https://open.spotify.com/episode/52TN6M8rpPdOLa7J85DvSK?si=fa3984531c7147d4

🧱 The First Principles of Orthopaedic Triage

🔠 Definitions

Tip 1: In the OSCE there will always be a ‘complaining patient’ that is angry and seeking pain relief or wants to speak to the doctor. These ARE NOT an emergency and should find their way down the bottom.

🩺 Clinical Features

Tip 2: If you get stuck between two patients for the top spot, look at the haemodynamics/vitals. Someone with multiple fractures who is shocked (maybe due to blood loss) takes priority over someone with an open fracture.

🔎 Investigations

Tip 3: How can I use my two minutes effectively?

  1. Write out your x-ray interpretation structure
  2. Write down conditions you don’t want to miss: compartment syndrome, septic arthritis, open fractures, neurovascular compromise.

💊 Management

Tip 4: As soon as you have started talking about management, you won’t be able to change your order. It is important to give the list a quick look over and then start talking. If you get it wrong, ignore it, as the management you provide for your top condition will still get marks.

⚠️ OSCE Questions


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