Chest Pain | Dr Jack Marjot - Emergency OSCE Mastery

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Emergency Medicine OSCE Mastery | Dr Jack Notes

INTRODUCTIONS

Trunk → Branches → Twigs → Leaves
The 8 ACEM OSCE Domains
The 7 ACEM OSCE Stations "Types"
SCBD Structures
SCBD Example 1 (Upper GI Bleed)
SCBD Example 2 (Cocaine Overdose)
Communication Stations
The Importance of the Differential Diagnosis
Teaching Stations
Do Not Use These Notes For Patient Care

COURSE FEEDBACK

Course Feedback & Future Learning

SCBD

COMMUNICATION STATIONS

Useful phrases
First seizure
Breaking Bad News
Non-Accidental Injury (NAI)
Complaint: adverse outcome/event
Trainee discloses error
Impaired colleague
Workplace bullying - confederate on receiving end
Sexual Assault
Domestic Violence
End of Life discussions
Chronic pain
Discharge Against Medical Advice
Hot Debrief (after a resus)
Disagreement with another team
Vaccine / Treatment Refusal
Blood Transfusion Refusal
Antibiotics for URTI / Acute otitis media
Patient who recurrently represents
Safe Discharge Planning
Ceilings of Care Discussions (with family member)
Miscarraige
Elder Abuse

ADMIN / DEPARTMENT MANAGEMENT

Disaster
Emergency Department Design
Guideline Development
Surge Response
Patient-Specific Guideline / Management Plan
Morbidity & Mortality (M&M) Meetings

HISTORY TAKING

DIFFERENTIAL DIAGNOSES

Chest Pain
Shortness of Breath
Syncope
Seizure
Altered Mental State
Weakness
Headache
Abdominal pain (adult)
Abdominal pain (child)
Unsteadiness
Sudden Vision Loss
Red Eye
Leg Swelling
Petechiae
Per-Vaginal (PV) bleeding
Upper GI Bleed
Lower GI Bleed
Paediatric Limp
Crying / Unsettled Baby
Lower Back Pain
Jaundice (adult)
Painful Joint
Hyperkalaemia
Paediatric Neck Lump
Stridor
Scrotal swelling
Vomitting
Cerebellar
Cardiac Failure
Spinal Neurology

PAEDIATRIC STATIONS

Sick Neonate
Paeds hydration assessment
Febrile Child
Kawasaki
Febrile Convulsions
Brief Resolved Unexplained Event (BRUE)
Bronchiolitis
Asthma - safe discharge discussions
Anaphylaxis & Epipen discussion
Paediatric Seizure
Paediatric Head Injury
Concussion
C-spine assessment
Neonatal Jaundice
Paediatric Elbow X-Ray
Choking
Supraventricular Tachycardia (SVT)
Tricky Paeds Platelets
Unsettled / Crying Baby (Counselling)
Persistent Cough
Iron Deficiency Anaemia

TEACHING STATIONS

General Structure - any teaching station
Hyponatraemia
ECG interpretation
ST Elevation (ECG)
QRS Prolongation (ECG)
Blood Gas Interpretation
Toxicology VBG
Body Fluids Analysis
Diplopia
CT Brain Interpretation
C-Spine X-Ray Interpretation
Scaphoid #
Ultrasound-Guided Need Procedure
Point of Care Ultrasound Imaging (POCUS)
PE in Pregnancy - Approach
SVT with Aberrancy vs Ventricular Tachycardia (VT)
ECG - Arrhythmia Differential
Acute Kidney Injury (AKI) - an approach
Renal Colic - approach
Orbital Blow-Out Fracture
Compartment Syndrome
Hyperemesis Gravidarum
Autonomic Dysreflexia

EXAMINATIONS

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Chest Pain

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