All Topics
Browse all clinical topics, calculators, and reference guides available on BetterCall.ie
Common Calls
Temperature Spike ๐ก๏ธ
Clinical guide for managing temperature spikes and fever in hospital patients: UK inpatient sepsis screen, AF assessment, and on-call fever work-up for junior doctors.
Falls ๐ถโโ๏ธ
Clinical guide for assessing and managing patient falls. Head injury assessment, fracture evaluation, syncope workup, and falls prevention for on-call doctors.
Chest Pain โค๏ธโ๐ฅ
Clinical guide for assessing and managing chest pain. Differential diagnosis, ECG interpretation, ACS protocols, and emergency management for on-call doctors.
Adult advanced life support (ALS)
Adult in-hospital cardiac arrest aligned to the Resuscitation Council UK Guidelines 2025 Adult ALS algorithm: 30:2 CPR, shockable vs non-shockable arms, reversible causes, and immediate ROSC care.
Bradycardia ๐ซ
Adult bradycardia management aligned with the RCUK 2021 bradycardia algorithm and eMed.ie: adverse signs, asystole risk, atropine dosing, interim infusions, pacing, and special situations.
Tachycardia ๐ซ
Ward bleep guide for a fast heart rate or palpitations: 12-lead ECG fork, sinus tachycardia and reversible causes, RCUK tachyarrhythmia algorithm, and when to escalate.
Agitation / Delirium ๐ง
Clinical guide for managing agitation and delirium. 4AT screening tool, causes, assessment, and management strategies for confused or agitated patients.
Anxiety (Inpatient) ๐
On-call guide to inpatient anxiety: rule out medical mimics first, then assess severity and risk, use non-drug measures first, and reserve short-course benzodiazepines for severe crises. Based on HSE MMP BZRA and College of Psychiatrists of Ireland guidance.
Shortness of Breath / Desaturation ๐ซ
Clinical guide for shortness of breath, short of breath, and desaturation. Assessment, differential diagnosis, oxygen therapy, and respiratory emergency management for NCHDs.
Haemoptysis ๐ซ๐ฉธ
On-call guide to haemoptysis: confirm the source, grade severity, investigate, and escalate life-threatening bleeding. Irish Rapid Access Lung Clinic pathway for unexplained cases.
Acute Asthma Exacerbation (Adults) ๐ซ
Adult acute asthma per BTS/SIGN QRG (SIGN 158): PEF severity, oxygen, bronchodilators, steroids, magnesium, admission, ICU, and follow-up.
Community Acquired Pneumonia ๐ซ
UK guide to adult community-acquired pneumonia: interactive CURB-65 hospital severity calculator, NICE NG250 antibiotic pathways by severity, and when to escalate.
Night Sedation ๐
Clinical guide for prescribing night sedation and sleep aids. Drug reference table, dosing, contraindications, and sleep management for hospital inpatients.
Constipation ๐ฝ
Clinical guide for managing constipation. Laxative and enema reference table, treatment protocols, and bowel management strategies for hospital inpatients.
Diarrhoea (Inpatient) ๐ฉ
Inpatient guide to suspected infectious diarrhoea and vomiting: Bristol stool chart, SIGHT precautions, C. difficile severity, stool sampling, isolation, and when to refer.
Stoma care & high-output stoma ๐ง
On-call stoma care: leaking bag, dusky stoma, no output, and high-output ileostomy. Restrict hypotonic fluid, sip St Markโs or double-strength Dioralyte, start loperamide, and protect the kidneys.
Atrial Fibrillation ๐ซ
Clinical guide for managing atrial fibrillation (AF, a fib). Rate vs rhythm control, anticoagulation, CHAโDSโ-VASc and HAS-BLED calculators for stroke and bleeding risk assessment.
Altered Consciousness ๐ง
Clinical guide for assessing altered consciousness. GCS calculator, DELIRIUM mnemonic, differential diagnosis, and emergency management for drowsy or unresponsive patients.
Hypotension ๐
Clinical guide for managing hypotension and shock. Assessment, causes, fluid resuscitation, vasopressors, and MAP calculator for on-call doctors.
Hypothermia โ๏ธ
Accidental hypothermia for on-call doctors: HPSC recognition (<35ยฐC), RCUK 2025 Swiss staging, gentle handling, rewarming, arrhythmia risk below 30ยฐC, and when to escalate for ECLS.
Hypertension ๐จ
Clinical guide for managing hypertension and hypertensive emergencies. Assessment, when to treat acutely, antihypertensive medications, and end-organ damage evaluation.
Hyperglycaemia ๐
Clinical guide for managing hyperglycaemia in hospital patients. Blood glucose targets, insulin sliding scales, DKA prevention, and diabetes management for NCHDs.
Stroke ๐ง
Clinical guide for stroke and TIA management. FAST assessment, acute stroke protocol, thrombolysis criteria, and neurology referral for on-call doctors.
Swollen Legs ๐ฆต
Guide to assessing swollen legs on call: unilateral vs bilateral approach, key differentials (DVT, cellulitis, heart failure, venous disease), red flags, initial investigations, and when to escalate.
Headache ๐ง
Guide to assessing headache in adults: interactive safety screen (high-risk features and Ottawa SAH rule), primary vs secondary causes, and when to escalate.
Dizziness ๐ตโ๐ซ
On-call guide to dizziness and vertigo: timing and triggers, posterior circulation red flags, HINTS and Dix-Hallpike when trained, and short-course vestibular suppressants. Based on Irish eMed practice.
Epistaxis ๐๐ฉธ
Clinical guide for managing epistaxis (nosebleed). Anterior and posterior epistaxis treatment, nasal packing, cautery, and emergency management for on-call doctors.
Ear Pain / Earache ๐
On-call guide to ear pain and earache: rule out red flags first, then assess otitis externa, otitis media, referred otalgia, and when to escalate to ENT. Based on HSE AMRIC ear infection guidance.
Hyperkalaemia โก๏ธ
UK emergency management of hyperkalaemia per Gloucestershire Hospitals guidance: ECG thresholds, calcium gluconate, insulin-dextrose, salbutamol, and sodium zirconium cyclosilicate.
Hypoglycaemia ๐ฌ
Emergency management of hypoglycaemia. Recognition, treatment protocol, glucagon, and prevention strategies for on-call doctors.
Low Urine Output ๐ฝ
Clinical guide for assessing low urine output and oliguria. AKI calculator, fluid status assessment, causes, and management for on-call doctors.
Fluid Overload ๐
Guide to recognising and managing fluid overload in hospital patients: assessment, stopping IV fluids, diuretics, monitoring, and when to escalate for acute pulmonary oedema.
Acute Kidney Injury (AKI) ๐งช
Clinical guide for diagnosing and managing acute kidney injury. AKI staging, causes, investigations, treatment, and AKI calculator for NCHDs.
Chronic Kidney Disease (CKD) ๐ซ
On-call CKD aid based on KDIGO 2024: definition, CGA staging heat map (GFR ร albuminuria chips), RASi/SGLT2i, sick-day holds, and when to refer.
Sepsis โ ๏ธ
UK inpatient sepsis screening aid for junior doctors: trigger criteria, NEWS2 risk banding, Sepsis Six checklist, and links to NICE NG253 and UK Sepsis Trust clinical tools. Confirm your Trust pathway.
Seizure โก๏ธ
Emergency management of seizures and status epilepticus. Midazolam (buccal/intranasal), benzodiazepines, antiepileptics, and neurology referral for on-call doctors.
Shingles (Herpes Zoster) ๐ฆ
Inpatient guide to recognising and managing shingles (herpes zoster): red flags, antiviral therapy, pain control, infection precautions, and when to escalate โ aligned to HSE Irish guidance.
Cellulitis ๐ฆต
UK guide to recognising and managing cellulitis and erysipelas in adults: NICE NG141 antibiotic pathways, marking progress, red flags, MRSA cover, and when to escalate to IV therapy or secondary care.
Gout ๐ฆถ
On-call guide to an acute gout flare: rule out septic arthritis, then colchicine, NSAID, or prednisolone. Based on Miller and McCarthy, Medical Independent 2025.
Pyelonephritis ๐ฅ
UK guide to recognising and managing acute pyelonephritis / upper UTI in adults: NICE NG111 antibiotic pathways, MSU before antibiotics, referral criteria, and when nitrofurantoin is unsuitable.
Candida (Skin & Oral) ๐
UK guide to cutaneous and oral Candida infection: scope, clinical diagnosis, self-care, and when to refer. Antifungal choices via linked NICE CKS topics.
Syncope ๐ซ
UK on-call guide to syncope and transient loss of consciousness in adults: NICE CG109 first assessment, ECG red flags, risk stratification, and when to follow your Trust admission pathway.
Tremor ๐คฒ
Guide to assessing tremor on the ward: classify rest vs action tremor, reversible causes, red flags, examination, investigations, and when to refer neurology.
Discharge Against Medical Advice (DAMA) ๐โโ๏ธ
Clinical guide for managing discharge against medical advice (DAMA). Documentation, consent, risk assessment, and legal considerations for on-call doctors.
Capacity Assessment ๐ง
On-call guide to assessing mental capacity in the UK under the Mental Capacity Act 2005: two-stage test, practicable support, best interests, LPA/IMCA, and documentation for resident doctors.
Haematuria ๐ฉธ
Clinical guide for assessing and managing haematuria (blood in urine). Causes, investigations, urology referral, and emergency management for on-call doctors.
Blocked Urinary Catheter ๐ซ๐ง
Clinical guide for managing blocked urinary catheters. Irrigation techniques, replacement, urosepsis prevention, and catheter care for on-call doctors.
Bladder Scan Interpretation ๐ง
Guide for interpreting bladder scans and post-void residual volumes. Urinary retention assessment, catheterisation decisions, and voiding dysfunction for NCHDs.
DKA โ Diabetic Ketoacidosis ๐
On-call DKA first-hour management from the JBDS-IP March 2023 single-page pathway: diagnosis and immediate management. Educational aid. Follow your local protocol.
Discharge Summary ๐
Guide for writing discharge summaries. Template, structure, medication reconciliation, and documentation requirements for NCHDs.
Transfer Letter ๐
Guide for writing transfer letters for NCHDs. Structure, clinical handover content, logistics checklist, and common pitfalls for inter-hospital and specialty transfers in Irish practice.
Writing Clinical Notes ๐
Practical guide to writing clear clinical notes for NCHDs. SOAP structure, ATRP on-call notes, progress documentation, escalation, and common pitfalls in Irish hospitals.
Patient Admission ๐
Comprehensive guide for patient admission and clerking. Specialty-specific history, examination, and investigations for NCHDs admitting patients.
Hypokalaemia โฌ๏ธ
Clinical guide for managing hypokalaemia. Potassium replacement calculator, causes, treatment protocols, and monitoring for on-call doctors.
Hypomagnesaemia โฌ๏ธ
Hypomagnesaemia for NCHDs in Irish hospitals: causes, Magnesium Sona/Verla oral replacement, IV MgSOโ guidance, and refractory hypokalaemia.
Hypophosphataemia โฌ๏ธ
Hypophosphataemia for NCHDs in Irish hospitals: Phospho-Sandozยฎ, IV phosphate rules, refeeding risk, and Galway/CUH-style thresholds.
Total Parenteral Nutrition (TPN)
TPN for NCHDs in Irish hospitals: indications, access, refeeding risk, monitoring, complications, and when to escalate to dietetics and pharmacy.
Hypocalcaemia โฌ๏ธ
Hypocalcaemia for NCHDs in Irish hospitals: adjusted calcium thresholds, oral Calcichew/Caltrate, IV calcium gluconate, and hypomagnesaemia.
Hypercalcaemia โฌ๏ธ
Acute hypercalcaemia: severity thresholds, IV saline, bisphosphonates, and when to escalate. Based on Society for Endocrinology emergency guidance.
Blood Results ๐งช
Reference tables for interpreting blood results. Normal ranges, abnormal values, and clinical significance of common laboratory tests for NCHDs.
Allergic Reaction & Anaphylaxis ๐คงโก๏ธ
Emergency management of allergic reactions and anaphylaxis. Recognition, adrenaline administration, ABCDE protocol, and treatment for on-call doctors.
Opioid Overdose ๐
UK inpatient opioid overdose management based on NHS Borders naloxone protocol: high- and low-dose naloxone pathways, escalation, monitoring, and observation. Follow your local Trust protocol.
Anaemia (Inpatient) ๐ฉธ
Inpatient anaemia and transfusion. When to transfuse, thresholds, iron, and when to refer for NCHDs on the ward.
Elevated CRP ๐ฅ
How to interpret a raised CRP on the ward. Context, magnitude, trend, common causes, targeted workup, and when to escalate for NCHDs.
Febrile Neutropenia ๐ก๏ธ
UK on-call neutropenic sepsis (febrile neutropenia) aligned to NICE CG151: treat immediately, piperacillin with tazobactam monotherapy, MASCC risk assessment within 24 hours, and when to stop or discharge.
Tumour Lysis Syndrome ๐งฌ
Emergency management of tumour lysis syndrome: recognition, prevention, treatment, and monitoring for NCHDs.
Hypernatraemia ๐ง
Clinical guide for managing hypernatraemia. Free water deficit calculator, causes, treatment protocols, and correction rates for on-call doctors.
Hyponatraemia ๐ง
Clinical guide for evaluating and managing hyponatraemia. Step-by-step algorithm, volume status assessment, SIADH, and correction rates for on-call doctors.
Abdominal Pain ๐คข
Clinical guide for assessing abdominal pain. History, examination, differential diagnosis, red flags, surgical abdomen, investigations, and management for on-call doctors.
Back Pain ๐ฆด
UK on-call guide to acute back pain: GIRFT suspected cauda equina pathway, emergency vs urgent referral, MRI at the presenting hospital, bladder scan, and when to escalate.
Post-Operative Care ๐ฅ
Comprehensive guide for post-operative care. Monitoring, common complications, pain management, and recovery protocols for surgical patients.
Fluid Replacement ๐ง
Clinical guide for fluid replacement and IV fluid therapy. NICE CG174 guidelines, fluid calculator, resuscitation, maintenance fluids, and electrolyte management.
Liver Disease Assessment โ๏ธ
Clinical guide for liver disease assessment. Child-Pugh and MELD calculators, cirrhosis staging, prognosis, and hepatology management for NCHDs.
Sick Day Rules ๐ฅ
Sick day rules for inpatients: when to hold SADMANS, manage diabetes and steroids on the ward, and when to escalate. For NCHDs.
PR Bleed (Rectal Bleeding) ๐ฉธ
Clinical guide for assessing and managing PR bleed (rectal bleeding). Causes, red flags, investigations, when to refer to surgery or gastroenterology for on-call doctors.
Upper GI Bleed ๐ฉธ
BSG-led acute upper GI bleeding care bundle with Glasgow-Blatchford calculator. Recognition, resuscitation, risk stratification, treatment, referral, and review for on-call doctors.
Procedures
IV Cannulation ๐
Step-by-step guide for IV cannulation. Technique, site selection, troubleshooting, and complications for NCHDs performing vascular access.
Male Catheterisation ๐ฆ
Step-by-step guide for male urinary catheterisation. Technique, indications, complications, and troubleshooting for NCHDs.
Digital Rectal Examination ๐ฉบ
Digital rectal examination (DRE / PR exam) based on Patient.info professional guidance. Anatomy, indications, technique, findings, and special populations for NCHDs.
Phlebotomy ๐ฉธ
Guide for phlebotomy and venepuncture. Technique, tube selection, order of draw, and troubleshooting for blood sampling.
NG Tube Insertion ๐คง
Step-by-step guide for nasogastric tube insertion. Technique, position confirmation, complications, and troubleshooting for NCHDs.
Central Line Removal ใฐ๏ธ
Guide for central line removal. Technique, precautions, complications, and post-removal care for CVC and PICC lines.
Death Pronouncement ๐๏ธ
Guide for death pronouncement and certification. Clinical examination, documentation, death certificate, and supporting families.
ABG Sampling ๐ฌ๏ธ
Guide for arterial blood gas sampling. Technique, site selection, ABG interpretation calculator, and troubleshooting for NCHDs.
VBG Sampling ๐ฉธ
Venous blood gas (VBG) draw for UK and Irish practice. When a VBG can replace repeated arterial sampling, venepuncture technique, and GGC pH and pCO2 offsets.
Blood Cultures ๐งซ
Guide for taking blood cultures. When to take, technique, sterile procedure, and interpretation for infection workup.
Requesting Radiology Studies ๐ฉป
Guide for requesting radiology studies including CT thorax/chest, CTPA, CT brain, CT abdomen, CXR, MRI, and ultrasound. Indications, request forms, and communication with radiology.
Echocardiography (Echo) ๐ซ
Guide for requesting echocardiography: TTE, TOE, and stress echo indications, urgency, request checklist, and when to phone cardiology for on-call NCHDs.
Ferinject Administration ๐
Guide for Ferinject (ferric carboxymaltose) administration. Indications, dosing, infusion protocol, and monitoring for iron deficiency anaemia.
PICC Line Management ๐
Guide for PICC line management. Care, troubleshooting, complications, and maintenance of peripherally inserted central catheters.
Neurological Assessment ๐ง
Bedside neurological assessment for NCHDs: screening vs focused exam, GCS, cranial nerves, MRC power grading, sensation, reflexes, coordination, gait, documentation, and escalation.
Short Synacthen Test ๐งช
Short Synacthen Test (SST) protocol for diagnosing adrenal insufficiency: indications, contraindications, procedure, cortisol cut-offs, and ACTH interpretation based on North Bristol NHS Trust clinical biochemistry guidance.
Drugs
Analgesia ๐
Comprehensive guide to pain management and analgesia. WHO pain ladder, opioid prescribing, drug reference table, and pain assessment for NCHDs.
NSAIDs ๐
Reference guide for common NSAIDs in Ireland.
Laxatives ๐ฉ
Reference guide for laxatives and enemas. Drug table with senna, lactulose, phosphate enema, suppositories, dosing, and prescribing for constipation management in hospital inpatients.
Antiemetics ๐คข
Reference guide for antiemetics including ondansetron (Zofran), cyclizine, metoclopramide, and prochlorperazine. Drug table, dosing, indications, and prescribing for nausea and vomiting management.
PPIs & Indigestion ๐
Reference guide for PPIs and indigestion medications. Drug table with omeprazole, pantoprazole, lansoprazole, Gaviscon, famotidine, dosing, and prescribing for dyspepsia and GORD on the ward.
Nicotine Replacement ๐ญ
Inpatient guide to nicotine replacement therapy (NRT) in Irish hospitals. Ward approach, combination NRT, and product table for patches, gum, lozenges, and inhalator.
Oral Iron ๐
Ward guide to oral iron in Ireland. Galfer (ferrous fumarate) dosing from the HPRA SmPC, elemental iron comparison, tolerability tips, and when to switch to IV iron.
Sleeping Pills ๐
Reference guide for sleeping pills and night sedation. Drug table, dosing, indications, and prescribing for sleep management in hospital inpatients.
Medications for Agitation ๐
Reference guide for medications for agitation. Drug table, dosing, indications, and prescribing for behavioural management in hospital inpatients.
Anxiolytics ๐
Educational reference for common benzodiazepines used in Irish hospitals for anxiety or short-term insomnia: lorazepam, diazepam, alprazolam, and triazolam (Halcion), with dosing notes and SmPC links. Confirm formulary and SmPC before prescribing.
Palliative Medications ๐
Reference guide for palliative medications including midazolam, morphine, and oxycodone. Drug table, SC dosing, and prescribing for end-of-life care and symptom management.
Antihypertensives ๐งฏ
Reference guide for antihypertensive medications. Drug table, dosing, indications, and prescribing for blood pressure management.
Statins ๐
Reference guide for statin medications (Lipitor, Crestor, Zocor, Lipostat, Lescol). Drug table by intensity, common adult doses, and Irish SmPC links.
Antihistamines ๐คง
Reference guide for antihistamines (Zirtek, Clarityn, Telfast, Neoclarityn, Piriton, Phenergan). Drug table by sedating vs non-sedating, doses, and Irish SmPC links.
Eye Drops ๐๏ธ
Reference guide for commonly prescribed eye drops in Ireland. Lubricants, chloramphenicol, azithromycin (Azyter), allergy and glaucoma drops, with HSE AMRIC conjunctivitis dosing and Irish SmPC links.
Diabetes Medications ๐
Reference guide for diabetes medications. Drug table, dosing, and prescribing for type 2 diabetes and insulin therapy.
Steroids ๐
Comprehensive guide to corticosteroids: types, indications, dosing, side effects, and conversion calculator for NCHDs.
Respiratory Drugs ๐จ
Reference guide for respiratory medications including salbutamol (Ventolin), ipratropium, nebulisers, saline Steri-Neb diluent, and mucolytics such as carbocisteine (Exputex). Drug table, dosing, and prescribing for asthma and COPD management.
Anticoagulation Meds ๐
Reference guide for anticoagulation medications. LMWH dosing calculators, drug table, and prescribing for anticoagulation and antiplatelet therapy.
Anticoagulation: peri-procedural holds ๐
Interactive algorithm for DOAC/warfarin peri-procedural holds based on bleeding risk, renal function, and drug type. ACCP/PAUSE trial evidence.
Warfarin ๐ฉธ
Concise reference for warfarin: indications, INR targets, initiation/maintenance dosing, interactions, and safety. Use the embedded tools for dosing and elevated INR/bleeding management.
Biologic Medications ๐
On-call reference for biologic medications: when to hold, infection risk, and common Irish brands/biosimilars for NCHDs.
Chemotherapy Drugs ๐งช
Quick reference for common chemotherapy drugs: classes, dosing, side effects, and monitoring requirements for NCHDs.
Immunotherapy Drugs ๐ก๏ธ
Quick reference for immunotherapy drugs: checkpoint inhibitors, monoclonal antibodies, side effects, and monitoring requirements for NCHDs.
Antibiotic IV to PO Switch ๐
Reference table for switching from intravenous to oral antimicrobials. Includes dosing conversions, bioavailability considerations, and clinical notes based on HSE AMRIC guidelines.
Piperacillin-Tazobactam (Tazocin) ๐
Irish hospital reference for piperacillin-tazobactam (Tazocin): adult dosing, renal adjustment, infusion, spectrum, and safety. Confirm local antimicrobial guidelines.
Prescribing Rules ๐
Essential prescribing rules and guidelines for NCHDs. Medication safety, documentation requirements, and prescribing best practices in Irish hospitals.
Consents
Colonoscopy Consent ๐ฉ
Consent guide for colonoscopy (lower GI endoscopy). Procedure explanation, risks, benefits, alternatives, and patient information for obtaining informed consent.
Coronary Angiogram Consent ๐ซ
Consent guide for coronary angiogram. Procedure explanation, risks, benefits, alternatives, and patient information for obtaining informed consent.
Electrical Cardioversion Consent โก๏ธ
Consent guide for electrical cardioversion. Procedure explanation, risks, benefits, alternatives, and patient information for obtaining informed consent.
ERCP Consent ๐ธ
Consent guide for ERCP (endoscopic retrograde cholangiopancreatography). Procedure explanation, risks, benefits, alternatives, and patient information for obtaining informed consent.
Gastroscopy Consent ๐น
Consent guide for gastroscopy / OGD (upper GI endoscopy). Procedure explanation, risks, benefits, alternatives, and patient information for obtaining informed consent.
Flexible Sigmoidoscopy Consent ๐ฌ
Consent guide for flexible sigmoidoscopy (lower GI endoscopy). Procedure explanation, bowel preparation, sedation options, risks, benefits, alternatives, and patient information for obtaining informed consent.
PCI Consent ๐ซ
Consent guide for PCI (percutaneous coronary intervention). Procedure explanation, risks, benefits, alternatives, and patient information for obtaining informed consent.
Bronchoscopy Consent ๐ซ
Consent guide for bronchoscopy (respiratory endoscopy). Procedure explanation, risks, benefits, alternatives, and patient information for obtaining informed consent.
Lumbar Puncture Consent ๐
Consent guide for lumbar puncture. Procedure explanation, risks, benefits, alternatives, and patient information for obtaining informed consent.
Pleural Tap Consent ๐๐ซ
Consent guide for pleural tap (thoracentesis). Procedure explanation, risks, benefits, alternatives, and patient information for obtaining informed consent.
Ascitic Drain Insertion Consent ๐
Consent guide for ascitic drain insertion (paracentesis). Procedure explanation, risks, benefits, SAAG calculator, and patient information for obtaining informed consent.
TOE Consent ๐ซ
Consent guide for transoesophageal echocardiogram (TOE). Procedure explanation, risks, benefits, alternatives, and patient information based on Queensland Health SW9033.
Zoledronic Acid Infusion Consent ๐
Consent guide for zoledronic acid (Aclasta) infusion. Procedure explanation, risks, benefits, alternatives, and patient information for obtaining informed consent.
PICC Line Insertion Consent ๐
Consent guide for PICC line insertion. Procedure explanation, risks, benefits, alternatives, and patient information for obtaining informed consent.
Port-a-Cath Insertion Consent ๐
Consent guide for Port-a-Cath insertion. Procedure explanation, risks, benefits, alternatives, and patient information for obtaining informed consent.
Blood Transfusion Consent ๐ฉธ
Consent guide for blood transfusion based on HSE patient information. Procedure explanation, risks, benefits, alternatives, and what to discuss when obtaining informed consent.
Monoclonal Antibodies Consent ๐งฌ
Consent guide for monoclonal antibody treatment: explanation, common risks, alternatives, monitoring, and drug-specific counselling points.
PEG Insertion Consent ๐ฝ๏ธ
Consent guide for PEG (percutaneous endoscopic gastrostomy) insertion based on Oxford University Hospitals patient information. Procedure, preparation, risks, benefits, and alternatives.
Consults
Anaesthetics Pre-Op Assessment ๐ฉบ
Pre-operative assessment template: ASA and Mallampati classification, history, examination, and investigations for NCHDs.
Cardiology Consult ๐ซ
Guide for cardiology consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
Renal Consult ๐งช
Guide for renal/nephrology consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
Rheumatology Consult ๐ฆด
Guide for rheumatology consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
Respiratory Consult ๐ซ
Guide for respiratory/pulmonology consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
Gastroenterology Consult ๐คข
Guide for gastroenterology consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
Endocrinology Consult ๐ฌ
Guide for endocrinology consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
Haematology Consult ๐ฉธ
Guide for haematology consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
Neurology Consult ๐ง
Guide for neurology consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
Oncology Consult ๐๏ธ
Guide for oncology consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
Microbiology Consult ๐ฆ
Guide for microbiology consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
Dermatology Consult ๐ฉบ
Guide for dermatology consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
Palliative Care Consult ๐ฟ
Guide for palliative care consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
Psychiatry Consult ๐ง
Guide for psychiatry consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
General Surgery Consult ๐ฅ
Guide for general surgery consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
Orthopaedics Consult ๐ฆด
Guide for orthopaedics consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
Urology Consult ๐ง
Guide for urology consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
Plastic Surgery Consult ๐ฉน
Guide for plastic surgery consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
Vascular Consult ๐ฉธ
Guide for vascular surgery consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
Interventional Radiology Consult ๐
Guide for interventional radiology consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
ENT Consult ๐๐
Guide for ENT consultation and referral. Key information to provide, common indications, and referral scripts for NCHDs.
Physio Referral (Inpatient) ๐
Guide for inpatient physiotherapy referral. Key information to provide, common indications (mobility, respiratory, falls, discharge planning), and referral scripts for NCHDs.
OT Referral (Inpatient) ๐
Guide for inpatient occupational therapy referral. Key information to provide, common indications (functional assessment, equipment, cognition, discharge planning), and referral scripts for NCHDs.
SALT Referral (Inpatient) ๐ฃ๏ธ
Guide for inpatient speech and language therapy (SALT) referral. Key information for swallow and communication assessments, common indications, and referral scripts for NCHDs.
Dietetics Referral (Inpatient) ๐ฅ
Guide for inpatient dietetics (dietitian) referral. Key information for malnutrition, refeeding, enteral and parenteral nutrition, and referral scripts for NCHDs.
Social Work Referral (Inpatient) ๐ค
Guide for inpatient medical social work referral in the UK. Key information for discharge planning, domiciliary care, care home funding, NHS Continuing Healthcare, safeguarding, housing, and psychosocial support for resident doctors.
Calculators
ABG Calculator ๐
Quick ABG interpretation tool for acidโbase analysis: pH, PaCOโ, HCOโโป, anion gap, and compensation. Built for junior doctors.
AKI Calculator ๐ซ
AKI calculator for staging acute kidney injury using creatinine and urine output criteria. Built for junior doctors.
SAAG Calculator ๐งช
Calculate Serum-Ascites Albumin Gradient (SAAG) to differentiate portal hypertension from other causes of ascites. Uses Irish/British units (g/L).
Body Mass Index (BMI) ๐
Calculate Body Mass Index (BMI) for adult patients using weight and height.
AF Risk Calculators ๐
Calculate CHAโDSโ-VASc, HAS-BLED, and ORBIT scores for atrial fibrillation (AF, a fib). Assess stroke and bleeding risks to guide anticoagulation.
4AT Delirium Score ๐ง
Use the 4AT score to rapidly assess delirium and cognitive impairment in clinical settings.
CIWA-Ar Alcohol Withdrawal Score
Interactive CIWA-Ar score with IAEM ED/CDU alcohol withdrawal pathway: symptom-triggered diazepam, Pabrinex, refractory AWS, and special populations.
AUDIT-C Alcohol Screen
Interactive AUDIT-C screen with IAEM ED thresholds for hazardous and dependent drinking. Three-question alcohol misuse tool for Irish NCHDs.
MoCA โ Montreal Cognitive Assessment ๐ง
Interactive Montreal Cognitive Assessment (MoCA v7.1) with trail making, clock drawing, memory, attention, language, abstraction, delayed recall, and orientation scoring.
Mini-Mental State Examination (MMSE)
Interactive Mini-Mental State Examination (MMSE) scoring worksheet for resident doctors, with a printable PDF scoring sheet, interpretation bands, and when not to use MMSE.
Free Water Deficit ๐ง
Estimate the volume of free water needed to correct hypernatremia using the Free Water Deficit formula.
Creatinine Clearance ๐งช
Estimate renal function using the Cockcroft-Gault formula with the Creatinine Clearance Calculator.
Glasgow Coma Scale ๐ง
Calculate the Glasgow Coma Scale (GCS) to assess level of consciousness in patients with potential brain injury.
MAP Calculator ๐
Calculate Mean Arterial Pressure (MAP) to assess organ perfusion and guide management in hypotension or shock.
Potassium Replacement ๐
Tool for potassium replacement based on severity and method of administration. Includes safety and monitoring guidance.
Magnesium Replacement โก
Magnesium replacement for Irish hospitals: Magnesium Sona/Verla, IV MgSOโ dosing and safety โ confirm local HSE site protocol.
Phosphate Replacement ๐งช
Phosphate replacement for Irish hospitals: Phospho-Sandozยฎ, IV ampoule guidance, refeeding warnings โ confirm local protocol.
Warfarin Calculators ๐ฉธ
Use these calculators to assess bleeding risk and dosing for patients on Warfarin.
Weight Conversion โ๏ธ
Use this tool to convert between kilograms and pounds for clinical accuracy and documentation.
Opioid Conversion Calculator ๐
Safe opioid dose conversions for palliative care based on Scottish Palliative Care Guidelines.
Steroid Conversion Calculator ๐
Convert between different corticosteroid preparations using prednisolone as the reference standard.
Child-Pugh Score Calculator ๐
Child-Pugh score calculator for cirrhosis severity. Tap options for bilirubin, albumin, INR, ascites, and encephalopathy. Class A, B, C and prognosis.
UK-MELD Score โ๏ธ
UK-MELD and UK-MELD-Na calculators for end-stage liver disease prognosis and transplant priority, with Child-Pugh in the same tool.
ECOG Performance Status ๐
ECOG Performance Status scale for assessing functional status in oncology and general medicine. Grade 0 to 4, tap to select.
Clinical Frailty Scale ๐ง
Clinical Frailty Scale (CFS v2.0) for grading baseline fitness and frailty in older adults. Nine-point judgement-based scale โ tap to select.
Timed Up and Go (TUG) Test ๐ถ
Timed Up and Go (TUG) test โ stopwatch, population cutoffs, gait observations, and fall-risk interpretation for older adults and specialty populations.
Lying & Standing Blood Pressure ๐ฉบ
RCP lying and standing blood pressure procedure for falls risk assessment โ record lying, 1-minute and 3-minute standing BP with symptom documentation and positive-result interpretation.
Wells Score (DVT & PE) ๐ฉธ
Wells score for suspected DVT and PE. Pre-test probability, when to order D-dimer vs imaging, and NICE NG158 next steps for NCHDs.
Age-adjusted D-dimer
Age-adjusted D-dimer for patients โฅ50 years (age ร 10 ng/mL FEU) to rule out PE/DVT when pre-test probability is not high. ADJUST-PE formula for NCHDs.
HEART Score โค๏ธโ๐ฅ
HEART score for ED chest pain risk stratification (History, ECG, Age, Risk factors, Troponin). Low, moderate, and high short-term MACE risk bands for NCHDs.
Glasgow-Blatchford Score ๐ฉธ
Glasgow-Blatchford Score (GBS) for acute upper GI bleeding. Risk stratify need for admission, transfusion, or intervention at presentation.
CURB-65 Score ๐ซ
CURB-65 hospital severity score for community-acquired pneumonia. Confusion, urea, respiratory rate, blood pressure, and age โฅ65 with NICE NG250 disposition guidance.
MASCC Score ๐ก๏ธ
MASCC risk index for febrile neutropenia. Score burden of illness and comorbidities to stratify low vs high risk of complications.
Fluid Maintenance Calculator ๐ง
IV fluid maintenance calculator based on NICE CG174 weight-based rates. Estimate daily volume and hourly rate for adult inpatients.
Fagerstrรถm Test ๐ญ
Fagerstrรถm Test for Nicotine Dependence. Score dependence and guide inpatient nicotine replacement product choice.
FRAX Fracture Risk Assessment
When to use FRAX for 10-year fracture risk assessment. FRAX is proprietary; open the official University of Sheffield tool for country-specific models.