Churchill's Pocketbook of Clinical Practical Procedures for Junior Doctors

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This practical guide provides an instruction manual for common, essential ward-based practical procedures. The book is
aimed at those in their foundation years, as well as being useful for those starting their subsequent specialist
training years. Many of these procedures are not taught at medical school, yet are expected to be routinely implemented
as a junior doctor. Furthermore, the competency-based assessment structure being implemented as part of
the 'Modernising Medical Careers' programme has highlighted and defined the need for professional guidance and teaching
with such procedures. The book covers all major ward-based practical procedures (including all of those covered in the
Foundation Programme syllabus), with chapters for related procedures being grouped under relevant sections. Each
chapter is set out under a standard set of headings, including the indications for the procedure, the anatomy
underlying the procedure, details of how to perform the procedures, post-procedure care, potential complications and
their management, and relevant investigations. The style is concise and to the point in the form of a quick reference
guide, and the methodology reads as if performing the procedure in person on the ward. Numerous clinical photographs
and diagrams complement the text at key steps of the procedure. Every chapter has a number of helpful 'Tips' boxes
providing practical advice and experience in an easy-to-read manner. Current recommendations are included from the
National Institute for Clinical Excellence (NICE) and the National Patient Safety Agency (NPSA), together with
procedural guidelines issued by the British Thoracic Society (BTS) and the British Society of Gastroenterology (BSG).

Airway care with simple devices. Peak expiratory flow rate measurement and spirometry. Pleural aspiration (of fluid or
air). Chest drain insertion and management. Percutaneous pleural biopsy. Venepuncture (peripheral and femoral). Blood
cultures. Peripheral venous cannulation. Preparing and setting up intravenous medications. Intravenous fluids and
commonly prescribed infusions. Central venous catheter insertion. Arterial blood gas sampling. Arterial cannulation.
Performing an electrocardiogram (ECG). Nasogastric tube placement. Abdominal paracentesis and ascitic drain insertion.
Rigid sigmoidoscopy. Urethral catheterisation. Lumbar puncture. Arthrocentesis of the knee. Subcutaneous and
intramuscular injections. Local anaesthetics. Suturing.