Surviving Sepsis
The first three web links this month have been suggested by one of my colleagues. See what you think.

The Surviving Sepsis Campaign (SSC), an initiative of the European Society of Intensive Care Medicine, the International Sepsis Forum, and the Society of Critical Care Medicine, was developed to improve the management, diagnosis, and treatment of sepsis. The guidelines provided as a summary or poster are well worth a look.

Exam revision
This is the index page for the knowledge base for General Surgery. Having just returned from the “exit” exam in Cardiff I can tell you that a working knowledge of the up to date material here provides an excellent framework for the candidate in this assessment. Go and absorb!
 

Dukes Club

Cuthbert Dukes plied his pathological classification in the 1920’s and it is astonishing that (in the UK at least) his classification in all its various forms is only now slowly disappearing from use. I have personally been campaigning for the demise of Dukes staging since 1985! However his name lives on in the Dukes Club. No self respecting British colorectal trainee should avoid this site. Go there if this is your interest. There is a wealth of relevant material.

 

 

Gapminder
Want some facts to help you interpret the world and it’s various trends. Here is an interesting way of looking at things. I suggest you go and have a play there. Fascinating. Wonder where to start? Try the Gapminder world.

 

 

 

 

 

Books

Read any significant literature this summer? Here are a some to consider.

Signature in the Cell

This year marks a couple of important Darwin anniversaries. It is 200 years since his birth and 150 years since the publication of the “Origin.” I have long held the view that the neo-Darwinian position is deeply flawed. Here is a book which offers an argument which I consider to be the most substantive case yet that the Darwinian position is untenable. Don’t let me just tell you – go check it out for yourself. Fascinating. The dedicated website is excellent.

Charles Darwin Steve Meyer

Direct Red

How about this from one reviewer – “ It is a useful antidote to the endless stories of heroic surgeons who know exactly what to do. This book is painfully realistic - doctors make mistakes, doctors can't decide, doctors don't like some patients, the National Health Service in Britain is brilliant in theory and sadly inadequate in reality. And sometimes, actually quite often considering the odds, the doctors get it right and save a life.”

How Doctors Think

Every doctor makes mistakes in diagnosis and treatment. The frequency of those mistakes, and their severity, can be reduced by understanding how a doctor thinks and how he or she can think more effectively. The cognitive traps include “Availability” – judging the likelihood of an event by the ease with which it comes to mind, “Confirmation” – confirming what you expect by selectively accepting or ignoring information. Other risks include “Anchoring” – not considering multiple possibilities, “Premature closure” – stopping investigations when something is found and “Diagnostic momentum” – others unquestioningly accepting original diagnoses. It has had a mix of reviews but it certainly looks interesting.

Until next month

David Galloway