Emergency · History + examination

Sudden collapse while gardening - Emergency Department

MediumYear 5 · Curtin style · 15 min + 2 min reading · 5 tasks

2 min reading · 15 min station · reminders at 2 min

Station - Instructions for candidate

You are an intern in the Emergency Department of a Perth metropolitan hospital.

Robert Astle, a 76-year-old man, collapsed while gardening this morning. He is now alert.

12-lead ECG

Twelve-lead electrocardiogram recorded at 25 mm/s
Michael Rosengarten BEng, MD.McGill, Wikimedia Commons - CC BY-SA 3.0

Your tasks are to:

  1. Take a focused history.
  2. Perform a focused examination.
  3. Interpret the ECG provided.
  4. State your most likely diagnosis and differential diagnoses to the examiner.
  5. Outline your initial management plan to the examiner.
  • Please verbalise your examination to the examiner; findings will be provided on request.

This is a 15-minute station, with 2 minutes of reading time.

Ask the examiner

Say what you would examine or request, the way you would in the station. Nothing is named until you ask for it.

Whatever the examiner recognises is revealed below. Or pick a numbered item to reveal it blind.

Investigations

Ask for a category the way you would in the station: “Can I have the obs and a set of bloods?”

Examination

Say what you would examine and how; the examiner reports what you would find.