I just realised it has been 4 years since my last post !
In 2 weeks time I will be sitting my Emergency Medicine specialist exams.
I had some practice OSCE sessions with a colleague and gems from the consultants today were :
“Don’t do a core basic thing poorly – heavy weighting ”
“That stuff needs to come out – you know this”
“Knowledge needs to come out in a structural way”
“Show an overview of a big picture”
“Get all the ducks lined up”
“You do not get marks for what you are thinking only what you are saying”
“Make a consultant handover concise and precise”
“YOU ARE A Beacon of calm for prioritized actions”
“Deconstruct each step for procedures”
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I just finished a shift with 4 procedural sedations / 1 intubation :
a. Assisted in washing a middle aged man’s compound tib-fib fracture
b. Sedated an 85 year old female to wash a medial malleolus wound ; she had rib fractures and was recently in AF 2 weeks ago (she is on Apixaban)
c. Sedated a 40 year old 120kg lady’s tibio-talar dislocation
d. Intubated a young male with a GCS of 5
e. Sedated a middle aged lady to reduce a Colles fracture
emergencyregistrar 
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