic features of PE revision
Radiology of the thymus
Varicella pneumonia
Egophany
Respiratory examination revision
Assessment of pleural effusions
Drug induced alveolar haemorrhage
Obstetric risk factors for PE
Transthoracic US for diagnosis of PE
US in PE table
Objective measurement of asthma
Maintenance treatment of asthma
Adverse effects of drugs on asthma
Combination inhalers and inhalational devices
Asthma in pregnancy
Management of severe asthma
Cardiac arrest and asthma
Classification of severity of COPD
Maintenance treatment of COPD
Acute exacerbations of COPD
Controlled oxygen therapy in COPD
Management of exacerbations of bronchiectasis
Intermittent oxygen therapy
Pneumonia definitions
Biomarkers in pneumonia
Comparison of pneumonia scoring systems
SMART COP
CORB
Comparison of imaging modalities for PE
PE in pregnancy
PE in the elderly
Risk stratification in PE
Outpatient management of PE
Diagnosis and evaluation of carcinoma of the lung
Malignant pleural effusions
Central sleep apnoea
Describing abnormalities on the CXR

Resuscitation

Respiratory resuscitation
Oxylog 2000 plus
Inspiratory flow variables
Ventilation modes
USCOM
PiCCO
Accuracy of the clinical a
ssessment of shock
Orthostatic vital signs
Other signs
Dry axilla
Mucous membranes
Capillary refill test performance
IVC measurement
Methods of assessment of hypovolaemia table
Levosimendan
Difficult IV access
IV catheter sizes and flow rates table
IV cannulation complications revision
IV cannula insertion revision
Veins of the upper limb
Cerebral resuscitation revision
ECG features of hypovolaemia
Axillary temperature measurement
Liquid crystal display temperature
Transcutaneous CO2
Non rebreather face masks
Critical SpO2 values
Shock therapy checklist
MEDs score table
Transfusion related lung injury
Post transfusion purpura
Emergency transfusion score
Predictors of massive transfusion in trauma
Predictors of need for immediate laparotomy
Arterial waveform
Heart rate and intervention in trauma
Blood pressure and mortality in trauma
Intravenous fluid administration rates
Complications of PICC lines
Pentastarch
Factor VII
Tranexamic acid in trauma

Scientific methods

Dimensions of evidence
Usefulness of evidence

Reporting standards
Quasi randomisation
Study types
Control groups
Literature databases
Searching the literature
Chronbach?s alpha
Sample size calculation
Study size determination
Levenes test
ANOVA additions
Logistic regression
Log linear analysis
Multiple comparisons
Scientific misconduct
Literature search accuracy
Data grouping
Agreement
Covariation
Dummy variable
Pattern variable
Product variable
Patient flow through studies
CONSORT abstract statement
Reporting patient harm
Ethics committee requirements
Forest plots
Critical appraisal tools
Limitations of levels of evidence
Effectiveness studies
Recommendations
Missing data
Sample size for test performance
Phi coefficient
Correlations according to data type
Industry sponsored trials
Hazard ratio
Relative and absolute risk table
SI unit conversion table

Toxicology

Australasian paracetamol nomogram
Pyrrolizidine alkaloids
Probability of digoxin toxicity
Digoxin levels
Albumin in salicylate toxicity
Acetaldehyde
Arsine gas
Dextromethorphan
Drug induced urinary changes

Paliperidone
 

Trauma

Palmar spaces
Surgery for brachial plexus lesions
Dog ear deformity
Parallel wounds
Recessed wounds
Upper cervical spinous ligaments
Closed degloving injury
Pretibial lacerations and haematoma
Anatomy of the infraorbital nerve
Grading of pancreatic injuries
Grading of cerebrovascular injuries
History taking in trauma
Skin films
Splenic grades of injury
Head trauma and anticoagulation / antiplatelet agents
CATCH CT head criteria
PECARN CT head criteria
NICE CT head criteria

Vascular

Types of aortic aneurysms
US diagnosis of AAA
Vessels of upper and lower limb revision
Anatomical variations of upper limb arteries
Complications of angiography (revision)
Vascular access for haemodialysis
Rutherford classification of ischaemia

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Last modified: October 05, 2013