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CONTENTS Preface MCEM Part C OSCE exam - Curriculum summary How to use the book Principles for OSCE success Preparation/training/practice - How to prepare for the exam Practicalities - What to expect on the day Additional resources for the exam Chapter 1: History taking, including acute presentations Introduction Abdominal pain, renal colic Abdominal swelling, change in bowel habit, PR bleed ALTE Back pain Blackout, collapse, syncope, seizure Chest pain Diabetes, hypoglycaemia Dizzines, falls Dysphagia, sore throat Febrile convulsion Fever, GU Haematuria GI bleed Headache Jaundice Needlestick Limping child Palpitations Rash Sexual history, HIV, PID, PV bleed Shortness of breath, haemoptysis, cough Snake bite Weakness (non-stroke), TIA, CVA Weight loss Chapter 2: Communication skills Introduction Angry parent, patient: missed fracture, diagnosis, not prescribing antibiotics, no x-ray for pulled elbow Breaking bad news: death, CVA, head injury, stopping ventilation Capacity CDU ward round Confidentiality: police Consent: blood transfusion, Gillick Difficult referral Driving post seizure Major incident preparation NAI Prioritising patients, CDU ward round Teaching Chapter 3: Systems examinations Introduction Cardiovascular Eye examination, slit lamp, red eye Gastroenterology Neurology: upper limbs Neurology: lower limbs Neurology: cranial nerves Respiratory Thyroid examination, status Chapter 4: Joint examinations Introduction Ankle Back Elbow Hand Hip Knee Neck Shoulder Chapter 5: Psychiatry Introduction Depression DSH, suicide risk: SAD PERSONS, poisoning: toxidromes Mania Mental state examination, mini mental state examination Psychosis Substance misuse, aggressive, disturbed behaviour Chapter 6: Procedures/Teach a colleague Introduction ABG, arterial cannulation Airway assessment, protection Ascitic tap, drain Central venous cannulation Chest drain Clearing a c-spine Connection to a ventilator DC cardioversion FAST, aorta, vascular access scan Handwashing Intraosseous needle insertion Knee aspiration Lumbar puncture Nasal packing Nerve block: femoral Opthalmoscopy Otoscopy Peak flow, inhaler, spacer, nebuliser technique Performing an ECG Phlebotomy, cannulation, blood cultures Plastering Pleural tap and aspiration, pneumothorax Rapid sequence intubation Surgical airway Teach while managing an acute situation: airway, anaphylaxis Thomas splint, Donway splint Urinary Catheter Vaginal examination, speculum examination Wound management, suturing Chapter 7: Resuscitation, including major presentations ALS introduction Anaphylaxis BLS Delivering a baby normal, abnormal circumstances Pacing PEA/asystole Periarrest/cardioversion Post-resuscitation care Pre-ecplampsia Pregnancy, OD, hypothermia, drowning VF/VT ATLS introduction Burns Cardiac tamponade, thoracotomy Haemothorax, pneumothorax Head injury: airway problem, neuroprotection Pregnancy Shock, bleeding from abdomen or pelvis Trauma: airway problem Chapter 8: Closing comments Final preparation Managing an OSCE station you didn't expect
Kiran Somani BA (Hons) MBBS MRCP DTM&H FCEM Post CCT Fellow in Emergency Medicine, University Hospital Southampton, UK Nitin Jain MBBS MS Orth MRCS Eng FCEM Clinical Superintendent at Sydney South West Area Health Service, New South Wales, Australia Nick Jenkins MBBS FCEM DipMedEd FHEA Consultant in Emergency Medicine, Wexham Park Hospital, UK