The second episode in our psychiatry OSCE revision series, where Shweta takes us through how to take a history from someone with depression. Nonaccidental burns and scalds are also relatively common. You don't need to pass them to pass overall though. . This research set out to explore parents' experiences of situations where concerns of non-accidental injury (NAI) were raised, with a particular focus on communication processes. Recognising a child with non-accidental injuries . Final year OSCEs often require you to show advanced communication skills. Level 3 is a clinical-based assessment of Communication, Interpretation and Practical Skills, and takes the form of an OSCE and a written paper. osce stations in plab part 2 by gmc on 11 oct 2005 Practice station. OSCE Non accidental injury LITFL Examination Library January 5th, 2021 - OSCE 17 Non accidental injury NAI Scenario Stem It's 09 00 and you are the ED consultant in charge of the paediatric area of a suburban hospital Your junior registrar has attended a 16 month old called Kylie who has been brought in by her Coverings and spaces: The coverings of the brain, or meninges, can be divided into three layers from superficial to deep: Dura mater. . SECTION 1: Before the objective structured clinical examination (OSCE) 01. www.osce-aid.co.uk Consider high flow oxygen, 10-15 L/minute, mask with reservoir bag . Skeletal survey 3. This book provides the essential information needed to tackle OSCE stations competently and with confidence. Scenario Stem: It's 09:00 and you are the ED consultant in charge of the paediatric area of a suburban hospital. Non-accidental injury-Bruises on soft tissues (ears/neck/ chest/abdomen/buttocks/ calves/thighs)-Story inconsistent with injury: Accidental injury-Bruising overlying bony prominences (forehead, shins, hips etc.) If you are given a safeguarding or non-accidental injury objective structured clinical examination (OSCE) scenario at medical school, say that you would ask for a chaperone to be present before you begin, and then examine the child from head to toe. Brand new to this edition are chapters on Psychiatry, non-accidental injury in children, and an 'On the Wards' section covering both Anaesthetics and Palliative . Level 3 is the second part of the PRES examination. osce pearls my wordpress, osce non accidental injury litfl examination library, canadian imgs guide to osce and practice, osce history taking scenarios boiteacolis be, history taking other skills osce skills medistudents, examination 1 cardiovascular history taking osce talley, osce stations toronto notes, oscehome cinical skills . Compiled by recently qualified doctors who have experienced the new OSCE system first hand, the book covers over 80 OSCE examination stations in a wide range of different subjects. Assess airway. History Taking Scenarios Osce osce stations page 5 toronto notes, use amboss to prepare for your for the osces patient, psychiatry exam stations for mrcpsych casc and ranzcp osce, osce test . If you don't yet have an account on osce-aid.co . Nonaccidental injury is a significant cause of mortality and morbidity, especially in infants and young children. If a scenario involved a vulnerable adult or child with a non- accidental injury, candidates would be expected to know that the person or child may need to be removed from those s uspected of These severe burns may also result from other personal or business disputes. His articles focus on clinical aspects of the exams including tips for preparing practical and OSCE exams. For example, if a scenario involves a vulnerable adult or child with a non-accidental injury, candidates would . Handy hints and resources. 05:47. All the chapters are also very well laid out with differential diagnoses just next . Distinguishing "normal" from "abnormal" bruising. Start studying OSCE Histories. Non-accidental injury (NAI) is a recurring problem within paediatrics and it is our duty as healthcare professionals to be as vigilant as possible. Each OSCE will be of 11 minutes duration- 4 minutes reading time, 7 minutes for assessment Each OSCE has at least 2 domains of assessments . OSCE 17: Non-accidental injury (NAI). The dura is a tough fibrous layer that adheres to the internal surface of the skull; it forms the falx cerebri and tentorium cerebelli, and encloses . nutrition, common infectious diseases, accidents and poisoning, non-accidental injury, function, and diseases of the heart, lung . OSCE Revision: Paediatrics- Non-Accidental Injury OSCE Revision: Paediatrics- Non-Accidental Injury. Any injury in a non-ambulatory infant History of another child causing significant injury Certain injuries with high specificity for abuse eg ear bruising, posteromedial rib fractures, scald pattern suggesting immersion An infant with an unexplained encephalopathy (suspect abusive head injury and/or poisoning) child (femur fracture) - history from mother non-accidental injury in 85 y.o. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Introduction . Can cause psychological trauma Mouth -can affect the patency of the airway, due to oedema. Imaging in NAI remains a controversial issue with little agreement concerning how, when and what imaging modalities should be used in the . Non-accidental injury (Injuries) Acetaminophen pharmacokinetics (Pharmacology) Physiology of lactation (Neonatology) Resomal (FLuids and Electrolytes) PFT in asthma (Respiratory) . Neil Long May 2, 2019 Some students however, missed the importance of social services . Injuries elsewhere? The Part 1 computer-based test (CBT) and the Part 2 OSCE can be taken in either order, but the majority of candidates take the CBT in . geeky medics, osce non accidental injury litfl examination library, canadian imgs guide to osce and practice, history jaundice osce aid, history taking osces . osce 17 non accidental injury nai scenario stem its 09 00 and you are the ed consultant in charge of the paediatric area of a suburban hospital your junior - Listen to OSCE Revision: Paediatrics- Non-Accidental Injury by The Unofficial Guide to Medicine Podcast instantly on your tablet, phone or browser - no downloads needed. These wounds are caused by blunt impact with an object or surface, or the application of blunt force such as pressure, bites or suction. Discussion Assess airway. History of progressive pallor requiring transfusions (leukemia,aplastic anemia) OSCE - 9 You have performed Incision &drainage of Gluteal abscess in a child.How will u dispose the used items given . Difficult situations- e.g. The most common site of nonaccidental injury is the skin. The priorities in dealing with child physical abuse are to: suspect physical harm / non-accidental injury (NAI) diagnose, treat and document the child's injuries. Social history and enquiry about care takers and family dynamics (Non Accidental Injury) 9. If you don't yet have an account on osce-aid.co . The responsibilities of paediatricians in relation to the recognition of child abuse place them in difficult diagnostic situations which require a sensitive approach. History of progressive pallor requiring transfusions (leukemia,aplastic anemia) 23. What to Expect from the OSCE Katie Ramsden. History - 10 mins . In the UK many households involve a single parent looking after multiple . OSCE Revision: Paediatrics- Non-Accidental Injury . Child abuse / non-accidental injury What investigations would you like to consider? History Taking Scenarios Osce osce stations page 5 toronto notes, use amboss to prepare for your for the osces patient, psychiatry exam stations for mrcpsych casc and ranzcp osce, osce test . The second episode in our psychiatry OSCE revision series, where Shweta takes us through how to take a history from someone with depression. 248 terms. non accidental injury presentations, unrealistic expectation, obstructive in-patient registrar or consultant Fractures are the second most common findings of NAI, after cutaneous lesions such as bruises and contusions. May 08, 2021. Consider non-accidental injury in children Examine head/scalp thoroughly - swelling may suggest underlying fracture of the skull . A burn injury of the same size will result in a higher TBSA for a child than for an adult, due to the child's smaller body size. You might also be interested in our medical flashcard collection which contains over 1000 flashcards that cover key medical topics. interpret a pattern of injury or findings leading to the suspicion of abuse. History of prolonged fever (leukemia,aplastic anemia) 10. OSCE Stations Chapter 1: Paediatrics Contents Paediatric History 1.1 - Examination of a child with a heart murmur 1.2 - Examination of a child with difficulty breathing 1.3 - Examination of a child with abdominal distention 1.4 - Assessment of Growth 1.5 - Assessment of baby's cranium Treatment Assess pain, and treat accordingly. (2 marks, mark for each correct answer) 1. Detail is beyond the scope of this lecture but a few keys points. INTRODUCTION Commonly known as " BATTEREDCHILD SYNDROME ." CAFFEY - introduced the term "whiplash shaken infant syndrome." Spectrum of injuries associated with child abuse varying from bruises to burns. Nursing OSCEs The Objective Structured Clinical Examination or OSCE for short is a familiar and often daunting experience for medical students. Consider immobilizing the C-Spine using hard collar/sand bags. The most common lesions caused by non-accidental injury are bruises and abrasions, followed by lacerations, scratches, soft tissue swellings, strap marks, haematomas, thermal burns and bites. Paediatrics No actual kids are used,butpaeds forms 25% of exam, so either Resus Sims, or communication skills OSCEs: APLS Neonatal resuscitation Throws you! sam_owen. OSCE Revision: Paediatrics- Non-Accidental Injury . Most students correctly recognised the suspected non-accidental injury at an early stage with the child as the first concern. ('Secondary survey'). It's safe to say you will likely see a few of these, as minor injuries are a very common occurrence in childhood with around 20-30% of all paediatric attendances to the Emergency Department involving minor injuries or trauma. Dangerous mechanism of injury (e.g. OSCE 17: Non-accidental injury (NAI). Create. Non-accidental injuries. Examination. ('Secondary survey'). Consider non-accidental injury in children . 5% full thickness or 10% partial thickness require special burns unit treatment >70% burns has a poor chance of survival Location Hands - might cause functional loss Face - disfiguring. In addition, there are several sections that are not there in any other OSCE books such as the paediatrics section on Non-Accidental Injury, which is something that is so easy to throw into an OSCE in all medical schools, as it is becoming more and more common. Brand new to this edition are chapters on Psychiatry, non-accidental injury in children, and an 'On the Wards' section covering both Anaesthetics and Palliative Care. 2018 OSCE stations final year osces tuesday 20th february 2018 station ba presenting with scald data interpretation of written clinical information and. If basal skull fracture or cervical spine injury suspected then do not perform head-tilt/chin-lift (use jaw thrust). Want to know everything about Pediatric exams, OSCE and . XR of arm 2. Management The management of possible non-accidental injury is complex and involves a multidisciplinary team including: Consultant paediatrician Specialists relevant to the child's injury (e.g. January 5th, 2021 - The Objective Structured Clinical Examination OSCE is the practical or clinical simulation part of the nursing skills and knowledge assessment . FBE 4. All OSCE notes and OSCE examinations are for medicine OSCE exam finals revision. Paediatric ethics. Non Accidental Injury PREVIEW Remote FRCEM OSCE demo video - September 2020 MRCEM Part C/OSCE Communications Package: Breaking Bad News Hand examination (video) Objective This article focuses on physical injuries that are commonly observed when children have been physically harmed as a result of abuse and neglect. Prevalence Nearly 14 million children live in the UK. If basal skull fracture or cervical spine injury suspected then do not perform head-tilt/chin-lift (use jaw thrust). Examine mouth for evidence of foreign bodies/trauma/vomitus. Any delay is seeking medical care following an injury is also suspicious for abuse. May require IV opiods Burns in particular shapes or distributions (e.g., cigarette burns, burns suggestive of forced immersion). Consider non-accidental injury in children Examine head/scalp thoroughly - swelling may suggest underlying fracture of the skull . Sport and Exercise Medicine is a new and developing specialty and there has been a rapid increase in the For example, if a scenario involved a vulnerable adult or child with a non-accidental injury, candidates would be expected to know that the person or child may need to be removed from those suspected of For example, if a scenario involved a vulnerable adult or child with a non-accidental injury, candidates would be expected to know that the person or . Non-accidental injury (NAI) remains the leading cause of morbidity and mortality in children. Examination - 10 mins 4. Feb 3, 2017 5 Dislike Share Save Bromley Emergency Courses 34.7K subscribers Subscribe Example of a Non-Accidental Injury (NAI) OSCE station. Injuries elsewhere? SECTION 1: Before the objective structured clinical examination (OSCE) 01.Introduction The Nursing and Midwifery Council (NMC) introduced a test of competence for internationally registered . To help with preparation for The Royal College of. Clotting profile Name the four types of child abuse (2 marks, for each correct answer) Physical Sexual Emotional Neglect What signs are there to look out for in child abuse? OSCE Revision- Alcohol History. The Part 1 computer-based test (CBT) and the Part 2 OSCE can be taken in either order, but the majority of candidates . . Get Free Mrcem Part C 125 Osce Stationsscenario MRCEM Part C 2017: Angry Relative PREVIEW . Search. 05:47. Part 2 is a nursing associate Objective Structured Clinical Examination ( OSCE) - a practical . OSCE Revision- Alcohol History. Examine mouth for evidence of foreign bodies/trauma/vomitus. Pathophysiology of head trauma. The Part 1 computer-based test (CBT) and the Part 2 OSCE can be taken in either order, but the majority of candidates take the CBT in their home country before travelling to the UK and taking the OSCE. - Non-accidental injury - Accidental injury Non-injury related - HSP - ITP - Meningococcal septicaemia Other osce 17 non accidental injury nai scenario stem its 09 00 and you are the ed consultant in charge of the paediatric area of a suburban hospital your junior neurosurgery and ophthalmology in this scenario) Senior paediatric nursing staff Consultant paediatric radiologist Social worker Police History of intake of NSAIDS like aspirin (Drug induced) 8. Log in Sign up. In addition, the history of the presentation may raise the suspicion of non-accidental injury, for example: Delay in seeking medical attention. . Stations 1. Bruising caused by accidental injury is common around the age of 1, when most infants have started "cruising".1 To distinguish "abnormal" from "normal" bruising requires attention to the pattern of bruising, associated symptoms, and drug and family history.2 As a rule, normal bruising is restricted to the lower limbs,1 not . Dr Pilkington talks about how to approach an OSCE station covering a non-accidental injury to a child. Bruising over soft tissues, multiple bruises, clusters of bruises, bruises in the shape of a hand or implement or instrument. The most frequently observed injuries are inflammation, bruises, abrasions and lacerations. For example, you might be asked to break bad news, deal with domestic violence, explain a do not attempt resuscitation form to an unhappy family member, or explore a case of non-accidental injury in a paediatric station. non-accidental injury in 7 m.o. All management suggestions are updated in line with NICE guidance Suggestive factors: injury incompatible with story; inconsistent stories from child/parents/carers; delay in seeking help; abnormal interaction from child; abnormal affect of parent General indicators: multiple bruises, black eyes, torn frenulum, bite marks, injuries on non-mobile children Common non-accidental injuries Package: Non accidental Injury MRCEM Part C/OSCE Communications Package- DNAR Page 4/38. Examination 2nd Edition Osce Clinical Short Cases Communication Skills History Taking Childhood Development Ecg Growth Charts . Non Accidental Injury#MRCPCH CLINICAL GROSS MOTOR DEV #mrcpch clinical #DCH HISTORY STATIONS Cranial Nerve Examination for the MRCPCH Clinical Exam MRCPCH Clinicals with Dr Pages 38 - 40 in the handbook. history taking scenarios boiteacolis be, osce non accidental injury litfl examination library, quick reference guide 5 sample osce scenario, diarrhoea history glasgow uni osce, use amboss to prepare for your for the osces patient, primary care clerkship practice exams 1 practice exam, practical The vast majority of injuries are accidental.