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 on the surgical ward. It is 6 pm, and the nurse has called you urgently to see Judith Kearney, 46, who had her thyroid gland removed this afternoon and now has noisy breathing and a swollen neck.
1
Assess and manage the patient using an A to E approach
2
Outline to the examiner:
Your most likely diagnosis
Next steps in management, including relevant investigations
A nurse at the bedside carries out your instructions. Talk the examiner through your actions, describing procedures.
You do not need to take a full history
You do not need to summarise your findings
Observations at 6 pm
RR 28, SpO2 92% on 6 L/min oxygen by Hudson mask, HR 118, BP 150/90, T 36.9
Practising alone? Ask the examinerFindings appear only when you ask for them
Investigations
Examination
After treatment
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