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Foundation Doctor — on-call workflows 🩺
NEW — prescribing safety pathways: On-call drug safety: quick index 💊 · AKI: medicines safety review ⚠️ 💊 · Antibiotics: 48-hour review ⚠️ 💊 · Time-critical inpatient drugs ⚠️ 💊 · Delirium: prescribing safety ⚠️ 🧠 · SGLT2 illness and ketoacidosis 🚨 💊
🩺 What to do on call — Foundation Doctor pathways
Start with ABCDE and appropriate emergency escalation when unwell; these links are for education and clinical reasoning, not substitutes for protocols or senior supervision.
🚨 Called to an unstable patient
- Unwell inpatient - first five minutes
- Adult cardiac arrest
- Adult anaphylaxis
- Suspected sepsis in adults
- Septic shock
- Severe asthma in adults
- Acute respiratory failure
- Severe hyperkalaemia
- Severe hypoglycaemia
- Acute stroke - time critical
🫀 Chest pain, shock, breathlessness
- Acute chest pain - ED first hour
- Shortness of breath - ED approach
- Acute heart failure
- COPD exacerbation
- Suspected pulmonary embolism - stable
- Acute pulmonary embolism with shock
- ST-elevation myocardial infarction
- Unstable tachyarrhythmia
- Unstable bradycardia
- Ventricular tachycardia
🧠 Neurological deterioration
- Acute stroke - time critical
- Intracerebral haemorrhage
- Subarachnoid haemorrhage
- Convulsive status epilepticus
- Acute severe headache
- Acute vertigo
- Unwell inpatient - first five minutes
🧪 Diabetes, electrolytes and renal
- Diabetic ketoacidosis
- Hyperosmolar hyperglycaemic state
- Severe hyperkalaemia
- Symptomatic hyponatraemia
- Acute kidney injury
- Oliguria on the ward
- Fluid review - IV versus oral
- Hypokalaemia
- Hypomagnesaemia
- Hypocalcaemia
- Hypercalcaemia
🩸 Bleeding and peri-operative emergencies
- Acute upper GI haemorrhage
- Massive lower GI bleed
- Ruptured abdominal aortic aneurysm
- Postoperative fever
- Anastomotic leak
- Postoperative bleeding
- Hip fracture initial management
🏥 Acute surgical calls
- Perforated viscus
- Bowel obstruction with strangulation
- Mesenteric ischaemia
- Acute limb ischaemia
- Testicular torsion
- Cauda equina syndrome
- Compartment syndrome
- Infected obstructed kidney
👶 Paediatric red flags
- Child with suspected sepsis
- Child in respiratory distress
- Paediatric anaphylaxis
- Paediatric status epilepticus
- Non-blanching rash or meningococcal disease
- Child with bilious vomiting
- Febrile infant under three months
- Child with diabetic ketoacidosis
🤰 Pregnancy and postnatal
- Ectopic pregnancy
- Postpartum haemorrhage
- Eclampsia or severe pre-eclampsia
- Sepsis in pregnancy or postpartum
- Acute pelvic pain
🩺 Safer ward work and discharge
- Capacity for an urgent decision
- Unwell inpatient - first five minutes
- Hyperglycaemia on steroids
- Unexpected low sodium
- Hypotension after medication
- Sore throat with airway danger
- Discharge safety-netting after ED assessment
Related: Common medicines A–Z · Foundation Doctor — start here.
| The content on this website is provided for educational and informational purposes only to support exam preparation (e.g., MLA, MRCP, USMLE) and learning. This is NOT medical advice, diagnosis, treatment, or professional guidance. It does not replace consultation with a qualified healthcare professional, official guidelines (e.g., NICE, GMC, BNF), or supervised clinical practice. Always verify information with current, authoritative sources. Makindo and its contributors accept no liability for any reliance on this content, including errors, omissions, or any resulting harm, loss, or consequences. By using this site, you agree to these terms. |
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