The Washington Manual Internship Survival Guide

KEYS TO SURVIVAL ACLS ALGORITHMS: ILCOR Universal/International ACLS Algorithm / Comprehensive ECC Algorithm / Ventricular Fibrillation/Pulseless VT Algorithm / Pulseless Electrical Activity Algorithm / Asystole: The Silent Heart Algorithm / Bradycardia Algorithm / The Tachycardia Overview Algorithm / Narrow-Complex Supraventricular Tachycardia Algorithm / Stable Ventricular Tachycardia (Monomorphic or Polymorphic) Algorithm ACCUMULATING YOUR WAR CHEST: Books and Tools to Carry With You / Handheld Computer Resources / Internet Resources / Internet Resources for Evidence-Based Medicine USEFUL FORMULAS: A-a O2 Gradient / Anion Gap (Serum) / Anion Gap (Urine) / Body Mass Index / Creatinine Clearance (Estimated, Measured) / Corrected Serum Calcium / Corrected Serum Sodium / Fractional Excretion of Sodium / Fractional Excretion of Urea / Mean Arterial Pressure / Osmolality (Serum, Estimated) / Osmolal Gap / Reticulocyte Count (Corrected) / Reticulocyte Production Index / Medical Epidemiology TRIAGE: Before Accepting Admissions / Other Important Questions to Consider CROSS COVERAGE: General Points / Reasons You Must Go See a Patient / Things to Consider Asking Before Arrival at Bedside / Things That Can Wait / Appropriate Transfer of Patients to the Intensive Care Unit PATIENT AND STAFF RELATIONS: Working with Ancillary Staff / Referring a Patient / Working with Difficult Patients / Addressing End-of-Life Issues ADMISSIONS: General Points / Admission Orders / DVT Prophylaxis / GI Prophylaxis / Assessment/Plan / Laboratory Results and Orders / Patient Safety Issues DAILY ASSESSMENTS: Rounds / Daily Notes and Evaluation / Discharge Planning / Signouts OTHER NOTES OF IMPORTANCE: Off-Service Notes / Procedure Notes / Death/Expirations DISCHARGES: Discharge Process/Pearls / Discharge Summary TOP TEN WORKUPS: Chest Pain / Abdominal Pain / Acute Altered Mental Status / Acute Renal Failure / Headache / Hypotension and Hypertension / Common Arrhythmias / Fever /