candidate brief

One of the FY2s in ED would like to discuss a few patients with you.

actor brief

1st patient - 4 month old with 3 days cough, coryza, brought in by parents
- moderate WOB, sats normal on air, RR 50
- term baby, no PMH, up to date vaccinations
- feeding about 50% of normal
- sounds wheezy - not improving on salbutamol
- you are keen to start nebs, you have heard about "burst treatment"
2nd patient - bilateral renal colic in 77yo in waiting room
- background of hypertension, diabetes, TIA
- abdo mildly tender
- urine dip NAD
- you want to send him home with urology hot clinic as per stone pathway
3rd patient - head injury in 82yo
- 82yo who stood, felt dizzy and 'must have' fallen backwards and hit her head
- husband says she was confused afterwards for about an hour
- currently does not remember what happened this morning
- you didn't think she needed a CT as she is not on anticoagulants, you think she is just dazed from the fall
- you have seen her bloods and ECG - all normal
- no focal neurology
- you want to send her home