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In the case of the exam, you might get a scenario about an emergency case.

Think about;

Rapid Assessment and recognition of emergency

Consider need for speed in assessment and treatment. Revise patterns of emergency presentation and treatment algorithms.

Doctor centered approach

Consider a doctor centered approach where life is at risk to protect health

Immediate treatment

Explain and provide any immediately necessary treatment before transfer e.g. chest pain.

Communicate risk clearly promoting safety

Consider safety of patient and those around them e.g. in transfer to hospital.

Eliciting the pattern of presentation, using open questions as much as possible, conveying the differential diagnosis (and how likely each differential is) and then taking a safe action will get you a long way to a clear pass.

Author

N. Boeckx

16 years teaching experience for the RCGP consulting exams

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