Practical

Do not attempt these without experience or expert supervision!

• Central venous line insertion; see also Hockley (2000) and McGee & Gould (2003).
• Paracentesis
• For management of chest drains, see Peek et al. (2000) The pleural cavity and Laws et al. (2003) BTS guidelines for the insertion of a chest drain.

Private

Practical review sites, textbooks, diagnostic reminders

• Acute Medicine
• The Merck Manual of Diagnosis and Therapy, an on-line textbook
• Site search
  at emedicine.com.
• Radiology tutorials: lobar collapse.
• Anatomy: Gray's (1918 edition).

Clinical evidence review sites

• BMJ Clinical Evidence (BMJ)
• NHS Clinical Knowledge Summaries (PRODIGY) (NHS)
• NHS National Library for Health (NHS)

Society guidelines (external links)

• UK NICE clinical guidelines
• British Society for Haematology:
  • haemato-oncology guidelines (including the management of Waldenström's, myeloma, AML, CLL, amyloidosis, care following splenectomy or with a dysfunctional spleen, and on long-term venous access devices);
  • general haematology guidelines (polycythaemia, spherocytosis, aplastic anaemia, ITP, sickle cell disease, haemoglobinopathies, malaria);
  • haemostasis and thrombosis (IVC filters, warfarin, heparin, HIT, DVT, MAHA, thrombophilia);
  • transfusion (blood loss; antibody testing in pregnancy; use of FFP, cryoprecipitant, red cells, platelets, irradiation).
• British Thoracic Society guidelines, including asthma, air travel, COPD, parenchymal lung disease, diving, lung cancer, mesothelioma, pleural disease, NIV, mycobacteria, pneumonia, PE, SARS, smoking cessation, TB, influenza.
• Joint British Societies Cardiovascular Risk Assessor software
• Resuscitation Council of the UK
• List of colleges and speciality societies (from the JCHMT).
• British Association for Psychopharmacology (has guidelines on psychotropics under "Consensus Stmts").

Drug and poison references

• British National Formulary (BNF) (all drugs licensed in the UK)
• electronic Medicines Compendium (EMC) (detailed drug info from manufacturers; a subset of the Medicines.org.uk web site)
• The Maudsley Prescribing Guidelines in Psychiatry: vital for all prescribing psychiatrists.
• RxList (an American site)
• IPCS INTOX (toxicology)
• Psychotropics (a site by Lundbeck)

Hepatology

• Liver disease prognosis
  • Fully referenced. Calculates Model for End-Stage Liver Disease (MELD) scores (Malinchoc et al., 2000, with modification by UNOS). Calculates Glasgow Alcoholic Hepatitis Score (GAHS) (Forrest et al., 2005). Calculates Childs-Pugh score/grade. Calculates modified discriminant function (after Sheth et al., 2002; Maddrey et al., 1978). Predicts survival after transjugular intrahepatic portosystemic shunting (TIPS) based on MELD (Malinchoc et al., 2000). Predicts survival in alcoholic hepatitis based on MELD (Sheth et al., 2002). Predicts survival in alcoholic hepatitis based on GAHS (Forrest et al., 2005). Predicts survival after liver transplantation (after Thuluvath et al., 2003). Predicts survival after liver transplantation (after Lewsey et al., in press 2005). Calculates UKELD score.

Neuropsychiatry

• Neurosymptoms.org (excellent functional and dissociative symptoms guide)
• Non-epileptic attacks

Medical politics

• Guidance on hours monitoring for junior doctors, May 2006
• Submission to the Tooke Inquiry into MMC, June 2007

Key:
For PDF format, click here to download Adobe Acrobat Reader, which is free;
Microsoft Excel spreadsheet, also usable with OpenOffice.