Arm cut requiring assessment - Emergency Department

CurtinYear 410 min + 2 min readingEmergency & acute careStandardClinical years
  • Focused history
  • Initial Mx
  • Procedural skill

Ready

2 min reading, 10 min station, warning at 2 min

Focus the timer and press Space to start or pause.

Station - Instructions for candidate

You are a medical student on placement in the Emergency Department of a Perth metropolitan hospital.

Francesca Rossi, a 35-year-old cleaner, presents to the ED with a cut on her right arm sustained 1 hour ago when she cut herself with a kitchen knife. The triage nurse has recorded her observations.

Triage observationsHR 78 regular, BP 128/80 mmHg, RR 16, SpO2 99% on room air, temperature 36.8 degrees C

Your tasks are to:

  1. Take a focused history of the injury.
  2. Assess the wound and examine for hand perfusion and neurological status distal to the cut.
  3. Manage the wound with appropriate local anaesthetic and demonstrate the wound closure technique on a model.
  4. Discuss aftercare instructions and follow-up arrangements.
  • You do NOT need to summarise your findings to the examiner.
  • The wound closure will be demonstrated on a model, not on the patient.

This is a 10-minute station, with 2 minutes of reading time.

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