Most bang-for-buck things every intern should know before starting inpatient wards

yaaasssdoctor:

jenzmed:

medicinasanguis:

aspiringdoctors:

modernathenamd:

futuredoctorweirdo:

populationpensive:

md-admissions:

sothisisnursingschool:

bottleoftonic:

Source. A collection of Meddit resources and advice on what bread-and-butter topics interns would most benefit from brushing
up on/memorizing prior to the beginning of their internship.

1) Fluids. How and when to use them, dosage, timing and other pearls.

• Review of fluids (not how to use them per se) by Dr. Strong /u/ericstrong
• Maintenance Intravenous Fluids in Acutely Ill Patients – NEJM.
• Pretty thorough review of fluid management on openanesthesia.org

2) Nausea. When to treat, how to treat and at what dose.

3) Standard pn orders: pain killers, sleep aids and antiemetics aka how to reduce nighttime calls from nurses by 25%

4) “Reflex” antibiotic choice for routine inpatient infections.

• http://www.bpac.org.nz/Supplement/2013/July/antibiotics-guide.aspx /u/ChristianM and /u/ive_been_up_allnight

5) Initial work-up and treatment of dyspnea. (more realistic to approach by symptoms as, unfortunately, you first have to diagnose whats wrong. E.g. heart failure, pulmonary edema, embolism, COPD, pneumonia).

6) Initial work-up and treatment of oliguria/anuria.

7) A sensible initial approach to suspected ileus.

8) Blood. When, how, why to replace.

9) Pain. Optimal management without inducing narcosis.

• Managing cancer pain: Frequently asked questions: CCJM

10) Potassium. When, why and how to shift or replace.

• A review on both potassium and sodium disorders by Dr. Strong /u/ericstrong (Not reposted in 12) hyponatremia but applies there as well) https://www.youtube.com/playlist?list=PLYojB5NEEakXVIAapcSEleP4doUdHVtld

11) Hyponatremia. Most common electrolyte disturbance, commonly mismanaged.

12) Resuscitation aka commit the ACLS algorithms to memory.

• Current ACLS guidelines. https://www.acls.net/aclsalg.htm

Would love a video series, interactive cases etc.

13) Basic EKG interpretation.

Whole EKG video courses

• A whole free youtube EKG video review course by meddit’s own u/ericstrong
• An alternative EKG course that takes you through all the basics. This however has no free version and costs 96$ a year. The quality is amazing. Here are 6 basic sample videos on youtube. The paid course is available on http://www.ecgteacher.com/
• I have to admit I haven’t used this course personally but his free youtube videos are on-point and he seems like a good teacher. Also behind paywall. Free youtube samples are here. The full course can be found here https://www.ecgacademy.com.

EKG video cases

• Amazing case-of-the-week emergency medicine EKG videos on youtube by Dr. Amal Mattu

– If you like Dr. Mattu’s cases (and you most certainly will) he is still posting every single week on his new site https://ecgweekly.com. It costs 4 starbucks coffees a year and is going to save someones life.

Practice EKGs with answers

• Watching videos isn’t enough, you still have to grind out EKGs to keep your game strong. Visit http://ecgmadesimple.com and http://ecg.bidmc.harvard.edu/maven/mavenmain.asp for this.

EKG blogs

• I recommend signing up for some kind of RSS feed (e.g. https://feedly.com/) and subscribing to the following EKG blogs:

• http://hqmeded-ecg.blogspot.is (Dr. Smiths ECG blog)
• http://www.ems12lead.com
• http://ecg-interpretation.blogspot.is
• http://jhcedecg.blogspot.is

EKG resource libraries

• Life in the fastlane has a nice resource to look up a specific EKG finding, criteria or concept.
• http://www.practicalclinicalskills.com/ekg.aspx /u/collidge

14) Know when to order ABGs and how to interpret them.

• Almost too detailed video lecture series on ABGs and how to interpret them by Dr. Eric Strong (/u/ericstrong)
• Practice makes perfect. ABG interpretation generator. https://abg.ninja/abg

Bonus 15) Basic CXR interpretation

CXR video lecture course

• Again, Dr. Eric Strong has an excellent video course for free on youtube

Step-by-step guides to basic CXR interpretation

• The Radiology Assistant: Chest X-ray – Basic interpretation
• Radiology Masterclass step-by-step basic CXR
• University of Virginia’s step-by-step basic CXR

All inclusive resources

• The art and science of thoracic imaging All inclusive resource for all things thoracic! Jokes aside amazing resource.
• UPenns CXR learning website
• Loyola Universities excellent CXR Atlas Most outdated look but amazing content.
• Checklist approach to CXR

Bonus 16) Overnight o-shit-what’s-that Head CT interpretation

• Midnight radiology: Emergency CT of the head
• University of Virginia’s guide to the Head CT

Hey, self: review before NCLEX. Xo, me.

Oh hell yes

For future reference.

Must. Study.

Scheduled to post right before intern year starts. Gulp.

Reblog to save a life. You got this, bbs.

we need it all

reblogging this for my future self. you welcome.

Things I routinely forget and scramble to relearn.