Clinical Update 506, 10 January 2018, Lack or benefit of provocative testing for chest pain work up no benefit of PCI in stable angina and the ACEP STEMI Policy
Clinical Update 505, 3 January 2018, Pictures to learn by - interesting imaging
Clinical Update 504, 2017 in Review - Some selected articles of note
Clinical Update 503, 29 November 2017, Stroke thrombectomy - is 24 hours the new 6?
Clinical Update 502, 25 October 2017, SVT and a bicarb of 9. Alcoholics are never straightforward
Clinical Update 501, 18 October 2017, Delirium - it's confusing and often forgotten about
Clinical Update 500, 4 October 2017, Pulmonary embolus ctd - Decision rules - how they compare to clinical judgement, and why thrombophillia tests should not be done in ED
Clinical Update 499, 27 September 2017, Pulmonary embolus - the YEARS study on safety of using simplified Wells criteria and a higher d-dimer threshold.
Clinical Update 498, 13 September 2017, More on chest pain accelerated diagnostic pathways from the ADAPT and IMPACT studies. Not as clear as they might like us to believe.
Clinical Update 497, 30 August 2017, Foreign bodies of all shapes and sizes - often innocuous, sometimes not. When to be concerned.
Clinical Update 496, 23 August 2017, Chronic pain and overuse of opioids - Lyrica and gabapentinoids are not the answer
Clinical Update 495, 16 August 2017, Syncope in the elderly - the workup is no different, they just have more things wrong with them
Clinical Update 494, 9 August 2017, Snake bite - findings and recommendation from the ASP-20 study
Clinical Update 493, 26 July 2017, Cord compression - drunks don't take spinal precautions and MRI doesn't show everything
Clinical Update 492, 12 July 2017, More than hypokalaemia - metabolic alkalosis and the Strong Ion approach to acid base
Clinical Update 491, 5 July 2017, Contrast induced nephropathy - it happens, you can't prevent it and if you need contrast, then give it
Clinical Update 490, 21 June 2017, Decision instruments for paediatric head injury - be careful what you choose
Clinical Update 489, 14 June 2017, Imaging for paediatric head injury - who follows the rules anyway
Clinical Update 488, 10 May 2017, More on cerebral venous sinus thrombosis. Guidelines for imaging treatment.
Clinical Update 487, 3 May 2017, Headache with normal neuro exam, a case of cerebral venous sinus thrombosis.
Clinical Update 486, 26 April 2017, Thrombolysis for PE. More on the long term follow up of PEITHO and some evidence light FOAM chatter.
Clinical Update 485, 19 April 2017, Thrombolysis for intermediate risk PE 1 - the PEITHO trial. No short term benefit, no long term benefit.
Clinical Update 484, 5 April 2017, Bronchiolitis - a review of management. Not much helps.
Clinical Update 483, 29 March 2017, Bronchiolitis - does high flow humidified O2 help and does oximetry drive unnecessary admissions
Clinical Update 482, 22 March 2017, Tranexamic acid - when it helps, when it won't
Clinical Update 481, 8 March 2017, The problems with Guidelines, and the 2016 ACEP Policy on early pregnancy
Clinical Update 480, 1 March 2017, ACEP 2017 Clinical Policy on carbon monoxide poisoning, and think of cyanide in house fires as well
Clinical Update 479, 22 February 2017, What condition is the cause of a cardiac arrest at a music festival, a cyanotic young girl and an unwell lethargic infantAudio file to accompany Clinical Update 479
Clinical Update 478, 15 February 2017, Surviving Sepsis Campaign 2016 Guideline - the recommendationsAudio file to accompany Clinical Update 478
Clinical Update 477, 8 February 2017, Surviving Sepsis Campaign 2016 Guideline - a moveable feast with some major changes Audio file to accompany Clinical Update 477
Clinical Update 476, 1 February 2017, Treatment of distal DVT and prophylaxis - little evidence and still not clear
Clinical Update 475, 25 January 2017, High risk ECG findings in pulmonary embolus and the role of thrombolysis in PEA arrest
Clinical Update 474, 18 January 2017, STEMI - it's not always cardiac
Clinical Update 473, 11 January 2017, Pictures to learn by - interesting imaging
Clinical Update 472, The Year in Review - Things to know and change your practice
Clinical Update 471, 24 November 2016, ACEP 2016 ACLS Update - it is not a one size fits all
Clinical Update 470, 10 November 2016, ACEP 2016 Clinical Policy on TIA and a new review of Stroke thrombolysis. Some things change, some things don't.
Clinical Update 469, 3 November 2016, Pulmonary Embolism - is it a common cause of syncope and who is safe for outpatient care
Clinical Update 468, 5 October 2016, Reducing Medical Error - Even Defining it is hard and more laws in the US to deal with Sepsis
Clinical Update 467, 29 September 2016, 2016 AHF Chest Pain Guideline_Pharmacotherapy in ACS - Antiplatelet Drugs Anticoagulation and other. Beyond Clopidogrel
Clinical Update 466, 22 September 2016, 2016 AHF Chest Pain Guideline_Reperfusion Strategies in NSTEACS - Risk Assessment and Confusing Evidence
Clinical Update 465, 15 September 2016, 2016 AHF Chest Pain Guideline_Reperfusion Strategies in STEMI - Thrombolysis PCI Timing and Combinations
Clinical Update 464, 8 September 2016, 2016 AHF Chest Pain Guideline - Role of Provocative Testing Reperfusion Strategies
Clinical Update 463, 1 September 2016, 2016 AHF Chest Pain Guideline - Clinical Assessment Protocols and Rapid Rule Out. All TIMI, no HEART.
Clinical Update 462, 25 August 2016, AHF Chest Pain Guideline - Risk Stratification. A delta 1 hour troponin isn't in it.
Clinical Update 461, 18 August 2016, New ACF Guideline for chest pain and ACS
Clinical Update 460, 11 August 2016, POTS - unusual but not entirely rare cause of syncope and dizziness. Check the pulse.
Clinical Update 459, 4 August 2016, Sickle cell crisis - it's painful and complications are serious. It also happens.
Clinical Update 458, 28 July 2016, DKA in children - Part 2. Still different.
Clinical Update 457, 21 July 2016, DKA in children - Part 1. Bit like adults, only different.
Clinical Update 456, 14 July 2016, Migraine - current diagnostic criteria and treatment recommendations. It's not pethidine.
Clinical Update 455, 6 July 2016, Intranial haemorhage - 3 interventions that do not help
Clinical Update 454, 30 June 2016, Post splenectomy sepsis can be overwhelming - treat early
Clinical Update 453, 23 June 2016, The on and on and ongoing debate of CT-LP v CT-CTA for subarachnoid haemorrhage, and other uncertainties
Clinical Update 452, 16 June 2016, So you think you know how to interpret troponins - the high sensitivity delta 1 hour troponin I to evaluate chest pain
Clinical Update 451, 9 June 2016, A lot to consider - ACEP Clinical Policy for febrile children under 2 years. And you thought it was straight forward
Clinical Update 450, 2 June 2016, SMACC saves the world - the meaning of lactate and Donald Trump
Clinical Update 449, 26 May 2016, BRUE - the condition previously know as ALTE. Most are low risk
Clinical Update 448, 19 May 2016, Back pain - less imaging less opiods and not using pain scales is the preferred approach
Clinical Update 447, 12 May 2016, Could it be porphyria - severe unexplained abdominal pain_Just give the dextrose
Clinical Update 446, 5 May 2016, Thoracic aortic dissection picked up on bedside US in a patient on dabigatran - reversal options for NOACs
Clinical Update 441, 31 March 2016 - New CDC Guidelines on reducing long term opioid use - its a big problem
Clinical Update 440, 24 March 2016 - Alcoholics are a challenge - a remarkable blood gas with seizures 2
Clinical Update 439, 17 March 2016 - Alcoholics are a challenge - a remarkable blood gas with seizures 1
Clinical Update 438, 10 March 2016 - The sick infant - when nurofen is not the answer
Clinical Update 437, 3 March 2016 - Vertigo - why clinical exam beats MRI to diagnose stroke
Clinical Update 436, 25 February 2016 - Sepsis 2 - We give too much fluid - what history and physiology tell us about intervention that works
Clinical Update 435, 18 February 2016 - Sepsis 1 - An approach, and recent evidence on what works
Clinical Update 434, 10 February 2016 - Pulmonary Embolism 2 - New treatment Guidelines, and a rational approach to investigation
Clinical Update 433, 4 February 2016 - Pulmonary Embolism 1 - Why trying to reduce harm will probably increase it
Clinical Update 432, 28 January 2016 - High Risk NSTEMI needing urgent reperfusion - more ECGs
Clinical Update 431, 21 January 2016 - High Risk NSTEMI needing urgent reperfusion - ECGs
Clinical Update 430, 14 January 2016 - High Risk NSTEMI needing urgent reperfusion.
Clinical Update 429, 8 January 2016 - A picture says a thousand words. Some imaging of note, and the Journal Watch top 10.
Clinical Update 428, 3 December 2015 - a pot pourri from 2015
Clinical Update 427, 26 November 2015 - What's new in ischaemic stroke from ACEP 2015 - quite a lot actually
Clinical Update 426, 19 November 2015 - Cardiac arrest and PEA - so you've thought of a reversible cause - what next? The role ultrasound.
Clinical Update 425, 12 November 2015 - Summary of changes in the 2015 AHA and ERC Resuscitation Guidelines - BLS and ACLS
Clinical Update 424, 15 October 2015 - IV Fluid Replacement - do you really think what you were taught is correct
Clinical Update 423, 8 October 2015 Reducing diagnostic error - the lack of progress since the IOM report, and the role of Emer
Clinical Update 422, 1 October 2015 Paediatric ECGs - they are not just little ones
Clinical Update 421, 23 September 2015 - When it's just constipation - what could possibly go wrong
Clinical Update 420, 17 September 2015 - Ischaemic stroke - new Guidelines on thrombectomy
Clinical Update 419, 10 September 2015 - 2015 Paracetamol Poisoning Guidelines, changes you need to know
Clinical Update 418, 3 September 2015 An approach to back pain - low risk needs little investigation, high risk needs a lot, and quickly
Clinical Update 417, 27 August 2015 Thyroid emergencies, when CT doesn't help and it get clinical
Clinical Update 416, 20 August 2015 Diabetes - things you need to know about fluid-electrolytes, acid-base and insulin
Clinical Update 415, 13 August 2015 Mesenteric ischaemia - the venous side
Clinical Update 414, 5 August 2015 Intracerebral haemorrhage - 2015 AHA Guidelines part 2
Clinical Update 413, 30 July 2015 Intracerebral haemorrhage - 2015 AHA Guideline part 1
Clinical Update 412, 22 July 2015 New Australian Guidelines for the workup and management of Encephalitis
Clinical Update 411, 16 July 2015 Urgent PCI - a new Algorithm for post arrest PCI and degree of urgency in STEMI equivalents including aVR STE and Wellens
Clinical Update 410, 9 July 2015 Atrial Fibrillation - approach with acute medical illness, hazards with anti digoxin, issues with anticoagulation, and a new agent to reverse dabigatran
Clinical Update 409, 2 July 2015 Open Disclosure - when things go wrong
Clinical Update 408, 25 June 2015 When less is more - palliative and end of life care in the ED
Clinical Update 407, 18 June 2015 Pancreatitis 2 - New Guidelines - What's changed and what to look for on CT, which is not needed routinely
Clinical Update 406, 11 June 2015 Pancreatitis 1 - predicting severity, and new practice guidelines
Clinical Update 405, 4 June 2015 Adult Pneumonia - predicting severity, ECMO, eMR, beta lactam monotherapy and steroids
Clinical Update 404, 28 May 2015 Paediatric Pneumonia - the new guidelines
Clinical Update 403, 20 May 2015 High flow humidified nasal oxygen and NIV - role in paediatric bronchiolitis and in adults
Clinical Update 402, 14 May 2015 Risks from chronic opioid use, and better alternatives for pain management
Clinical Update 401, 8 May 2015 Closed loop obstruction and internal hernia - clinical clues and CT findings
Clinical Update 400, 30 April 2015 Acute ischaemic stroke - 2 more thrombectomy trials, may be good for some
Clinical Update 399, 23 April 2015 Acute ischaemic stroke - the 4.5 hour thrombolysis window under review, and the new thrombectomy trials
Clinical Update 398, 9 April 2015 More uses for ketamine - DSI, ketofol debunked and safety increasingly confirmed
Clinical Update 397, 2 April 2015 Life threatening rashes that are important to recognise
Clinical Update 396, 26 March 2015 Lactic Acidosis 2, treatment, and it is not always sepsis
Clinical Update 395, 19 March 2015 Lactic Acidosis 1, causes are many, and sometimes unexpected
Clinical Update 394, 12 March 2015 Aortic Dissection 2, often thought of, often missed
Clinical Update 393, 5 March 2015 Aortic Dissection 1, it is never straight forward
Clinical Update 392, 26 February 2015 Severe DKA, role of ventilation & bicarbonate
Clinical Update 391, 19 February 2015 Epiglottis in Adults, differential diagnosis, and approach when you lose the airway
Clinical Update 390, 14 January 2015 Recognising and Treating Autonomic Dysreflexia in Spinal Injury Patients
Clinical Update 389, 8 January 2015 Learning by Pictures