2 min reading · 8 min station · reminders at 1 min
2 min reading · 8 min station · reminders at 1 min
Instructions
You are an intern in the emergency department. Your next patient is Hamish Dalgleish, 6, who has twice spat out fresh blood and clots tonight, six days after his tonsils and adenoids were removed here for loud snoring.
1
Assess and manage Hamish using an A to E approach
2
Outline to the examiner:
Next steps in management, including relevant investigations
Hamish is a manikin and his mother is with him; the examiner acts as the nurse and carries out your instructions
You do not need to summarise your findings or take a full history
The examiner will ask you questions at the end
Triage at 7.40 pm
HR 142, BP 94/58 mmHg, RR 26, SpO2 97% on air, T 37.9; weight 22 kg on the day of his operation
Treatment so far
None; no IV access
Practising alone? Ask the examinerFindings appear only when you ask for them
Investigations
Examination
After treatment
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