Trial OSCE exam: 'jen and deb 3' by Deborah Maher

You are taking part in a trial exam created by Deborah Maher. There are 8 OSCEs in this exam (80 minutes).
 

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

Scenario:

6 year old Khaleesi brought in by ambulance after submersion in the backyard pool.
She is alert and not needing any O2 support. her vital signs and examination is normal.
Take history from the mum Cersei regarding the incident and explain the prognosis.

Instructions for the candidate

Take history only.examination not required as everything is normal.
There is only mum present.

Domains being examined

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

For the actor

You are Cersei , 6 year old Khaleesi's mum.
You found Khaleesi drowning in the pool.she was standing right next to you and you just turned to greet a friend who had come in to talk to you.
when you turned back Khaleesi was in water drowning.
she went underwater 2-3 times and came back up spluttering.by the time you got to her she was under water only for a few seconds.
She was not responding when you got her out of water and you shook her a few times.She came good immedietly after that.
The friend had called the ambulance and she was brought in here.
Khaleesi did not need any CPR.
She is back to Normal.
She does not have any other medical problems.
Immunised.
nil problems when she was born or during pregnancy.
Khaleesi does not know swimming but willbe taking classes soon.
Pool does have a fence but he gate might not shut properly and you are trying to get it repaired.
You have a partner who is Khaleesi's dad and he is coming to hospital straight from work.

you are anxious about the effects of drowning.
will my daughter die?
will she have any complications?
will she come home tonight?

For the examiner

no interaction with the candidate.

Domains Assessment Objectives

Medical Expertise
effects of drowning
Prognostic factors
legal aspects

Communication

Professionalism

Other Assessment Notes

Poor prognosis
Duration of submersion >5 minutes (most critical factor)
Time to effective basic life support >10 minutes
Resuscitation duration >25 minutes
Age >14 years
GCS <5 (ie, comatose)
Persistent apnea and requirement of cardiopulmonary resuscitation in the emergency department
Arterial blood pH <7.1 upon presentation