Dr. Fahd Arshad

Multidisciplinary hospital providing 24/7 emergency, CCU, inpatient and outpatient services for cardiac, respiratory, renal, and general medical patients, including primary PCI and angiography/PCI services.

• Work morning and night shifts and receive handover regarding retained patients and immediate concerns.
• Assess Emergency Department patients using an ABCDE approach, take focused histories and perform examinations, formulate initial diagnoses and arrange ECGs, ABGs and urgent investigations.
• Develop initial treatment plans with the on-call consultant; start and taper inotropic support when clinically indicated and decide whether patients should be discharged or admitted to CCU/inpatient wards.
• Assess and initiate management of MI/ACS, arrhythmias, heart blocks, congestive heart failure, acute COPD/asthma, DKA, sepsis, LRTI, urosepsis, AKI and other acute medical presentations.
• Maintain inpatient clinical notes, evaluate current condition, recognise acute deterioration, review investigations and respond to significant abnormalities.
• Review current treatment and infusions and conduct consultant-led ward rounds.
• Complete post-round jobs including electronic discharges, investigations, treatment-plan changes and referrals.
• Clerk and check in new CCU and general ward admissions.
• Review patients in the cardiac catheterisation laboratory, assess history/investigations/clinical condition, maintain procedure notes and monitor post-procedure complications.
• Communicate with patients, relatives and nursing staff; perform arterial blood sampling for ABGs and lead or participate in
  CPR.

Rotations: General Medicine (3 months) • Cardiology (3 months) • General Surgery (3 months) • ENT (3 months)

• Worked across Emergency Department, inpatient wards and outpatient clinics.
• Clerked new admissions, took detailed histories, performed examinations, formulated differentials and initiated investigations under supervision.
• Participated in daily ward rounds, maintained progress notes and discussed management plans.
• Monitored inpatients including observations, fluid/electrolyte balance, medications and laboratory/imaging results.
• Medicine/Cardiology: IV cannulation, ECG interpretation, ABGs, central-line assistance and management of acute medical/cardiac emergencies including ACS and arrhythmias.
• Surgery: pre-/post-operative care, wound dressing, suture removal, Foley catheterisation, assistance with procedures, trauma-room work, suturing and first aid under senior guidance.
• ENT: nasal packing, tracheostomy care and foreign-body removal; observed tonsillectomy, mastoidectomy and septoplasty.
• Presented cases during teaching sessions and morning meetings.

Leeds Teaching Hospitals NHS Trust | 6 July - 7 August 2026 | Supervisor: Dr Anshuman Sengupta, Consultant Cardiologist

• Observed departmental handover involving consultants, registrars, residents, head nurses and junior doctors, including allocation to CCU, ICU and general wards.
• Observed SHO preparation for morning ward rounds: reviewing NEWS2, investigations and red flags, completing patient notes, chasing pending bloods/investigations, reviewing plans and prioritising concerns.
• Observed consultant/registrar-led ward rounds and documentation of concerns, examination findings and management plans.
• Observed post-round duties including EDANs, blood sampling, referrals, medication/treatment changes, imaging/investigations and prioritisation of patient or nursing concerns.
• Observed clerking and checking in new patients arriving from the Emergency Department or other wards.
• Accompanied an on-call senior registrar and observed assessment of patients in the Emergency Department and cardiology wards.
• Observed discharge planning, long-term follow-up, social aspects of discharge and the role of specialist nurses within the NHS.

West Middlesex University Hospital | May 2025 | 2 weeks | Supervisor: Dr Sadia Khan, Consultant Cardiologist

• Attended consultant- and registrar-led ward rounds and observed assessment and management of cardiology inpatients.
• Observed junior doctors preparing patients for ward rounds, reviewing blood results/investigations and completing patient notes.
• Observed patient review, arranging investigations, referrals, multidisciplinary communication and escalation of concerns to senior doctors.
• Attended outpatient cardiology clinics and observed assessment and follow-up of patients with different cardiac conditions.
• Observed echocardiography, cardiac CT and dobutamine stress echocardiography and their clinical use.
• Participated in teaching medical students, discussing clinical cases and basic clinical concepts.