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NIV
Non-Invasive Ventilation
Non-invasive ventilation is a way of providing ventilatory support to patients in respiratory failure without using an invasive airway device (e.g. ET tube or tracheostomy tube).The...
Hypokalaemia
Hypokalaemia
As an FY1 you will frequently see hypokalaemia and most trusts have guidelines that should be used in the first instance. The advice below is informal & based on broad day to day...
Heart Failure
Heart Failure
Heart Failure is not a diagnosis in itself, rather a collection of symptoms that require investigation to find the underlying cause.Heart failure syndrome is the term used to describe...
Mental Capacity
Mental Capacity
Mental Capacity is the ability to make your own decisions at the time at which the decision needs to be made. The mental capacity act was designed to protect and empower people who...
NG Tube
Nasogastric Tubes
NG tubes are passed from the nose to the stomach. Depending on the material, they can stay between 2 to 6 weeks. However, they quite easily can fall out either being accidentally tugged...
Pulmonary embolism
Pulmonary embolism
A pulmonary embolism (PE) is a blocked blood vessel in your lungs, most often due to a blood clot. It is common and can be asymptomatic but can be life-threatening if the clot is large...

Latest Content

Constipation
Constipation
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...
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...
Pulmonary Oedema
Pulmonary Oedema
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...
Mobile Apps
Essential Apps
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...
Referrals
Referrals
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
Handover
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...
Prescribing analgesia
Prescribing analgesia
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...
IV fluids
Prescribing IV Fluids
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,...
Falls
Falls
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...
Sepsis
Sepsis
Sepsis is an infection with evidence of organ dysfunction. Septic shock is when a patient with sepsis is hypotensive despite appropriate fluid resuscitation.IntroductionOne...
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