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Chest Pain
Chest Pain
As a junior doctor, you will also often assess patients complaining of chest pain in the acute admissions setting and on the wards. Reviewing a patient with chest pain can be daunting...
Hypoglycaemia
Hypoglycaemia
Management of low blood sugar in conscious & unconscious patients, finding common causes, adjusting medications & when to refer.
Hypoxia
Hypoxia
As an FY1, you will be called to review patients who are hypoxic. Here we will discuss common causes of generalised hypoxia rather than focal hypoxia/ischaemia, such as in strokes or...
Reviewing and Requesting Bloods
Reviewing and Requesting Bloods
Here we focus on blood tests requests for a variety of common scenarios you might see in practice and also common further tests you may do as a result of the first abnormality. When...
Ophthamology
Applying to Ophthalmology
Ophthalmology provides a great deal of variety by combining medicine, surgery & A&E. It is predominantly an outpatient specialty with plenty of opportunities to subspecialise....
Death Verification
Death Verification
As a new F1 in August, it can feel like quite a daunting task to verify a death, particularly if you have never seen this done before. This step by step guide will take you through...

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Abdominal Pain
Abdominal Pain
When you are on call, you will often get a bleep about a patient with abdominal pain. Abdominal pain can be a bit of a minefield and it is easy to get bogged down with all the possibilities....
Emergencies
Deteriorating Patient
The deteriorating patient is often the worst nightmare for new FY1s.  I remember when I started FY1, I was terrified of coming across a deteriorating patient whilst on call and...
Delirium
Delirium
Acute confusion, otherwise known as delirium, is very common in hospitals: 20-30% on medical wards, and between 10-50% of those that have surgery develop delirium. Types of Delirium Hyperactive...
Discussing Treatment Escalation & DNAR
Discussing Treatment Escalation & DNAR
As an FY1 you should not be expected to make decisions regarding treatment escalation and DNAR, but you may need to prompt seniors to consider them & explain these decisions to...
Careers Advice
Careers Advice
FY1 is a great opportunity to explore new specialties and start to gain an idea of what working in them is actually like. A few things to bear in mind though: As an FY1 your job...
Illness
Coping with illness
Important things to remember You will get sick. That is life. You’re surrounded by germ-exuding things (otherwise known as your patients and colleagues), and may well be in a new...
Discharge letters
Discharge letters: hints & tips
Writing a discharge summary is a task you are likely to carry out every day, and despite the sense of monotony, it plays a critical part in the patient journey. Contents of a...
Leave
Leave
As a doctor, there are different types of leave you will come across during the year and the rest of your career. This article will talk about annual leave, study leave and sick leave....
Self Harm
Self Harm
The most common place you will see a patient who has self-harmed is in ED, where they have been referred to the psychiatry team but need to be medically cleared. Rarely this could occur...
Performing Arterial Blood Gases
Performing Arterial Blood Gases (ABGs)
Thanks to Geeky Medics for an excellent video demonstration Equipment Gloves Alcohol wipe Cotton wool/ gauze ABG syringe (ensure it is pre-heparinised) and blue needle Hand sanitiser When...
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