A quick look OSCE by Michael

You have 3 minutes reading time. This OSCE will run for a maximum of 7 minutes.


A 19-year-old male has been brought to your ED as a Level 1 Trauma. The trauma team have completed the primary survey. He is complaining of right sided chest pain. He is receiving appropriate resuscitation. His latest obs are: HR 115 BP 95/60 RR 28 SaO2 94% 15L

View attached:  Attachment 1

Instructions for the candidate

You are a consultant in the ED. You have been called in to assist with performing an extended FAST scan. With you will be a registrar who is keen to learn how to do a FAST scan.

You are to perform an eFAST and explain to the registrar.

Domains being examined

  • Medical Expertise
  • Communication
  • Scholarship and Teaching
The candidate has 3 minutes reading time. This OSCE is expected to run for a maximum of 7 minutes.

For the actor

You have been in a high-speed car rollover. You have pain in the pelvis, generalised abdomen and right chest. You are compliant with the ultrasound examination, but excessive pressure of the probe is painful, especially on the right chest.

For the examiner

Requires an actor willing to be ultrasounded and an ultrasound machine.

Pathological images can be provided for interpretation.

Domains Assessment Objectives

Medical Expertise
Proficiency and indications for eFAST

Clear communication with registrar and patient

Scholarship and Teaching
Clear educational approach

Other Assessment Notes

1. eFAST proficiency
- include indications for FAST scan
- sensitivity of scan (likely to have >500mL when positive)
- suggest serial FASTs

2. Interpretation of views

3. Application of FAST findings in unstable patient

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As written needs four people - patient, "consultant" = trainee being examined, "registrar", and scorer. --Gabriel Lau

Gabriel Lau at 15:20 27 Mar 2016