Inclusion of guidelines on mental health ( mhGAP Humanitarian Intervention Guide. EMERGENCY 2017 MOD SKINIntroduction of new types of sutures to cover skin and face suturing.Increase in the amount of glucose for treatment of acute severe hypoglycaemia.Replacement of amitriptyline by fluoxetine following EML.Removal of promethazine (no longer on EML).Revision of anti-infective medicines (replacement of cloxacillin by cefalexin to adapt to new recommendations, miconazole muco-adhesive tabs by nystatin suspension and removal of procaine benzylpenicillin, both for unavailability of quality assured products).Phenobarbital remains a secondary option in case carbamazepine is not available, or if the country allows for phenobarbital importation Replacement of phenobarbital with carbamazepine 200 mg scored tablet for easier access.Inclusion of morphine tablets (immediate release) 10 mg.Inclusion of pulse oximeter for monitoring acute respiratory distress.Increase in the quantity of prednisolone 5mg tablets to cover treatment of COPD and asthma.Inclusion of beclomethasone and increase in the amount of salbutamol inhalers for treatment of acute asthma and acute chronic obstructive pulmonary disease (COPD) exacerbation.Inclusion of glucometer and urine test strips for ketones, glucose and albumin.Inclusion of human insulin (and insulin syringes) for stabilization of acute life-threatening hyperglycaemia or diabetic ketoacidosis.Replacement of atenolol by bisoprolol (based on EML update).Increase in the quantity of hydrochlorothiazide to allow for treatment of acute severe hypertension.Inclusion of medicines for treatment of acute severe hypertension, acute coronary syndrome, acute stroke and acute heart failure (acetylsalicylic acid, amlodipine, enalapril, glyceryl trinitrate, furosemide and heparin sodium).Supplementary module Cardiovascular diseases Lower strength of ibuprofen from 400mg to 200mg to cater to children’s needs.Removal of magnesium trisilicate and replacement with omeprazole in line with EML recommendations.
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