Resus OSCE
airway
- See Tracheostomy emergencies - tracheostomy scenario
- CICO - see difficult airway
- See Anaphylaxis
- stridor scenario
- Choking - adult/paediatric choking scenario
- Post-tonsillectomy bleed scenario
- Facial burns scenario
breathing
- Pneumothorax - seldinger chest drain
- Traumatic haemothorax - surgical chest drain
- Sick COPD scenario - initiating NIV
- Sick asthma scenario
- Paediatric asthma scenario
circulation
- Massive haemorrhage scenario
- Myocardial infarction scenario → arrest
- Bradyarrhythmia scenario → pacing
- Tachyarrhythmia scenario → recognise compromise, DCCV
- Sick child
- e.g. 2 failed IV access, recognise switch to IO
disability/exposure
-
Management of subarachnoid haemorrhage scenario
Generic structure
- Washes hands, introduces self
- Confirms patient identity
- Identifies team competencies
- Takes handover and appropriate history
- Airway assessment
- Breathing assessment
- spO2, RR
- inspects, palpates, auscultates chest
- Circulation
- ECG, BP
- IV access
- 500ml crystalloid bolus
- Disability
- GCS, blood glucose
- Exposure
- Recognises deterioration in patient
- Starts chest compressions
- Defibrillator attached
- Identifies rhythm correctly
- Appropriate management plan
- Establishes appropriate escalation to specialty
- Requests appropriate investigations
- Plans for ... critical care, intubation, inotropes...
- Leads team well
- Global mark from examiner