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Appendices 

Appendices
Author(s):

Tim Raine

, George Collins

, Catriona Hall

, Nina Hjelde

, James Dawson

, Stephan Sanders

, and Simon Eccles

Page of

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date: 17 August 2019

Useful numbers and websites

Medical organizations

General Medical Council (GMC)

British Medical Association (BMA)

Hospital Consultants and Specialists Association (HCSA)

Medical Defence Union (MDU)

Medical Protection Society (MPS)

Medical and Dental Defence Union of Scotland (MDDUS)

Counselling lines

BMA Counselling Service

  • 24h help 0330 123 1245 (NB you do not need to be a BMA member to call)

Doctors’ Support Network (mental illness)

Sick Doctor’s Trust (alcohol and drug addiction)

Financial organizations

BMA Services

Other

Association of LGBT Doctors and Dentists (GLADD)

National Confidential Enquiry into Patient Outcome and Death (NCEPOD)

Medical Research Council (MRC)

Medical Women’s Federation

Médecins Sans Frontières (MSF)

Voluntary Services Overseas

Wellcome Trust

(Royal) College of

Anaesthetists

020 7092 1500

Appendiceswww.rcoa.ac.uk

Emergency Medicine

020 7404 1999

Appendiceswww.rcem.ac.uk

General Practitioners

020 3188 7400

Appendiceswww.rcgp.org.uk

Obstetricians and Gynaecologists

020 7772 6200

Appendiceswww.rcog.org.uk

Ophthalmologists

020 7935 0702

Appendiceswww.rcophth.ac.uk

Paediatrics and Child Health

020 7092 6000

Appendiceswww.rcpch.ac.uk

Pathologists

020 7451 6700

Appendiceswww.rcpath.org

Physicians of London

020 7935 1174

Appendiceswww.rcplondon.ac.uk

Physicians of Edinburgh

0131 225 7324

Appendiceswww.rcpe.ac.uk

Physicians of Ireland

0035318639700

Appendiceswww.rcpi.ie

Physicians and Surgeons of Glasgow

0141 221 6072

Appendiceswww.rcpsg.ac.uk

Psychiatrists

020 7235 2351

Appendiceswww.rcpsych.ac.uk

Radiologists

020 7636 4432

Appendiceswww.rcr.ac.uk

Surgeons of Edinburgh

0131 527 1600

Appendiceswww.rcsed.ac.uk

Surgeons of England

020 7405 3474

Appendiceswww.rcseng.ac.uk

Surgeons of Ireland

0035314022100

Appendiceswww.rcsi.ie

Height conversion

Metres (m) to inches (inch), multiply by 39.37 (12 inches to the foot). Inches to metres, multiply by 0.0254.

m

inch

feet

inch

1.36

53.5

4

5.5

1.37

54

4

6

1.38

54.5

4

6.5

1.40

55

4

7

1.41

55.5

4

7.5

1.42

56

4

8

1.43

56.5

4

8.5

1.45

57

4

9

1.46

57.5

4

9.5

1.47

58

4

10

1.48

58.5

4

10.5

1.50

59

4

11

1.51

59.5

4

11.5

1.52

60

5

0

1.54

60.5

5

0.5

1.55

61

5

1

1.56

61.5

5

1.5

1.57

62

5

2

1.59

62.5

5

2.5

1.60

63

5

3

1.61

63.5

5

3.5

1.62

64

5

4

1.64

64.5

5

4.5

1.65

65

5

5

1.66

65.5

5

5.5

1.67

66

5

6

1.69

66.5

5

6.5

1.70

67

5

7

1.71

67.5

5

7.5

1.73

68

5

8

1.74

68.5

5

8.5

1.75

69

5

9

1.76

69.5

5

9.5

1.78

70

5

10

1.79

70.5

5

10.5

1.80

71

5

11

1.81

71.5

5

11.5

1.83

72

6

0

1.84

72.5

6

0.5

1.85

73

6

1

1.87

73.5

6

1.5

1.88

74

6

2

1.89

74.5

6

2.5

1.90

75

6

3

1.92

75.5

6

3.5

1.93

76

6

4

1.94

76.5

6

4.5

1.95

77

6

5

1.97

77.5

6

5.5

1.98

78

6

6

Temperature

Degrees Fahrenheit (°F) to degrees Celsius (centigrade °C)

°C=(°F32)×0.56

Degrees Celsius (centigrade °C) to degrees Fahrenheit (°F)

°F=(°C1.8)×32

Pressure

Millimetres of mercury (mmHg) to kilopascals (kPa)

kPa = mmHg×0.113

Kilopascals (kPa) to millimetres of mercury (mmHg)

mmHg=kPa×7.519

Weight conversion

kg to pounds (lbs), multiply by 2.2046 (14lb to the stone; 16oz per lb) Pounds to kg, multiply by 0.4536.

kg

St

lbs

kg

St

lbs

kg

St

lbs

1

0

2lb 3oz

43

6

11

85

13

5

2

0

4lb 7oz

44

6

13

86

13

8

3

0

6lb 10oz

45

7

1

87

13

10

4

0

8lb 13oz

46

7

3

88

13

12

5

0

11

47

7

6

89

14

0

6

0

13

48

7

8

90

14

2

7

1

1

49

7

10

91

14

5

8

1

4

50

7

12

92

14

7

9

1

6

51

8

0

93

14

9

10

1

8

52

8

3

94

14

11

11

1

10

53

8

5

95

14

13

12

1

12

54

8

7

96

15

2

13

2

1

55

8

9

97

15

4

14

2

3

56

8

11

98

15

6

15

2

5

57

9

0

99

15

8

16

2

7

58

9

2

100

15

10

17

2

9

59

9

4

101

15

13

18

2

12

60

9

6

102

16

1

19

3

0

61

9

8

103

16

3

20

3

2

62

9

11

104

16

5

21

3

4

63

9

13

105

16

7

22

3

7

64

10

1

106

16

10

23

3

9

65

10

3

107

16

12

24

3

11

66

10

6

108

17

0

25

3

13

67

10

8

109

17

2

26

4

1

68

10

10

110

17

5

27

4

4

69

10

12

111

17

7

28

4

6

70

11

0

112

17

9

29

4

8

71

11

3

113

17

11

30

4

10

72

11

5

114

17

13

31

4

12

73

11

7

115

18

2

32

5

1

74

11

9

116

18

4

33

5

3

75

11

11

117

18

6

34

5

5

76

12

0

118

18

8

35

5

7

77

12

2

119

18

10

36

5

9

78

12

4

120

18

13

37

5

12

79

12

6

125

19

10

38

6

0

80

12

8

130

20

7

39

6

2

81

12

11

135

21

4

40

6

4

82

12

13

140

22

1

41

6

6

83

13

1

145

22

12

42

6

9

84

13

3

150

23

9

Body mass index (BMI)

BMI calculation

BMI

Weight status

  • BMI= weight (kg)/height2 (m2)

  • eg: 77kg, 1.83m

  • 77/(1.83 × 1.83) = 23 (normal)

18.5–24.9

Normal

<18.5

Underweight

25.0–29.9

Overweight

≥30

Obese

≥40

Morbidly obese

Body mass index chart for adults


Fig. A1 Body mass index ranges. Plotting weight against height helps categorise weight status.

Fig. A1 Body mass index ranges. Plotting weight against height helps categorise weight status.

Driving regulations (2016)

The DVLA issues strict regulations about which medical conditions affect your ability to drive. A summary of this information for holders of standard Group 1 licences is shown here; the full guidelines are available on the DVLA website (Appendiceswww.dvla.gov.uk). This list is not exhaustive and a patient should stop driving if they, or their doctor, believe they are incapacitated.

Neurology

Stroke

Cease for 1mth; resume only if minimal residual deficit

TIA

Cease for 1mth

Chronic neuro disorder

Variable*

Meningitis

Drive if well

First seizure (or suspected)

Cease for 6mth*

Epilepsy

Cease until 1yr since last seizure (continue if seizures during sleep only for >3yr)*

Severe head injury/intra-cranial bleed

Cease for 6–12mth*

Brain tumours and mets

Variable*

Neurosurgery

Variable*

Visual field defects and diplopia

Cease driving (may be allowed if stable)

Visual acuity

Better than 6/12 corrected with both eyes

Unexplained syncope

Cease 4wk if low risk or cause found; else cease for 6mth*

Recurrent severe vertigo

Once attacks controlled*

Diabetes

Diabetes on insulin or oral hypoglycaemic agents

Must be able to recognize hypo and not had >1 hypo requiring assistance in past 12mth*

Diabetes on diet only

Drive if well

Recurrent hypoglycaemia

Cease until controlled

Cardiovascular

Angina

If symptoms at rest, at wheel or with emotion, cease until stabilized

MI/ACS

Cease for 1wk if successful angioplasty, else cease for 4wk

Angioplasty

Cease for 1wk

Pacemaker

Cease for 1wk*

ICD (if inserted for incapacitation)

Cease 6mth after insertion/shock*

ICD (if inserted prophylactically)

Cease for 1mth*

CABG

Cease for 4wk

Incapacitating arrhythmia

Cease for 4wk after controlled*

Stable arrhythmia

Drive if well

AAA ≥6cm

Annual review required if 6–6.5cm*; if ≥6.5cm, cease until repaired*

Aortic stenosis

Cease if symptomatic*

Psychiatry and substance abuse

Severe psychiatric illness

Cease until stable for 3mth*

Alcohol dependence

Cease until 1yr abstinence*

Opioid, benzo + cocaine dependence

Cease for 1yr after previous use*

Other recreational drugs

Cease for 6mth after previous use*

Other

COPD

Drive if well

Sleep apnoea + narcolepsy

Cease until symptoms controlled*

Chronic renal failure

Drive if well

HIV

Drive if well

Temporary medical conditions/post-surgical recovery

Drive if well; notify DVLA only if >3mth recovery required

*Patient must notify the DVLA.

If a patient refuses to notify the DVLA about a medical condition you have a duty to break confidentiality and inform the DVLA on their behalf. Seek advice from senior colleagues.

Interesting cases

Note down any interesting or unusual cases which could be used for a teaching or a Grand Round case presentation. Do not include personally identifiable patient information.

Hospital number

Details

Hospital number

Details

Hospital number

Details

Hospital number

Details

Hospital number

Details

Hospital number

Details

Hospital number

Details

Hospital number

Details

Telephone numbers 1

Hospital:

Telephone:

Extension

Bleep

Your firm’s timetable 1

Time

Monday

Tuesday

Wednesday

Thursday

Friday

Telephone numbers 2

Hospital:

Telephone:

Extension

Bleep

Your firm’s timetable 2

Time

Monday

Tuesday

Wednesday

Thursday

Friday

Telephone numbers 3

Hospital:

Telephone:

Extension

Bleep

Your firm’s timetable 3

Time

Monday

Tuesday

Wednesday

Thursday

Friday