It can be challenging to use the ICE structure in a way that sounds natural in your consultation, but we have provided several examples for each of the three areas below. coronary artery bypass grafts, pacemaker insertion): Ask if the patient has any allergies and if so, clarify what kind of reaction they had to the substance (e.g. house, bungalow) and if there are any adaptations to assist them (e.g. A collection of anatomy notes covering the key anatomy concepts that medical students need to learn. Wash hands(use alcohol gel or soap and water if your hands are visibly soiled) Introduce yourself Confirm patient details â name / DOB Check for any allergies Explain procedure: âI need to insert a small plastic tube into your vein using a needleâ âThis will allow us to give you fluids and medications intravenouslyâ âIt will be a little uncomfortable, but it hopefully wonât be painfulâ Check understanding and gain consent: âDoes everything Iâve said make sense?â âDo you have any questions?â âAre you ok for ⦠encephalitis, cerebral abscess, meningitis). Urinary or faecal incontinence is more commonly associated with seizures than syncope (although it can occur in either). OSCE in Pediatrics RG Holla MD DM Head of the Department, Neonatology Fortis Hospital Shalimar Bagh, New Delhi, India Vivek Jain MBBS MRCPCH Consultant, Neonatology Fortis Hospital Shalimar Bagh, New Delhi, India Manish Mittal DCH DNB Senior Registrar Pediatrics and Neonatology Fortis Hospital Shalimar Bagh, New Delhi, India JAYPEE ⦠1. beta-blockers, diuretics, alcohol, vasodilators, antidepressants, phenothiazines), Autonomic failure (e.g. Ask the patient if they use recreational drugs and if so determine the type of drugs used and their frequency of use. A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. Demonstrating these skills will ensure your consultation remains patient-centred and not checklist-like (just because you’re running through a checklist in your head doesn’t mean this has to be obvious to the patient). Closed questions can also be used to identify relevant risk factors and narrow the differential diagnosis. Explore what tasks the patient performs at work to identify high-risk activities (e.g. Carotid sinus hypersensitivity is another form of reflex syncope which can be triggered by sudden head-turning, wearing a tight collar and shaving. secondary to hypotension). Chest pain is also associated with pulmonary embolism and aortic dissection, both of which can cause syncope. Demonstrating empathy in response to patient cues: both verbal and non-verbal. Summarise the key points back to the patient. Pyrexia can also be the primary cause of a seizure (i.e. Explain that you’d like to take a history from the patient. 1. OSCE-supported project on asset seizure, management and re-use in fight against organized crime and corruption in South-Eastern Europe continues 8th June 2020 8th June 2020 Tony Kingham The Balkan Asset Management Interagency Network (BAMIN) Steering Group held an online meeting, supported by the OSCE, on 3 June 2020. Wash your hands and don PPE if appropriate. Make sure to re-assess the patient after any intervention. This typically involves the use of a non-rebreathe mask with an oxygen flow rate of 15L. If any obstruction is encountered, remove the tube and try the left nostril. Exposure to rapidly flickering light source: associated with photosensitive epilepsy. Clearly document your ABCDE assessment, including history, examination, observations, investigations, interventions, and the patient’s response. aortic stenosis, arrhythmia). If the patient is unconscious or unresponsive, start the basic life support (BLS) algorithm as per resuscitation guidelines. Situational syncope: triggers include cough, sneeze, defecation, micturition, exercise and eating (post-prandial). In: Aminoff MJ, Greenberg DA, Simon RP. A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes. You can administer medications in the nose and through the mouth to help stop a seizure, but none of these medications are FDA approved for this use in the US outside of the hospital.
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