
Prescribing IV Fluids
There are certain situations where you need to prescribe IV fluids which vary from fluid resuscitation to maintenance fluids if
There are certain situations where you need to prescribe IV fluids which vary from fluid resuscitation to maintenance fluids if
In this article, we will look at more practical aspects of how to read an ABG and treatment following your
The PSA is aimed at final year medical students and those graduating overseas to assess their competency at prescribing as
Anaesthetics is a very hands-on specialty. Day-to-day work will have a mix of practical procedures and other clinical work such
Radiology is a very exciting and innovative field of medicine. Radiologists have such an important role in the investigation of
The advantages of AXRs are far less radiation to patients & that they’re logistically easy to organise out of hours.
FY1s are usually most apprehensive about being on call, but it is also the shift you will usually learn the
Almost every patient admitted to hospital receives IV fluids at some point in their journey. However, the body manages this,
It takes time to get used to the ward round. Particularly, when patients are being seen so fast it seems
Your eportfolio is a tool to store and record evidence that demonstrates your progress, clinical competencies and reflections. Try to
As a doctor, you will frequently be called for a drowsy patient. They can vary from confused to completely unconscious.
If you’re worried about not getting your top choice, you shouldn’t worry. It doesn’t affect your future career and wherever
As an FY1 doctor, there are different types of leave you will come across during the year and the rest
We’ve created a junior doctor pay calculator to help you better understand your salary, tax, student loans and NHS pensions.
Our referral cheat sheet is our most popular resource having been downloaded thousands of times! It has key information to
Audits & QIPs are a way to identify issues, drive changes and assess the effects they have. It is your
Covid-19 is taking a huge emotional toll on everyone. The usual work-life balance tips don’t work as well when you can’t go
Although it can be scary to take on a leadership role, it is an essential role of junior doctors and
ContentsImportant things to rememberOccupational healthThe legal stuffFurther reading Important things to remember You will get sick. That is life. You’re
Most of the time, chest pain in children originates from a benign cause. However, paediatric chest pain can be a
The management and review of postnatal women are usually straightforward. There are a few points specific to postnatal women that
As an FY1 it is likely that you will manage paediatric patients during their admission, often in other specialties like
Psychotropic medication includes some of the most commonly prescribed medication in the the world. This article will cover the types
A very quick guide to common issues prompting referrals to maxillofacial surgery (aka MaxFax and OMFS) This is a surgical
Anxiety is a commonly experienced symptom as part of the body’s reaction to stress. It becomes a mental health disorder
PEG tubes are used as long term feeding options (and medication administration) for those in whom NG tubes are unsuitable
Rehabilitation medicine is a holistic specialty in which you spend a great deal of time with patients. There are many
As an FY1 you will likely manage paediatric patients during their admission, often in other specialties like general surgery. Difficult
We commonly find ourselves needing to communicate with the next of kin & relatives. In this article, we cover the
In this article, I will be discussing the different types of savings accounts and key points about each. For more
As a junior, you will frequently see patients who potentially have thyroid dysfunction. The problem is these patients often present
Diarrhoea is a very common complaint and may be the reason for a patient’s admission, or develop as a new
There are three joint pain calls you might receive whilst you’re on call or on the wards. We have split
Thanks to Geeky Medics for an excellent video demonstration Equipment Gloves Alcohol wipe Cotton wool/ gauze ABG syringe (ensure it
In this article, we cover depressive disorders, bipolar affective disorder and schizoaffective disorder with an overview of the epidemiology, diagnostic
The rules on consenting children and adolescents can seem a complex business. Putting the theory learned in medical school into
M&M meetings discuss the outcomes of patients and mortality rates, with the view to improving clinical care, quality control and
Chronic pancreatitis is characterised by repeated pancreatic inflammation. This leads to the destruction of pancreatic tissue leading to irreversible loss
Sharps injuries happen when you least expect them. You can’t always prevent them but you can do a lot to
In this article, we cover common benign anorectal pathologies including haemorrhoids, fissures & fistulas with a quick overview of their
Determining the risk of harm to the patient, and sometimes to others, is an essential part of a psychiatric assessment.
SVC syndrome is an oncological emergency. There is obstruction of the superior vena cava resulting in stagnating blood and a
Vertigo is described as an “abnormal sensation of motion. It can occur in the absence of motion or when motion
We asked on social media what your favourite podcasts were & these were rated the most popular. Comment below if
Medicines reconciliation is the process of accurately listing a person’s medicines. This often takes place when they’re admitted into a
There is an increasing prevalence of end-stage kidney disease and it is therefore likely that you will be involved in
As gynaecology issues uncommonly present on the ward, many doctors have difficulties with the standard framework for addressing these issues.
The UK Medicines Information group have provided excellent guidance on how to replace phosphate.
Loss of vision can be a scary symptom for patients to experience, and a scary presentation for doctors to manage!
Diplopia, also known as double vision, happens when there is a mismatch in images produced by the two eyes; hence
Nutrition is an important aspect of a patient’s health and is overlooked during medical school as you are learning exciting
The UK Medicines Information group have provided excellent guidance on how to replace magnesium.
Acute hypocalcaemia that is severe (<1.9 mmol/L) or symptomatic can be life-threatening and necessitates urgent treatment. It is often initially
There are three joint pain calls you might receive whilst you’re on call or on the wards. We have split
ContentsWorking LTFT in FY1/FY2Eligibility for LTFT trainingCategory 1: Trainees with health conditions and caring responsibilitiesCategory 2: Trainees with unique opportunities
As a junior doctor, it is your statutory duty as a medical professional to alert the local public health team
This article will cover the different types of credit cards, the main things to look out for, and the reasons
This is intended for junior doctors on the ward or in ED, covering how to approach the eye history &
Diverticulae can occur throughout the gastrointestinal tract but are more common in the sigmoid & descending colon. Whilst frequently found,
Spinal cord compression occurs when there is compression of the spinal cord or cauda equina at any level secondary to
Equipment Gloves Hand sanitiser Alcohol wipe Tourniquet Cotton wool/ gauze Needle Syringe or vacutainer Blood bottles Specimen bag Plaster or
Understanding how to do an LP and interpret the results is an essential skill for most doctors, particularly those planning
When you are on call, you will often get a bleep about a patient with abdominal pain. Abdominal pain can
The most common place you will see a patient who has self-harmed is in ED, where they have been referred
A CNS infection is one that involves the central nervous system in some way. This includes the meninges, cerebellum, ventricular
Oral and Maxillofacial Surgery is a mouthful (no pun intended), but you may have heard of it referred to as
In this article, we will go through the three most common scenarios you will encounter. These are: (1) Does this
Everyone will receive a complaint – this is inevitable. Usually, these are informal, “I’m unhappy with the care delivered” from
This article aims to give basic information on the assessment of dental trauma to enable the reader to both recognise
Sutures are placed to aid with wound healing following a traumatic laceration or surgical incision and to promote haemostasis. In
Urinary tract infections (UTIs) in adults are extremely common in both primary and secondary care and it is inevitable that
Bowel obstruction is a common reason for admission or complication of patients under the surgical team, but doctors don’t frequently
Appendicitis is a one of the most common abdominal emergencies worldwide. Your aim is to be able to diagnose it, distinguish between simple and complex cases and optimise medical management whilst your seniors decide on the timing of surgery.
Mental Capacity is the ability to make your own decisions at the time at which the decision needs to be
In all specialities of medicine patient clinical recordings, whether this is photographs or visual investigations, are imperative1. Not only are
COVID-19 aside, international travel is easier and more prevalent than ever before, and illness associated with travel is common. Although
The word stoma comes from Greek to mean “an opening”. There are many types which are formed for a variety
In whichever specialty you work, you will encounter large numbers of patients with chronic kidney disease and this will impact
The groin, also known as the inguinal region, extends from the anterior superior iliac spine (ASIS) anterolaterally, the thigh inferiorly and the pubic tubercle medially. It is an anatomical region vulnerable to surgical pathology due to a weakening of the abdominal wall occurring during embryology.
Anaphylaxis is a serious, life-threatening allergic reaction. Features include airway compromise, breathing or circulation difficulties and skin changes. Skin changes
As a doctor, you may come across patients with complex airways. They should be found on dedicated wards such as
Within Geriatric Medicine you are always working as part of a multidisciplinary team and have lots of close interactions with other allied health professionals. In my experience, this means plenty of opportunity for discussion and shared decision making with colleagues, as well as being able to gain knowledge and learn from others’ expertise. This also creates a very supportive environment to work in.
Acute headache is a common complaint that you’ll see whilst on the wards or in the acute take. Although most
A deep vein thrombosis (DVT) is a condition in which a blood clot (thrombosis) forms within a deep vein and
GP training is one of the most popular pathways. In this article, we discuss how to build your portfolio, the
As an FY1 it is likely that you will manage paediatric patients during their admission, often in other specialties like
Pancreatitis is a condition characterised by the inflammation of the pancreas. These patients are usually managed conservatively. Your aim is
Hypernatraemia is defined as a sodium above 145 mmol/L with severe being more than 150 mmol/L.
In this article, we talk about what the credit score means, how it affects you & tips on how you
Given how frequently patients present with renal colic, it is helpful for FY1s to understand the basic management. Specifically, this
This article summarises some key tips and tricks on how to get the most out of your current accounts. For
Children are vulnerable. Unfortunately, child abuse does happen, and it has a significant and lifelong impact. You may be one
Demonstration video thanks to Geeky Medics Equipment Gloves Hand sanitiser Tourniquet Appropriate size cannula Alcohol swab Gauze Syringe 0.9% sodium
Infective endocarditis (IE) is relatively rare in the UK. However, delays in diagnosis and treatment can lead to serious complications,
Defined as a collection of electrolyte abnormalities associated with a massive intracellular shift of electrolytes. Associated with aggressive nutritional rehabilitation
FY1 is a great opportunity to explore new specialties and start to gain an idea of what working in them
Hypothermia, whilst an infrequently encountered issue during foundation, is a high-risk condition with a need for investigation and often rapid
It’s important for healthcare professionals to have an understanding of the different loans which are available – to help them
As doctors, you will frequently see patients with opiate dependence. It isn’t uncommon for these patients to be admitted due
In this article, we discuss when a catheter might be needed and top tips on male & female catheterisation. Before
Inflammatory bowel disease (IBD) refers to a relapsing and remitting inflammatory disorder of the gastrointestinal (GI) tract, which may be
Please read an overview of the management of sepsis before reading this article. Neutropenic sepsis is defined as a temperature
A lumbar puncture uses a fine needle inserted between the vertebrae in the lower back to take samples of CSF
If you’ve ever wondered how hospitals generate income from the work you do – the answer is clinical coding. In
A lot of your time as an FY1 will be spent on the phone to various other specialities. You’ll come
What does your future hold? Have you thought of a specialty that you want to pursue? This article discusses the
As an FY1 you should not be expected to make decisions regarding treatment escalation and DNAR, but you may need
Psychiatry, as a specialty is unique in that diagnostic methods, rely very heavily on symptomatology, therefore assessment has to be
You are unlikely to be expected to make decisions about long term asthma management, therefore focus your efforts on learning
Red eye is one of the most common eye presentations you will encounter. Whilst many will likely be referred to
In this article, we cover the main ENT situations you are likely to encounter either in A&E, during an ENT
Colorectal cancer is one of the most common cancer types seen in the western world. They are adenocarcinomas arising from adenomatous polyps in the colon and rectum, with a majority seen on the left side of the colon.
Patients regularly present under the surgical take with gall stone disease. The aim of this article is to supplement the
You will frequently get calls regarding nausea & vomiting: many patients present with it or develop it because of their
Welcome to FY1. In your first few months, you will find your learning curve is steep and you may feel
One of the most common obstetric/gynaecological presentations in a hospital/GP setting is vaginal bleeding. When women present with per vaginal
In this article, we will present several common scenarios involving Parkinson’s disease (PD) that you might face on the ward
Occupation medicine is a fantastic specialty and one with a huge variety of opportunities. In this article, we discuss this
Serum calcium concentration is tightly regulated between 2.1-2.6mmol/L. Severe hypercalcaemia is a life-threatening electrolyte emergency requiring prompt recognition and urgent
Human Immunodeficiency Virus (HIV) is a species of lentivirus that can infect humans and subsequently causes Acquired Immunodeficiency Syndrome (AIDS).
One of the most common A&E presentations is a sore throat, and while sore throat seems like a pretty straightforward
As an FY1 in hospital, you will come across lots of patients with dementia. They often have multiple problems requiring
What is frailty? In simple terms, frail patients lack physiological reserves, and it takes more for them to bounce back
This is a tricky area to cover as it can be challenging to us both personally and professionally when things
This article is supplementary to the webinar on the same subject, which you might find extremely useful as we were
Sickle cell diseases are a disorder of haemoglobin affecting red blood cells. This autosomal recessive, single gene defect results in
Psychosis refers to patients suffering a loss of contact with reality. It affects 3 out of 100 people in their
You will likely encounter an opiate overdose due to the prevalence of opiates for recreational use, in those who have
You’ve found a patient is hyperglycaemic & either they are ketotic or have significant hyperglycaemia (>30mmol/L) and so you suspect DKA or
In this article, we cover the assessment and management of back pain. This article forms part of a series on
Dermatology is a vast topic that junior doctors often find daunting. Do read our article on describing skin lesions. Fortunately,
The first thing when called is to identify whether the bleeding is truly a lower GI bleed or whether it
Suddenly stopping alcohol intake in patients who have been drinking heavily for prolonged periods is dangerous and can lead to
Dying is a natural process and unfortunately, something that we all come across in our daily jobs, including whilst on
It is quite common for you to need to describe rashes for documentation purposes, to senior colleagues or to refer
In this article, we focus on the interpretation of a CXR. Have a low threshold to request one as they
At times as a junior doctor, you will be faced with the management of patients displaying aggression. There are many
In this article, we provide a quick overview of how to treat and investigate the cause of patients with hypoglycaemia.
Epistaxis is a common presentation, especially amongst the young and elderly population. Knowing the basic management, red flags, and when
Often one of the scariest things you can do as you will most likely be speaking to a more senior
As a junior doctor, you will often be called about patients with raised blood pressure (BP) in secondary care. This
Palpitations can be described as the sensation of an abnormally received heartbeat. It can be rapid, irregular, forceful or just
A pulmonary embolism (PE) is a blocked blood vessel in your lungs, most often due to a blood clot. It
If the thought of conducting an intimate examination or attempting to wield (without any embarrassing pitfalls) the contraption that is
As the FY1, you will see patients with liver dysfunction either on the take or deranged LFTs when you are
These patients have the potential to become haemodynamically unstable extremely quickly; try to avoid delays in reviewing them. In-hospital mortality
After a patient has died you may be asked to complete the death certificate. It may be issued by a
As an FY1 you will frequently see hypokalaemia and most trusts have guidelines that should be used in the first
You may well be asked to take blood from a PICC line or be called to see a patient because
You will regularly see patients with blood in their urine, most often picked up incidentally on a urine drip. Your
As a junior doctor, you will have face situations where you have to convey potentially distressing information, whether it is
As we all rotate so frequently between departments, many of us like to get our seniors or juniors something nice
Acute Compartment Syndrome is one of the few orthopaedic emergencies. If missed, it can lead to severe and life-changing consequences
The mental state examination (MSE) is an observational assessment of a patient’s appearance, behaviours and cognitive state. It has seven
Fragility fractures in the elderly As a junior doctor on call, in geriatrics or in orthopaedics – you will frequently
Student loans are a Government-run scheme in the UK and the most recent plan (Plan 2) has resulted in higher
This article will discuss how to take blood and cannulate patients in the paediatric setting.
Hyperkalaemia can cause life-threatening emergencies particularly cardiac arrhythmias. A widely used definition is extracellular [K+] ion concentration ≥ 5.5 mmol/L.
Work-life balance is a topic that has become increasingly prevalent over the past decade with positive changes being made to
From the Greek: Syn: together & kopein: to cut – referring to a block in blood supply from the body to the brain, most often due a drop in systemic blood pressure. It is defined as (1) temporary and transient (2) a form of loss of consciousness…
RCEM has published some clear and comprehensive information which is well worth a read. Below we include a very quick summary
Patients may live or be discharged to a wide variety of social care settings and understanding these is important for
What is the MHA? It is legislation that governs patients’ Compulsory detention Treatment Discharge Aftercare It can be used to
Whilst on call or in A&E you may be asked to assess somebody who is suspected to have had a
NG tubes are passed from the nose to the stomach. Depending on the material, they can stay between 2 to
Sepsis is an infection with evidence of organ dysfunction. Septic shock is when a patient with sepsis is hypotensive despite
Perhaps the most common blood test you will review daily will be the FBC (full blood count). You will commonly
As an FY1, you are unlikely to be expected to make decisions about long term COPD management therefore focus your
In this article, we will focus on more practical concerns when managing a patient with pneumonia for junior doctors. Covid-19
Constipation is one of the most common complaints in hospital, especially on the geriatric wards.Failure to treat constipation can lead
Getting onto the property ladder is becoming increasingly difficult for first-time buyers due to the difficulty in saving for the
Heart Failure is not a diagnosis in itself, rather a collection of symptoms that require investigation to find the underlying
Non-invasive ventilation is a way of providing ventilatory support to patients in respiratory failure without using an invasive airway device
As a new F1 in August, it can feel like quite a daunting task to verify a death, particularly if
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 2% of people with diabetes experience new foot ulcers annually, and of these, one in 400 undergoes amputation (Kerr, M. 2019)
It is common for FY1s to feel anxious & feel like they’re not ready to start. We expect you to
For new doctors, prescribing anticoagulants can be daunting. A few simple rules can make this easier. Ensure you use your
Expect many bleeps about hypotension from concerned nursing staff. It is a useful way to flag up which patients might
As an FY1, you will encounter these either during clerking shifts or you may look after them on the ward.
On the one hand, you wear a Disney lanyard, with a pocket stuffed with stickers, on the other, you are
I’m going to try and be as generic as possible so that hopefully these tips work across different specialities and
Here we focus on blood tests requests for a variety of common scenarios you might see in practice and also
Surgical training has a variety of work to get involved in as well as having many sub-specialties within it. The
Acute confusion, otherwise known as delirium, is very common in hospitals: 20-30% on medical wards, and between 10-50% of those
A pneumothorax is defined as the abnormal collection of air between the visceral and parietal space of the lung i.e.
Writing a discharge summary is a task you are likely to carry out every day, and despite the sense of
Scenario: You are bleeped by one of the staff nurses to review a patient on the orthopaedic ward who is
Handover occurs between shifts to ensure everyone is up to speed with patients. The exact nature of how it occurs
In this article, we’ll cover the treatments used in Diabetes Mellitus. We’ll look at key things you need to know
Urinary retention can be acute or chronic. When acute it occurs within a number of hours causing significant pain. In
AKI is very common affecting around 20% of inpatients & it is important to recognise promptly and correctly to avoid
When I supervise and teach FY1s, prescribing is in the top three things they are most concerned about. Usually, they’re
A blood film looks at our three cell types (erythrocytes, leukocytes & platelets) under a microscope to identify any abnormalities
Frequently patients wish to self-discharge from hospitals. This article pertains to adult patients only (18y+) and these patients can be
Ophthalmology provides a great deal of variety by combining medicine, surgery & A&E. It is predominantly an outpatient specialty with
In the UK, there are different contracts for each of the different regions: Northern Ireland, Scotland, England & Wales. For
In this article, we discuss why you should apply to O&G training, how to build your portfolio & we detail the application process. O&G is a 7 year run-through programme, incorporating a core curriculum with ultrasound training & there are plenty of opportunities to subspecialise.
As a junior doctor, you will also often assess patients complaining of chest pain in the acute admissions setting and
Preparing for the Situational Judgement Test (SJT) exam can be quite daunting. It makes up 50% of your Foundation Programme
Being able to use an ophthalmoscope confidently is very important to junior doctors, especially when identifying eye emergencies. In this
Finally earning a wage for all your hard work is great and locum work can be a great way to
Hyponatraemia (serum Sodium <135 mmol/L) is one of the most common electrolyte abnormalities you will see and so a systematic
This article is about claiming tax relief on essential things for your job. Understanding pay & tax is covered in
It is important for junior doctors to understand what the discharge planning process involves so you can have an active
Hyperglycaemia is something you will encounter frequently. In this article, we focus on how to approach hyperglycaemia and identify diabetic
As a junior doctor, you will frequently look after patients prior to and after their operation. You may be asked
AF is the most common sustained cardiac arrhythmia you will encounter. In this article, we focus on the management of
Balancing your workload as a junior doctor whilst teaching medical students effectively is difficult so here are some tips!
The electrocardiogram (ECG) is one of the most common, and important, investigations interpreted by doctors. In order to help the
Medical documentation should authentically represent every consultation and is primarily intended to support patient care. Good record-keeping means you or
As an F1, you will quite frequently get bleeped to review a patient who has had a fall on the
SLEs are supervised learning events that include Mini-CEX (mini clinical evaluation exercise) CBD (case-based discussion) DOPS (direct observation of procedural
Requesting scans can be a scary daily occurrence for new doctors. It is one of few times where you liaise
As an FY1, you will be called to review hypoxic ward patients. Here we discuss common causes of generalised hypoxia
Do you have an interest in human behaviour? Did you go into medicine to speak to patients? Are you looking
Femoral puncture is typically used to acquire blood from a patient in an emergency setting as both the veins and
Ascitic aspiration (tap) is routinely performed for every patient admitted with ascites to identify the underlying cause. The most urgent
Here we assume you know the basics, and instead we focus on the common pitfalls with tips on how to
Here’s a list of apps that are in order of how essential we find them. There’s probably more out there
The deteriorating patient is often the worst nightmare for new FY1s. I remember when I started FY1, I was terrified
When assessing pain, ensure you begin by taking a history to characterise the pain as neuropathic pain, inflammatory pain and
Each month, your pay and any deductions will be summarised to you in the form of a payslip. You should
When I left medical school, I thought my only difficulty would be the actual medicine, which most junior doctors will