saq 16osce 18alternative osce day resuscitation anaesthetics/pain wound management major trauma...

SAQ 16 OSCE 18 Alternative OSCE day

Resuscitation

Anaesthetics/pain

Wound Management

Major Trauma

Musculoskeletal trauma

Urology

STD

Eye problems

ENT problems

Dental emergencies

Obstetrics & Gynae

SAQ 18 OSCE 18 Alternative OSCE day

Cardiology

Respiratory

Neurology

Hepatology/gastroenterology

Toxicology

Fluid and electrolytes

Acid base

Renal disease

Diabetes and endocrine

Haematology

SAQ 18 OSCE 18 Alternative OSCE day

Infectious diseases

Dermatology

Rheumatology

Neonatology

Paediatrics

Environmental

Oncology

Psychiatry

Major incidents

Legal aspects

Prioritisation

Breaking Bad News

Reading

• Adult textbook of Emergency Medicine – Toxicology

• OHAEM• OHCM• ATLS , ALS, APLS/EPLS• USMLE – Board series prep for Anatomy,

Physiology and Biochemistry

4

5

Useful websites

• http://www.collemergencymed.ac.uk• http://www.nice.org.uk/• http://www.brit-thoracic.org.uk/default.aspx• http://www.das.uk.com/ ( Difficult airway society)• http://www.bashh.org/

( Sexual health – Chlamydia, Gonorrhoea, etc)• http://www.sign.ac.uk/ • http://www.bcshguidelines.com/index.html (Haematology)• RCOG, Infectious disease society, European society of

cardiology, etc

6

Guidelines - NICE

• Hip fracture• Epilepsy• Therapeutic

Hypothermia• NSTEMI• COPD• Chest pain• Loss of consciousness

• Stroke and TIA• Respiratory tract

infections• Head Injury• AF• Rapid Tranquilization• Falls• Self harm

7

SIGN

• Acute Upper and Lower GI bleed• Suspected bacterial UTI in adults

8

CEM

• Sexual assault – statement

• Ketamine sedation• Domestic violence• Pain – Adults and

Children• Biers Block• First fit – flow chart• Tricyclics poisoning

• Allergic reaction• Headache• Safeguarding Children• Antidote

9

BTS

• Pneumotharax• Pneumonia• Oxygen• NIV – COPD and respiratory failure• Diving• PE• Chest drain

10

Paediatrics

• Meningitis - NICE• Sedation – NICE• Maltreatment – NICE• NAI – NICE• Gastroenteritis – NICE• UTI – NICE• Bronchiolitis – SIGN

• Limping child• Discitis• Kawasaki’s• Perthe’s • SUFE• Accidental ingeestion

11

Other

European Society• NSTEMI management• Syncope• STEMI• Heart failure• PE• Aortic Dissection

Haematology• Massive bleeding• Sickle cell crisis – mgt• DVT and D dimer

12

Other

Infectious Disease• Tetanus• Sepsis• Malaria• Septic Arthritis• Meningitis

RCOG• Maternal collapse• Chicken pox• Rhesus prophylaxis

• BASHH – PID– PEP – HIV– Epididymo – orchitis– Viral Hepatitis– Arthritis

13

Exam Prep Resources

• www.mcem.org.uk• http://www.mcemcourses.org/ (Bromley)• www.youtube.com – use search terms such as

• Bromley MCEM• Medical examination videos• Medical OSCE• www.passmcem.com• http://www.mcemexamprep.co.uk/mcema.php• http://www.mcemexam.com/

14

15

Part B – Two hours

• Sixteen questions• Data interpretation • Problem solving skills • Clinical scenario and may have clinical data

including radiographs, CT scans, ECGs, blood test results and clinical photographs.

• The pass mark is usually between 65-70% and it is set independently.

16

Part B

• No trick questions.• Straight forward.• Read the question.• Each question may not

be interrelated.• Most SAQ’s are

predictable – Rash, toxicology, etc

• Even if you don't know the diagnosis – you can still answer most of the questions.

• Time is of essence • If you don't know skip

and come back later

18

General advice

• Skim the whole paper for “good” questions• Read the question• Read the question to the end• Don’t forget the blindingly obvious• Links• Doses• No essays