Trauma in pregnancy OSCE

candidate brief

actor brief

examiner brief

Patient arrives on ambulance stretcher with full C-spine precautions. She remains haemodynamically stable throughout.

RTC - car vs car, patient was driver
Bruising over abdomen and abdo pain

  • Wash hands, introduce self to nurse
  • Confirm patient identity
  • Check need for analgesia
  • Puts out obstetric trauma call - specifically to include obstetrician
  • Confirms team competencies
  • Maintains safe c-spine immobilisation
  • Facilitates primary survey
  • Prepares for FAST scan
  • Prepares for Left lateral displacement of uterus
  • Requests Kleihauer test and anti-D
  • Requests appropriate investigations including group+save
  • Leads team well
  • Global mark from examiner