Details of how to obtain Rabies immunoglobin and vaccine in Australia have been added to the Rabies page in the Infectious Disorders section.

The Brain Death page in the Neurological Disorders section has been revised to include useful information from the ANZICS 2011 Statement on Brain Death.

A small section describing the Biopatch antibacterial disc has been added to the Central Venous Access page in the Resuscitation section.

Some updates have been added to the Disorders of Clotting page in the Haematological Disorders section, with revised factor replacement guidelines.

A new section on the management of scalp lacerations has been added to the Management of head trauma page in the Trauma section.

Updates from the newly released (it’s not even 2013 yet!) 2013 AHA STEMI management guidelines have been added to the Management of Acute Coronary Syndromes and Reperfusion Therapy pages in the Cardiovascular Disorders section.

A short section on th technique of hybrid resuscitation of hypovolaemia has been added to the Treatment of Hypovolaemia page in the Resuscitation section.

Sections describing the use of arterial tourniquets and pseudo coagulation powders in the managment of severe limb trauma have been added to the Management of fractures and dislocations page in the Bone and Joint Disorders section

Updates have been made to the Blast injury part of the Mechanisms of Injury page in the Trauma section.

Some new information has been added to the Pelvic Trauma page in the Trauma section regarding pelvic binding and angiography in the management of pelvic fractures.

Extensive revision and additions to the Emergency Department Thoracotomy page in the Trauma section have been made following the London Trauma Conference Thoracotomy Masterclass.

An expanded list of criteria for endotracheal extubation in patients who are being actively treated has been added to the Endotracheal extubation page in the Resuscitation section.

Some tips on how to differentiate high output cardiac failure from low output failure have been added to the Assessment of Cardiac Failure page in the Cardiovascular Disorders section.

The following topics have been added to the Pregnancy and Labour & delivery pages in the Obstetrics and Gynaecology section: Fertilisation and implantation; Endocrine changes in pregnancy; and Deciding where delivery should take place.

Following the recent London Cardiac Arrest Symposium, multiple updates and additions have been made to the following areas:  Sudden cardiac death, Therapeutic hypothermia in cardiac arrest, US in cardiac arrest, Mechanical chest compression devices, Role of PCI post arrest.

A table of recommended LP needle lengths has been added to the Lumbar Puncture page in the Neurological Disorders section.

Additional highly sensitive and specific criteria for differentiating inferior STEMI from pericarditis and early repolarisation phenomenon have been added to the ECG in Acute Coronary Syndromes and Pericarditis pages in the Cardiovascular Disorders section.

The recommended paediatric dosing schedule for NAC has been added to the Paracetamol toxicity page in the Toxicology section.

Some updates have been made in the Bag Mask Ventilation page (that also covers clearing the airway) in the Resuscitation section to better reflect current recommendations.

A new page summarising the main causes of shortness of breath has been added to the Respiratory Diseases chapter in the Respiratory Disorders section.

A new section describing the the US technique used to detect AAA has been added to the Abdominal aortic aneurysm page in the Abdominal emergencies section.

The Assessment of Abdominal Trauma page in the Trauma section has just been updated with additional information regardin the role of DPL.

The suggested use of naloxone in neonatal resuscitation on the Nonatal Resuscitation page in the Resuscitation section has been downgraded in light of the 2010 ILCOR guidelines.

A link to an online single pulmonary nodule malignancy risk calculator has been added to the Diffuse pulmonary opacity ssessment page in the Respiratory disorders section.

A link to an online pneumothorax size calculator has been added to the Assessment of Pneumothorax page in the Respiratory disorders section.

A new short section on sucking chest wounds has been added to the Penetrating chest trauma page in the Trauma section

From now on, links to new updates will take you directly to a bookmarked part of the page where the majority of the changes have occurred. However, please be aware that often other parts of the page are updated at the same time, so be sure to browse the entire page if you are looking for new content.

Following feedback from subscribers, the website has just been updated with a new page layout. The main changes are:

• The header bar has had been simplified and links to infrequently visited sections removed.
• The logout link previously on the top right corner of each page has been moved to the header bar.
• The entire header section now collapses with small screen sizes, making it easier to navigate.
• The navigation text on each page has been replaced with navigation tabs that are larger and easier to use on small portable devices.
• The table of contents links are in larger font.
• Table of contents for each chapter now include direct links to image pages.

We hope you find these changes useful.

Additional information regarding Pneumococcal immunisation has been added to the Immunisation page in the Infectious diseases section following recent FDA and TGA approvals. Additional links have been added to the Australian and New Zealand immunisation schedules from this page to ensure readers have immediate access to the most recent recommendations in these countries.

Multiple links to the Vaccination page in the Infectious diseases section have been inserted into the relevant pages to help speed navigation between them.