Month: January 2016

OSCE_Hx/EXAM_CSpine

Posted on by beckyday
  CLINICAL SCENARIO STEM (1) A 17 year old boy has been involved in a low speed MVA, he has been BIBA to your resus bay. He is in a collar and sand bags currently. His primary survey is unremarkable, but the junior registrar has not yet assessed or cleared the C-Spine as doesn’t feel confident to do so.   INSTRUCTIONS TO CANDIDATE Assess through focussed history and examination, whether you can clear the C-Spine of this patient. You can assume that there are no othe...
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Trauma SAQ 1

Posted on by beckyday
Trauma SAQ 1 A 15 year old male has been brought in to the resuscitation room of a trauma centre by ambulance. He has a large wound to his neck, and no other obvious injuries. He is awake and alert. Observations P100 BP 100/70 RR 22 Sats 99% RA   Question 1 Which zone of the neck does this injury involve? (1)   Question 2 Can you define the boundaries of this zone? (2)   Question 3 List 4 HARD clinical signs that would mandate immed...
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Anaesthetics SAQ 1

Posted on by beckyday
Anaesthetics SAQ 1  Pre-Accident (patients Employment ID Card) Post Intubation in ED   A 24 year old woman is BIBA after being involved in a head on MVA at high speed. She was the unrestrained driver travelling at high speed. She was agitated and confused (GCS 10), with Cspine precautions in situ on arrival.   Observations PRE-INTUBATION P 130 BP 90/60 Sats 91% (FI02 1.0) RR 28 Temp 35.6   Question 1 The decision is made to intubate....
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