MRCEM Part C/OSCE: Resuscitation OSCEs (Previews)

MRCEM Part C/OSCE: Resuscitation OSCEs (Previews)2018-03-09T10:56:05+00:00

Resuscitation OSCEs


Module 3


 

Part 1. Resuscitation OSCEs.

In the Emergency Department, the resuscitation room is probably the most stressful and daunting place, however in the MRCEM Part C/OSCE exam, the resuscitation scenarios that you are faced with should be considered as straight forward opportunities to get more passes under your belt. The exam will present you with an Advanced Life Support (ALS) station, an Advanced Trauma Life Support (ATLS) Station and probably an Advanced Paediatric Life Support (APLS) station. Neonatal Life Support (NLS) is uncommon but is in the syllabus so candidates should be competent in initiating NLS protocols. Candidates sitting the MRCEM Part C/OSCE exam are expected to … … more in purchased course package.
The ALS scenario is understandably seen in the exam year after year. Scenarios may begin at any point from the assessment of the sick patient with an ABCDE approach who then deteriorates to cardiac arrest, to joining an arrest midway through or even being asked to come to review the post resuscitation patient and organising safe transfer. The following breaks the typical ALS scenario down into stages. Candidates must … … more in purchased course package.
Although in theory the number of possible OSCEs based around unwell and/or peri-arrest adults is endless, in reality only a small number of scenarios are tested in MRCEM PartC/OSCE stations and they all require a structured ABCDE approach: • A thorough ABCDE approach is essential • Call for … … more in purchased course package.
Candidates are likely to have had the least hands on experience with paediatric resuscitation cases, even though many candidates will have worked in paediatrics by the time they come to sit the MRCEM Part C/OSCE exam, making it essential that they have attended an APLS course or participated in paediatric simulation training sessions. More than adult resuscitation, paediatric resuscitation scenarios have the added pressures of … … more in purchased course package.
APLS scenarios may present the candidate with a seriously ill child who progresses into full cardiac arrest, for example, a septic child, fitting child or case of paediatric anaphylaxis. This offers the examiner the opportunity to … … more in purchased course package.
There will be at least one trauma station in every MRCEM PartC/OSCE exam. This may involve an adult trauma or an injured child – or commonly one of both! ATLS and APLS certification and study of the respective course manuals is therefore pre-requisite for understanding the correct approach to trauma in adults and children alike. ATLS scenarios follow a very similar structured template … … more in purchased course package.

 

Part 2. Leadership skills.

Resuscitation OSCEs are unique among the MRCEM part C/OSCE exam stations, in that they offer the opportunity to demonstrate leadership skills. Although you may need to begin the station by acting as a team member and initiating the assessment and early management, at the first available opportunity you should … … more in purchased course package.

 

Part 3. Example resuscitation OSCE videos

ABCDE Assessment

Airway Assessment

ALS H’s & T’s

Laryngeal Mask Airway

Defibrillation

Pacing

Anaphylaxis

Late Pregnancy

Fitting a Cervical Collar

Trauma primary survey

Paediatric Trauma Primary Survey

Burns

Structured Patient Handover

 

 

Part 4. improving your resuscitation/moulage skills

Resuscitation skills can be learnt and must be practiced … … more in purchased course package.

Please note that these videos are copyright protected and are produced and owned by Bromley Emergency Training & Research Ltd. They are for private study only and may not be distributed in any form.


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