The Washington Manual Internship Survival Guide (3 page)

ACLS Algorithms

3

Figure 3-1.
Advanced Cardiac Life Support Pulseless Arrest algorithm. (From the American Heart Association in collaboration with the International Liaison Committee on Resuscitation. Guidelines 2005 for cardiopulmonary resuscitation and emergency cardiovascular care. Part 7.2: management of cardiac arrest.
Circulation.
2005;112(24 suppl):IV-58-IV-66, with permission.)

Figure 3-2.
Bradycardia algorithm. AV, atrioventricular; bpm, beats per minute; ECG, electrocardiogram; IV, intravenous. (From the American Heart Association in collaboration with the International Liaison Committee on Resuscitation. Guidelines 2005 for cardiopulmonary resuscitation and emergency cardiovascular care. Part 7.3: management of symptomatic bradycardia and tachycardia.
Circulation.
2005;112(24 suppl):IV-67-IV-77, with permission.)

Figure 3-3.
Advanced Cardiac Life Support Tachycardia algorithm. (From the American Heart Association in collaboration with the International Liaison Committee on Resuscitation. Guidelines 2005 for cardiopulmonary resuscitation and emergency cardiovascular care. Part 7.3: management of symptomatic bradycardia and tachycardia.
Circulation.
2005;112(24 suppl):IV-67-IV-77, with permission.)

Books, Web Sites, and Other Resources

4

BOOKS AND TOOLS TO CARRY

Most house officers carry a pocket-sized general manual of internal medicine in their pocket. The following are useful and practical:

•
  Godara H, Hirbe A, Nassif M, Otepka H, Rosenstock A, eds.
The Washington Manual of Medical Therapeutics
. 34th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2013.

•
  Ferri FF, ed.
Practical Guide to the Care of the Medical Patient
. 8th ed. St. Louis, MO: Mosby; 2010.

•
  Gomella LG, Haist SA, Adams A.
Clinician’s Pocket Drug Reference 2013.
4th ed. New York, NY: McGraw-Hill Medical; 2012.

•
  Sabatine M.
Pocket Medicine
. 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2012.

•
  Dubin D, ed.
Rapid Interpretation of EKG’s
. 6th ed. Tampa, FL: Cover Publishing Company; 2000.

Additional portable guides that you don’t want to be without:

•
  Hamilton RJ.
Tarascon Pocket Pharmacopoeia.
Burlington, MA: Jones and Bartlett Learning Books. Updated yearly.

•
  Lederman R.
Tarascon Internal Medicine and Critical Care Pocketbook.
5th ed. Burlington, MA: Jones and Bartlett Learning Books; 2011.

•
  Gilbert DN, Moellering RC, Eliopoulos GM, Chambers HF, Saag MS, eds.
The Sanford Guide to Antimicrobial Therapy
. Sperryville, VA: Antimicrobial Therapy Inc. Updated yearly.

Other things to carry with you:

•
  A good stethoscope

•
  Reflex hammer

•
  Guaiac developer and stool cards

•
  Penlight

•
  ECG calipers

•
  Ophthalmoscope/otoscope (yes, you still need this; make sure it’s charged for your call and leave it in your locker)

•
  ABG kit

•
  Alcohol wipes

•
  Notecards for patient information

HANDHELD COMPUTER RESOURCES

Drug References

•
  ePocrates:
www.epocrates.com
. Free (basic program).

•
  Tarascon Pocket Pharmacopoeia:
www.tarascon.com
.

Calculators

Many of these programs are embedded in other smart phone/PDA programs like ePocrates; if you want them individually, here are some.

•
  MedCalc, for iOS.

•
  MedCalc 3000, for Android.

•
  Archimedes:
www.skyscape.com
. Free.

•
  Doctor Calc: doctorcalc.com/medcalc. Free.

Data Tracking

•
  Patient Keeper:
www.patientkeeper.com
.

•
  Patient Tracker:
www.patient-tracker.com
.

Other References

•
  The Sanford Guide toAntimicrobial Therapy:
www.sanfordguide.com
.

•
  Johns Hopkins ABX Guide:
www.hopkinsguides.com
.

•
  STATcoder (several guidelines/calculators):
www.statcoder.com
. Free.

•
  Skyscape:
www.skyscape.com
.

INTERNET RESOURCES

General Sites

•
  American College of Physicians:
www.acponline.org

•
  eMedicine:
www.emedicine.com
. Free.

•
  MD Consult:
www.mdconsult.com
.

•
  Medscape:
www.medscape.com
. Free.

•
  National Guideline Clearinghouse:
www.guideline.gov
. Free.

•
  UpToDate:
www.uptodate.com
.

Cardiovascular Disease

•
  American College of Cardiology:
www.acc.org

•
  American Heart Association:
www.heart.org

•
  National Heart, Lung, and Blood Institute:
www.nhlbi.nih.gov

Cerebrovascular Disease and Stroke

•
  The Internet Stroke Center:
www.strokecenter.org

•
  National Institute of Neurological Disorders and Stroke:
www.ninds.nih.gov

•
  National Stroke Association:
www.stroke.org

Pulmonary Diseases and Allergy

•
  American College of Chest Physicians:
www.chestnet.org

•
  Global Initiative for Chronic Obstructive Lung Disease:
www.goldcopd.org

•
  National Heart, Lung, and Blood Institute:
www.nhlbi.nih.gov

Endocrine and Diabetes

•
  American Diabetes Association:
www.diabetes.org

•
  American Thyroid Association:
www.thyroid.org

•
  National Diabetes Information Clearinghouse: diabetes.niddk. nih.gov

•
  National Institute of Diabetes and Digestive and Kidney Diseases:
www.niddk.nih.gov

•
  The Endocrine Society:
www.endo-society.org

Rheumatology

•
  American Arthritis Foundation:
www.arthritis.org

•
  American College of Rheumatology:
www.rheumatology.org

•
  National Institute of Arthritis and Musculoskeletal and Skin Diseases:
www.niams.nih.gov

•
  National Osteoporosis Foundation:
www.nof.org

Nephrology

•
  National Institute of Diabetes and Digestive and Kidney Diseases:
www.niddk.nih.gov

•
  National Kidney and Urologic Diseases Information Clearinghouse: kidney.niddk.nih.gov

•
  National Kidney Foundation:
www.kidney.org

Oncology

•
  American Cancer Society:
www.cancer.org

•
  American Society of Clinical Oncology:
www.asco.org

•
  American Society of Hematology:
www.hematology.org

•
  National Cancer Institute:
www.cancer.gov

•
  National Comprehensive Cancer Network:
www.nccn.org

Orthopedic Surgery

American Association of Orthopaedic Surgeons:
www.orthoinfo.aaos.org

Gastroenterology

•
  American Association for the Study of Liver Diseases:
www.aasld.org

•
  American College of Gastroenterology:
www.acg.gi.org

•
  American Gastroenterological Association:
www.gastro.org

•
  National Digestive Diseases Information Clearinghouse: digestive. niddk.nih.gov

•
  National Institute of Diabetes and Digestive and Kidney Diseases:
www.niddk.nih.gov

Infectious Disease/HIV

•
  Centers for Disease Control and Prevention:
www.cdc.gov/hiv

•
  Infectious Diseases Society of America:
www.idsociety.org

•
  National Institute of Allergy and Infectious Diseases:
www.niaid.nih.gov

•
  University of California at San Francisco HIV InSite: hivinsite. ucsf.edu

•
  World Health Organization:
www.who.int

Geriatrics, Aging, and Osteoporosis

•
  Administration on Aging:
www.aoa.gov

•
  Alzheimer’s Association:
www.alz.org

•
  National Institute on Aging:
www.nia.nih.gov

•
  National Osteoporosis Foundation:
www.nof.org

Complementary and Alternative Medicine

National Center for Complementary and Alternative Medicine:
nccam.nih.gov

Online Journals

Subscriptions are generally required. Your institution may have a site license.

•
  
Annals of Internal Medicine
:
www.annals.org

•
  
British Medical Journal
:
www.bmj.com

•
  
The Journal of the American Medical Association
:
www.jama.amaassn.org

•
  
The Lancet
:
www.thelancet.com

•
  
The New England Journal of Medicine
:
www.nejm.org

INTERNET RESOURCES FOR EVIDENCE-BASED MEDICINE

The library at your institution is a great place to start for EBM searches. Many of them offer web-based proxy servers to their e-journal collections, as well as search engines like PubMed or Ovid.