The segment on drugs in lactation in the Drugs in pregnancy and lactation page has been extensively revised and updated. In particular, the use of analgesics and psychotropic medications has been revised.

A small segment on subcutaneous ICDs has been added to the Electrical cardioversion page.

The definitions of sepsis and severe sepsis have been updated in the Assessment of sepsis page with more specific criteria based on the Surviving sepsis 2012 guidelines published earlier this year.

A table of WCC normal ranges for the first year of life has been added to the White blood cells page.

The Triage page has been updated with the latest information regarding ‘GP’ patients in ED.

Details of the NEXUS chest rule for plain radiography in blunt chest trauma has been added to the Assessment of the trauma patient page.

The Bite injuries page has been extensively revised and updated, and duplicate content in other parts of the manual removed. The page has also been moved out of the Hand trauma segment to now follow the Penetrating trauma segment.

The Sulphonamides and quinolones page has been updated with recent information about the toxicity of quinolones.

The Pulmonary embolism page has been updated with additional information about physical examination findings in PE.

The Community acquired pneumonia page has been updated with additional information about physical examination findings in CAP.

The Respiratory examination page has been extensively revised and expanded.