Author: notaperubatan

  • Sleep & Post-Call Fatigue

    You might think it’s normal to feel tired all the time or to have trouble falling asleep. But when these issues continue, they might be signs of a deeper problem and can then spill over into your personal life. Over time, this can affect your relationships, hobbies, and even overall happiness.” (quoted from calm.com)

    General advice

    • Before night shift, take a nap for around 90 minutes
    • During night shift, take naps 15 – 20 minutes to help you to boost alertness and help to stay awake
      (naps longer than 20 minutes may make you more likely to experience sleep inertia, i.e., a period of grogginess, where alertness and performance are impaired)
    • After night shift ends, go home quickly and aim to sleep for 3 – 5 hours
    • Wake up by late afternoon / evening around 5 – 7 pm
      • Avoid sleeping all the way to midnight as this delays recovery and disturbs circadian rhythm, causing prolonged fatigue.
      • Avoid long nap (i.e., sleeping till 4 – 6 hours before your main sleep) as they may make it more difficult to fall asleep.
    • Evening: light dinner and light activities
    • Night: return to bed at a normal bedtime (10–11 pm) to reset circadian rhythm quickly

    Short term benefits: Reduces fatigue, improves alertness for next working days, prevents microsleeps.

    Long term benefits: Avoids circadian drift, protects mental health, lowers cumulative fatigue across weeks.

    Related articles

    1. https://www.sleephealthfoundation.org.au/sleep-topics/healthy-sleep-practices-for-shift-workers?
    2. https://www.calm.com/blog/night-shift-sleep
    3. https://my.clevelandclinic.org/health/diseases/12146-shift-work-sleep-disorder
  • Age Calculator (Neonates)

  • Age Calculator (Children)

  • BMI IBW ABW LBW Calculator

  • Cosmofer Dose Calculator

  • Neonatal Jaundice (NNJ) Calculator

    [obsolete]

    Neonatal Risk Assessment

    Gestational age based risk stratification

    Medium risk if no risk factor

    High risk if presence of at least one risk factor

    Low risk if no risk factor

    Medium risk if presence of at least one risk factor (presence of more than one risk factor does not increase the risk to high risk)

    • G6PD deficiency
    • Neonatal sepsis
    • Birth asphyxia
    • Isoimmune haemolytic disease (examples: maternal blood group O positive but baby’s blood group not yet known or different blood groups // mother Rhesus negative)
    • Low birth weight (<2.5 kg)
  • Pregnancy Calculator

  • Mean Arterial Pressure (MAP)

  • Urine Protein Converter

  • eGFR and CrCl Calculator

+