INTRODUCTION Overview Breakdown Practical x Theory Breakdown 6 modules roughly 5 minutes each Take Notes if possible Add questions to chat box 0. GROUNDWORK Before In Hospital BEFORE Apps: BNF, Accurx Switch Nhs.net email Download Hospital Sitemap pdf Switchboard number x 3 Call Parking – Payment after or Pay on display Buy Cloggs IN […]
BRIDGING COURSE – TASTER Read More »
Topics Workplace Etiquette Clinical Notes: The CHERIAN System Early Warning Score (EWS) Blood Tests & Results Prescribing Venepuncture Interpreting X-rays Consent Operating Theatre Etiquette Scrubbing, Gowning & Gloving Common Instruments & Handling The On-Call Masterplan INTRODUCTION Overview Breakdown Practical x Theory Breakdown 12 modules roughly 10 minutes each One module roughly 40 minutes Q &
Topics Regions Organs Diseases Diagnosis: Symptoms/Signs/Tests Management Notes Practical – not full Theory Write Notes Part of body most commonly dealt with by a Surgeon 9 Regions two vertical midclavicular lines (left and right) two horizontal: subcostal (through lower edge of 10th costal cartilage) and transtubercular (through tubercles of iliac crests) One disease at
THE SURGICAL ABDOMEN MASTERCLASS Read More »
Topics 6 parameters 123 1 – Temperature 2 – Cardiac – HR & Systolic Blood Pressure – Former most importatnt 3 – Respiratory – RR, Saturation & O2 requirement Know what counts as Zero (0) for each parameter Images
Early Warning Score (EWS) Read More »
Topics Continuation Sheet Patient Label If no label – 3 demographics – Name, DOB, Hospital Number Date, Time Charts EWS, I/O, Antibiotics – Start/End date History – Diagnosis Examination – Chaperone Results – Bloods, Imaging, Urine, Swabs Plan Sign, Name, Bleep, GMC Number If Med Student – needs countersigning Document everything you do – if
Clinical Note Writing Read More »
Topics Reach 30 mts early esp first week – early bird – Parking sweet spot 7.30-7.45 night shift finish Change into scrubs Theatre locker Switch on PC (Sign-out after use on each ward) Print patient list Get Consultant, Registrar, SHO name & numbers Lunch from 11am Chase results by 2pm – update sho Bleep/SMS/Theatre Handover
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Topics CXR PA / AP views CXR: ABCDE The Cardio-Thoracic Ratio (CTR) greater than 1:2 (50%) is considered abnormal. The carina represents the inferior termination of the trachea into the right and left main bronchi. Chilaiditi PTx 3 treatments – Venflon, Seldinger, Surgical Hemothorax, Pleural Effusion, Empyema NG Tube/Ryles Tube – Position, Indications, Tests Media Normal
Topics Regions Organs Diseases Diagnosis: Symptoms/Signs/Tests Management Notes Part of body most commonly dealt with by a Surgeon two vertical midclavicular lines (left and right) two horizontal: subcostal (through lower edge of 10th costal cartilage) and transtubercular (through tubercles of iliac crests) One disease at least each region Quadrants Lines Organs Disease conditions Biliary 4
Topics Ryles Tube – indications, tests NJ Tube AOD – Commonest 2 causes AXR: BowelBonesCalcification(Stones) The upper limits for the normal diameter 3,6,9 rule (SBO >3cm LBO >6cm Caecum >9cm) LBO & Ileo-Caecal Valve Significance Notes Projection of the abdominal X-ray. Typical projections of an abdominal X-ray include: Anterior-posterior (AP) supine Anterior-posterior (AP) erect BBC approach:
ABDOMINAL X-RAY (AXR) Read More »