Station 1 - Simulation Double Station - OSCE Trauma Resuscitation Preparation

Sep 20, 2026

Uploaded by Stanley

Station 1 of an OSCE uses a simulation double station for an adult trauma arrival to a regional emergency department. The candidate prepares the resuscitation team, receives ambulance handover, leads ongoing primary and secondary assessment and management, initiates a massive transfusion protocol for ongoing bleeding from a severe pelvic fracture with haemorrhagic shock, and coordinates referral/transfer to a tertiary trauma centre. The scenario includes staged tasks, staff role prompts, and scenario progression toward helicopter transport while documenting orders and observations.

LanguageEnglish

CategoryExam

FormatPDF

Pages117

Reading Time4 h 55 min

AccessFree to download

Station Summary

Candidate Instructions

Role-player Instructions

Stage 1: Preparation

Stage 2: Arrival

Stage 3: Initial Assessment and Management

STATION 1 SIMULATION DOUBLE STATION 1. STATION SUMMARY This station is a simulation double station. The candidate has been called about an incoming trauma – a 24 year oldman involved in a motorcycle crash. The candidate is to prepare the resuscitation team for this patient’s arrival, receive clinical handover from the ambulance crew, lead the team’s ongoing assessment and management and make appropriate referrals. 2. CANDIDATE INSTRUCTIONS This is a Simulation Double Station. You are the Consultant on duty in a small regional ED, it is 2000hrs on a weekday. You have been called about an incoming trauma. Your Setting: 􀁸 Regional ED o 2 hours by road from the nearest trauma centre o Aeromedical Retrieval response time 25 min 􀁸 ED staff: 1 experienced Registrar, 2 ED nursing staff 􀁸 On site: radiographer, standard lab facilities, blood bank 􀁸 On call: General surgeon, CT radiographer (30 min response time) . No orthopaedic service The Patient: Ambulance control ring to pre-notify you of a 24 year-old man involved in a motorcycle crash. He was thrown from his motorcycle after losing control at a road bend. He was wearing a helmet. Ambulance personnel arrived at the scene within minutes of the crash. The patient is alert, complaining of lower abdominal pain. His vital signs are GCS 15; HR 130/min; BP 80/50 mmHg; O2 Sats 97% on air, RR 24/min. The patient is not intubated. Estimated time of arrival is 3 minutes. Your tasks are to: 􀁸 Prepare your resuscitation team for this patient’s arrival 􀁸 Receive clinical handover from the ambulance crew 􀁸 Lead your team’s ongoing assessment and management 􀁸 Make appropriate referrals This OSCE will assess the following domains: 􀁸 Medical Expertise 􀁸 Teamwork and Collaboration 􀁸 Prioritisation and Decision Making 3. ROLE-PLAYER INSTRUCTIONS This adult trauma scenario involves a mannequin, two competent nurse confederates, one competent registrar confederate, standard airway equipment, and an iPAD monitor for patient vitals. Standard fluid/ blood giving sets and a warmer will be available. A white board will be used to record patient medications/orders, infusions, fluids etc. Each of these will be recorded by one of the nurse confederates. The candidate will be expected to prepare the resuscitation team in a regional ED for the arrival of a young male patient involved in a high speed motorbike accident before a paramedic (role played by one of the examiners) arrives and gives handover. The patient requires a standard trauma assessment. He has a severe pelvic fracture with ongoing bleeding resulting in persistent hypotension (haemorrhagic shock) . The patient requires initiation of blood products in a ‘massive transfusion protocol’ situation. The patient requires transfer to a Tertiary trauma centre. The Candidate will discuss the patient with the General Surgeon who arrives. The scenario finishes with preparation to transport the patient by helicopter to the Trauma centre. Your role as a registrar: 􀁸 You are a competent Emergency Department registrar with all resuscitation and trauma skills 􀁸 You are competent in performing a primary and secondary survey and will convey the findings to the candidate. 􀁸 Your role is important in moving the scenario in the correct direction in a timely manner 􀁸 You provide information to the candidate about examination findings 􀁸 You give prompts where appropriate about changes in patient condition. Your role as a nurse: 􀁸 You are a competent ED nurse 􀁸 You will confirm all doses/ orders with the candidate, where appropriate you will write on the whiteboard 􀁸 Where observations or the situation changes you will convey this information. However 􀁸 You will not show initiative or suggest solutions/problems e.g. If the BP is low you will merely state ‘The BP is 75’ and try to avoid statements that tend to suggest that there is a problem needing fixing ‘The BP is still low at 75, should we do so

FAQs

What are the candidate’s core tasks in Station 1?

Prepare the resuscitation team, receive clinical handover from the ambulance crew, lead ongoing assessment and management, and make appropriate referrals for transfer to a tertiary trauma centre.

What patient condition and vital signs drive the scenario?

A 24-year-old man after a motorcycle crash with severe pelvic fracture and ongoing bleeding causing persistent hypotension. He presents with GCS 15, HR around 130/min, BP about 80/50 mmHg, and RR in the high 20s with oxygen saturations in the mid-90s on room air.

What is expected regarding treatment and referral?

Initiate blood products in a massive transfusion protocol due to haemorrhagic shock and discuss/coordinate transfer with the General Surgeon, culminating in preparation to transport the patient by helicopter to the trauma centre.

Sep 20, 2026

Uploaded by Stanley