@scrollmed_etgInfectious Diseases
Cystitis: nitrofurantoin is now first line
eTG's 2025 Antibiotic update moved nitrofurantoin to first line for acute cystitis in adults, because so many E. coli are now resistant to trimethoprim. Fosfomycin is second line for non-pregnant women; trimethoprim is still an option if cost or supply gets in the way.
eTG Antibiotic (March 2025 update): Urinary tract infections in adults@scrollmed_asthmaRespiratory
A silent chest is an emergency
In acute asthma, wheeze means air is still moving. A silent chest or reduced air entry signals life-threatening asthma — as do drowsiness, cyanosis, poor breathing effort, bradycardia and SpO2 below 92%.
Australian Asthma Handbook v3.0: Managing acute asthma in adults and adolescents@scrollmed_asciaEmergency
After adrenaline: watch for 4 hours
Observe for at least 4 hours after the last adrenaline dose — reactions can relapse or come back. Biphasic reactions follow 3–20% of episodes, within 48 hours. Keep patients overnight if the reaction was severe or refractory, or if they live alone, are remote from care or presented late in the evening.
ASCIA Acute Management of Anaphylaxis (2026): Actions after adrenalineYou're all caught up
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Explore topicsScrollMed summaries, written in our own words from eTG, ASCIA, the Australian Asthma Handbook and other trusted Australian guidelines, plus "Did you know?" facts from journals and official bodies. Tap the source on any post to read the original. Always check the current guideline and local protocols before clinical use.