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Introduction: Diabetic foot ulcerations are a significant complication of diabetes and often precede minor (below the ankle) or major (above or below the knee) amputation. At least...
As the FY1, you will see patients with liver dysfunction either on the take or deranged LFTs when you are reviewing bloods. A focused approach can save you time & help you find...
Being able to use an ophthalmoscope confidently is very important to junior doctors, especially when identifying eye emergencies. In this article, we will go through the steps of eye...
Whilst on call or in A&E you may be asked to assess somebody who is suspected to have had a stroke. This is a very brief overview that gives you an approach to managing a patient...
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...
If the thought of conducting an intimate examination or attempting to wield (without any embarrassing pitfalls) the contraption that is the speculum is enough to fill you with apprehension-...
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Cannulation is a procedure regularly undertaken which involves threading a plastic tube into a vein to allow access to give fluids & other drugs. It is also possible to take bloods...
Constipation is one of the most common complaints in hospital, especially on the geriatric wards.Failure to treat constipation can lead to longer hospital stays and increased morbidity.What’s...
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...
RCEM has published some clear and comprehensive information which is well worth a read. Below we include a very quick summary as a refresher.CausesImpaired cardiac function...
Here’s a list of apps that are in order of how essential we find them. There’s probably more out there so drop us a comment if you have any suggestions to add!Induction...
Often one of the scariest things you can do as you will most likely be speaking to a more senior colleague in an unfamiliar speciality. However, as an F1, you may well know the patient...
Handover occurs between shifts to ensure everyone is up to speed with patients. The exact nature of how it occurs varies greatly by hospital & specialty. E.g. in paediatrics or...
When assessing pain, ensure you begin by taking a history to characterise the pain as neuropathic pain, inflammatory pain and oncological pain all respond to different analgesia. SOCRATES...
There are certain situations where you need to prescribe IV fluids which vary from fluid resuscitation to maintenance fluids if a patient is nil-by-mouth (NBM) (e.g. pre-operatively,...
As an F1, you will quite frequently get bleeped to review a patient who has had a fall on the ward, particularly if you are working late evening/nights. Falls in hospital can be anything...
