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Hands-on Guide to the Foundation Programme 5th edition [Mīkstie vāki]

(Chief Medical Officer, Map of Medicine, London, and Hearst Business Media, New York), (The Royal London Hospital, University College London, London Air Ambulance), (late of Bazian Ltd, London), (The Royal Marsden NHS Foundation Trust)
  • Formāts: Paperback / softback, 280 pages, height x width x depth: 178x127x15 mm, weight: 284 g
  • Izdošanas datums: 28-Nov-2014
  • Izdevniecība: Wiley-Blackwell
  • ISBN-10: 1118767462
  • ISBN-13: 9781118767467
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  • Formāts: Paperback / softback, 280 pages, height x width x depth: 178x127x15 mm, weight: 284 g
  • Izdošanas datums: 28-Nov-2014
  • Izdevniecība: Wiley-Blackwell
  • ISBN-10: 1118767462
  • ISBN-13: 9781118767467
Citas grāmatas par šo tēmu:
The Hands-on Guide to the Foundation Programme, fifth Edition, is a practical guide for medical students and foundation doctors, dealing with the many challenges of the programme. With hints, tips and realistic advice on various aspects of the course, from self-care to prescribing, this guide provides invaluable support with up-to-date information on postgraduate training and recruitment, practical management skills and career pathways to help build confidence, enabling you to hit the ground running

This edition features newly expanded sections on emergencies, psychiatric evaluation, the Situational Judgement Test, and the common calls and conditions you will encounter on a daily basis. The Hands-on Guide to the Foundation Programme is a perfect companion to assist the junior doctor in preparing for the intellectual emotional challenges of the foundation years

About to start the Foundation Programme?
Making the transition from medical school to professional life?

The Hands-on Guide to the Foundation Programme, Fifth Edition is a practical guide for medical students and foundation doctors, dealing with the many challenges of the programme. With hints, tips and realistic advice on various aspects of the course, from self-care to prescribing, this guide provides invaluable support, with up-to-date information on postgraduate training and recruitment, practical management skills and career pathways to help build confidence, enabling you to hit the ground running.

This edition features newly expanded sections on emergencies, psychiatric evaluation, the Situational Judgement Test, and the common calls and conditions you will encounter on a daily basis. The Hands-on Guide to the Foundation Programme is a perfect companion to assist the junior doctor in preparing for the intellectual and emotional challenges of the foundation years.

Take the stress out of the Foundation Programme with The Hands-on Guide!

Introduction xiii
How to use this book xiv
Acknowledgements xv
Abbreviations xvi
1 Starting up
1(7)
Panic?
1(1)
People to help you
1(1)
Three basic tips
2(1)
Other useful start-up information
2(4)
Dress
2(1)
Equipment
3(1)
Geography
4(1)
Ward rounds
4(1)
Social rounds
5(1)
Night rounds
5(1)
Discharging patients
6(1)
Work environment
6(1)
Bibliography
6(2)
2 Getting Organized or `The Folder'
8(4)
Personal folder and the lists
8(2)
How to make a personal folder
8(2)
Keeping track of patients (List 1)
10(1)
List of things to do (List 2)
10(1)
Results sheet (List 3)
10(1)
Data protection and confidentiality
11(1)
3 Paperwork and electronic medical records
12(7)
Patient notes
12(1)
Incident forms
13(1)
Blood forms and requesting bloods tests
14(1)
Discharge summaries (TTO/TTA)
15(1)
Handovers
16(1)
Referral letters
17(1)
Self-discharge
17(1)
Sick notes
17(2)
4 Accident and emergency
19(4)
General advice
19(1)
Admitting and allocating patients
20(1)
Keeping track of patients
21(1)
Medicine
21(1)
Medical and surgical assessment units
22(1)
Fast-track patients
22(1)
5 Becoming a better doctor
23(14)
Foundation Programmes (United Kingdom)
23(3)
Academic Foundation Programmes
24(1)
Assessments
24(1)
Situational judgement tests
25(1)
Moving on from the Foundation Programme
26(1)
Information technology
26(2)
The internet
27(1)
Online medical databases
27(1)
Keeping up with the literature
28(1)
Evidence-based medicine
28(2)
Clinical audit
29(1)
Quality improvement projects
30(1)
Case reports
30(1)
Courses
30(1)
Professionalism
31(5)
Communication
31(1)
Consultants and senior registrars
32(1)
GPs
32(1)
Nurses
33(1)
Patients
34(1)
Patients' families
35(1)
Confidentiality
36(1)
Exceptions to keeping confidentiality
36(1)
References
36(1)
6 Emergencies
37(12)
Acute coronary syndrome
37(1)
Stroke
37(3)
DVT and PE
40(1)
Haematemesis
40(1)
Acute asthma
41(1)
Life-threatening asthma
42(1)
Acute severe asthma
42(1)
Brittle asthma
42(1)
Acute pneumothorax
42(1)
Anaphylaxis
43(1)
Meningitis
43(2)
Collapse or reduced mobility
45(1)
Overdose
45(3)
In general
46(1)
Treating the patient
46(2)
Surgery
48(1)
7 Cardiac arrests and crash calls
49(5)
Cardiac arrest calls
49(3)
`Do not resuscitate' orders
52(2)
8 Common calls
54(53)
How to use this section
56(1)
Considerations for all ward calls
56(1)
Abdominal pain
57(1)
Differential diagnoses
57(1)
Anaemia
58(2)
Arrhythmia
60(2)
Calcium
62(3)
Hypercalcaemia
64(1)
Hypocalcaemia
64(1)
Chest pain
65(1)
Confusion
66(2)
Differential diagnoses
66(2)
Constipation
68(1)
Differential diagnoses
68(1)
Diarrhoea
69(1)
Differential diagnoses
69(1)
Electrocardiograms
70(4)
Important ECG abnormalities to recognize
74(1)
Eye complaints
74(1)
The acute red eye
74(1)
Sudden loss of vision in one or both eyes
75(1)
Floaters
75(1)
Falls
75(1)
Differential diagnoses
75(1)
Fever
76(2)
Differential diagnosis
77(1)
The immunocompromised patient with fever
78(1)
Fits
78(1)
Differential diagnoses
78(1)
Intravenous fluids
79(2)
Upper gastrointestinal bleeds
81(1)
Lower gastrointestinal bleeds
82(1)
Glucose
82(1)
Haematuria
83(1)
Headaches
84(1)
Differential diagnoses and key symptoms
84(1)
Hypertension
85(1)
Peri operative hypertension
86(1)
Hypotension
86(2)
Differential diagnoses
86(2)
Insomnia
88(1)
Differential diagnoses and suggested management
88(1)
Management with benzodiazepines
88(1)
Itching
88(1)
Differential diagnoses (If no visible skin lesions or rash)
88(1)
Major trauma
89(1)
Minor trauma
90(1)
The moribund patient
91(1)
Nausea and vomiting
92(1)
Differential diagnoses
92(1)
Oxygen therapy
93(1)
Methods of oxygen delivery
93(1)
Pulse oximetry
94(1)
Phlebitis
94(1)
Management
94(1)
Potassium
94(2)
Hyperkalemia
94(1)
Hypokalemia
95(1)
Rashes and skin lesions
96(1)
Disease categories 1--10
96(1)
Shortness of breath
97(1)
Differential diagnoses
97(1)
The sick patient
98(1)
Sodium
98(1)
Hyponatraemia
98(1)
Differential diagnoses
99(1)
Transfusions
99(2)
Blood transfusions
99(1)
Platelet transfusions
100(1)
Urine: Low output (oliguria/anuria)
101(1)
Basic emergency routine
102(1)
Obstetrics and gynaecology calls
103(4)
Talking to the patient
103(1)
Gynaecological examination
103(1)
Obstetric examination
104(1)
Being a male
104(1)
Common gynaecological calls
105(1)
Termination of pregnancy
106(1)
9 Death and dying
107(9)
Terminal care
107(1)
Communication
107(3)
Breaking bad news
107(1)
Ongoing communication with dying patients
108(2)
Pain control
110(1)
Symptom control
110(1)
Prescribing for the dying
110(1)
Support for the dying and for you
111(1)
Death
111(1)
What to do when a patient dies
111(1)
Telling relatives about the patient's death
112(1)
Religious practices on death
112(1)
PMs
112(1)
Death certificates
113(1)
Writing the death certificate
113(1)
Referring to the coroner (Scotland: Procurator fiscal)
114(1)
Cremation forms and fees
114(1)
To check for pacemakers
114(1)
Further reading
114(2)
10 Drugs
116(18)
General
116(1)
Prescribing drugs
116(2)
Drug charts
116(1)
Writing prescriptions
117(1)
Controlled drugs
117(1)
Verbals
118(1)
Giving drugs
118(1)
Drug Infusions
119(1)
Prescribing drug infusions
119(3)
Intravenous drugs
120(2)
Specific drug topics
122(4)
Antibiotics
122(1)
Anticoagulation
122(3)
Digoxin
125(1)
Therapeutic drug levels
126(1)
Miscellaneous tips
126(8)
11 Handle with care
134(13)
Alcoholism
134(2)
Alcohol withdrawal
135(1)
Capacity
136(1)
Children
137(1)
Depression
137(1)
Elderly patients
138(1)
Haemophilia patients
139(1)
Taking blood
139(1)
For theatre
139(1)
HIV/AIDS
140(1)
Taking blood
140(1)
HIV testing
140(1)
Jehovah's Witnesses/Christian Scientists
141(1)
Pregnant women
141(1)
Sickle cell anaemia
142(1)
The patient on steroids
142(5)
Side effects of steroids
142(1)
Managing ill patients on steroids
143(1)
Treating common side effects
143(1)
Withdrawing steroid therapy
143(1)
Haematological and oncological emergencies
144(1)
Spinal cord compression
144(1)
Superior vena cava obstruction and airway compromise
144(1)
Raised intracranial pressure
145(1)
Tumour lysis syndrome
145(1)
Hyperviscosity
145(2)
12 Approach to the medical patient
147(16)
History and examination
147(4)
Getting to know the disease
148(3)
History and examination
151(1)
Clinical stalemate
151(1)
Preparing patients for medical procedures
151(5)
Cardiac catheterization
152(1)
Elective DC cardioversion
152(1)
Upper gastrointestinal endoscopy
153(1)
Colonoscopy
154(1)
Flexible sigmoidoscopy
154(1)
Liver biopsy
155(1)
Pacemaker insertion
155(1)
Renal biopsy
156(1)
Specialist referrals and investigating the medical case
156(7)
Cardiology
157(1)
Gastroenterology
158(1)
Haematology
159(1)
Neurology
160(1)
Renal medicine
161(1)
Respiratory medicine
161(1)
Rheumatology
162(1)
13 Practical procedures
163(28)
General hints
163(4)
Interpreting ABGs
165(2)
Bladder catheterization
167(2)
Men
168(1)
Women
169(1)
Blood cultures
169(1)
Venepuncture
169(1)
Cannulation (Venflon/line insertion)
170(3)
Problems with temporary and tunnelled central lines
173(1)
Using central lines
173(1)
Chest drains
173(2)
Managing a chest drain
174(1)
How to remove a drain
175(1)
DC cardioversion
175(1)
Electrocardiogram
176(1)
Exercise stress test
176(1)
Relative contraindications (discuss with senior)
176(1)
The procedure
176(1)
Injections
177(2)
Subcutaneous
177(1)
Intramuscular
178(1)
Joint aspiration/injection
179(1)
Aspiration
179(1)
Injecting joints
180(1)
Local anaesthesia (for any procedure)
180(1)
Lumbar puncture
181(3)
Contraindications (get help)
181(3)
Mantoux test
184(1)
Nasogastric tubes
184(1)
Peritoneal tap (paracentesis)
185(1)
Pleural aspiration
185(3)
Indications
185(3)
Pulsus paradoxus
188(1)
Respiratory function tests
188(2)
Spirometry
188(1)
Peak expiratory flow rate
189(1)
Sutures
190(1)
14 Radiology
191(7)
Requesting investigations
191(1)
Minimizing radiation
192(1)
Common concerns about X-rays
192(1)
Pregnancy
193(1)
Plain films
193(1)
Chest X-rays
193(1)
Abdominal films
194(1)
Ultrasound
194(1)
Computed tomography
195(1)
General
195(1)
CT head -- Some emergency Indications
195(1)
Radioisotope scanning
196(2)
15 Approach to the surgical patient
198(14)
Introduction
198(1)
Preoperative care
198(1)
Clerking
198(1)
Preoperative tests
199(1)
Requesting blood preoperatively
200(1)
Preoperative fasting
200(1)
Consent
201(2)
Marking
203(1)
Booking theatre lists
203(2)
WHO checklist
205(1)
Perioperative prescribing
205(1)
Anti-emetics
205(1)
Analgesia
205(1)
Laxatives
205(1)
Bowel preparation
205(2)
Thromboprophylaxis
207(1)
Insulin infusion
207(1)
Post-operative care
207(1)
Wound checks
208(1)
Stoma care
209(1)
Enhanced recovery after surgery
209(1)
Theatre
210(1)
Further reading
210(2)
16 General practice
212(6)
What you can and cannot do
212(1)
You can
212(1)
You cannot
212(1)
Referral letters and note keeping
212(1)
General points
212(1)
Public health and health promotion
213(2)
Risks
213(1)
Benefits
213(1)
Condoms
214(1)
Intrauterine system
214(1)
Intrauterine device
214(1)
Contraceptive injection
214(1)
Contraceptive implants
214(1)
Smoking
215(1)
Lifestyle advice
215(1)
Notifiable diseases
215(1)
Vaccinations
215(1)
Breast screening
215(1)
Cervical screening
215(1)
Sexual health
216(1)
The hidden agenda and health beliefs
216(1)
Follow-up
216(1)
Home visits
217(1)
17 Self-care
218(17)
Accommodation
218(1)
Alternative careers
218(1)
Bleep
219(1)
British Medical Association
219(1)
Car insurance
219(1)
Clothes (laundry/stains)
220(1)
Contacting medical colleagues
220(1)
Contract and conditions of service
220(5)
What you need to know about your contract
220(5)
Doctors' mess
225(1)
Making money for the mess
225(1)
Insurance (room contents)
225(1)
Jobs
225(1)
Curriculum vitae
225(1)
The interview
226(1)
Consultant career prospects
226(1)
Locums
226(1)
Meals
227(1)
Medical defence
227(1)
Money
228(2)
Income protection if long-term sick or disabled
228(1)
Student debt
228(1)
Mortgages
228(1)
Payslip deductions
228(1)
Pensions
229(1)
Tax
229(1)
Telephone and online banking
230(1)
Needlestick injuries
230(1)
If the patient is known to be HIV positive
231(1)
If the patient is known to be hepatitis positive
231(1)
Not coping
231(1)
Part-time work (flexible training)
232(1)
Representation of junior doctors
232(1)
Sleep and on-call rooms
232(1)
When things go wrong
233(2)
Bullying and psychological stress
233(1)
Whistle-blowing
233(2)
Appendix I Scoring systems
235(8)
Cardiovascular
235(7)
CHA2DS2VASc
235(1)
HASBLED score
235(1)
GRACE score
235(1)
TIMI Risk Index
236(1)
NYHA scoring system (New York Heart Failure Association Scoring System)
236(1)
Neurology
236(1)
TIA-ABCD2 scoring
236(1)
AMTS (abbreviated mental test score)
237(1)
AVPU score
237(1)
(GCS) Glasgow Coma score
237(1)
Anaesthetics
237(1)
Mallampatti classification for intubation
237(1)
BMI
238(1)
Calculating anion gap
238(1)
Calculating serum osmolality
238(1)
Respiratory
238(1)
Gastroenterology
239(1)
Child Pugh classification
240(1)
Renal
241(1)
Trauma
241(1)
Barthel score
242(1)
Bathing
242(1)
Bladder
242(1)
Bowels
242(1)
Dressing
242(1)
Feeding
242(1)
Grooming
242(1)
Mobility
242(1)
Stairs
242(1)
Toilet
242(1)
Transfer
242(1)
Appendix II Useful tests, numbers and other information
243(5)
Addresses
243(1)
Mental Health Act
243(1)
Notifiable diseases
244(1)
Results
244(1)
Haematology
244(1)
Biochemistry
245(1)
Useful biochemical formulae
245(3)
Fitness to drive
246(2)
Further resources 248(1)
Index 249
Anna Donald, late of Bazian Ltd, London

Michael Stein is Chief Medical Officer, Map of Medicine, London, and Medical Advisor, Hearst Business Media, Hearst Corporation, New York

Ciaran Scott Hill is Neurosurgery Registrar, The Royal London Hospital, Honorary Senior Lecture in Neuroscience, Univesity College London, and Prehospital Care Physician, London Air Ambulance

Selina Chavda is NIHR Academic Clinical Fellow in Haemato-Oncology, The Royal Marsden NHS Foundation Trust and the Institute of Cancer Research