MBBS OSCE · Emergency / General Surgery
OSCE — primary survey of the shocked trauma patient
ABCDE performance, recognition of haemoperitoneum, MTP/TXA, and refusal of CT for the unstable patient.
8 min stationVerification in progress
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Exam tags
NEET-PGINICETPLAB
Brief (to candidate)
A 30-year-old man arrives 35 minutes after an RTC. BP 78/50, pulse 128, confused, seatbelt bruise, positive eFAST. Demonstrate your primary survey and state immediate management.
Candidate instructions
- Verbalise C-spine + ABCDE with simultaneous actions.
- Call for help/blood; large-bore access; TXA 1 g then 1 g / 8 h if within 3 h.
- Interpret positive eFAST + instability → theatre, not CT.
- Prevent hypothermia; consider pelvic binder if mechanism/pelvis concerning.
- Structured handover (ATMIST).
Examiner checklist
| Domain | Expected |
|---|---|
| ABCDE order | Treat as found |
| Haemorrhage | MTP thinking, TXA correct |
| Disposition | Theatre not CT |
| Adjuncts | eFAST role; warming |
| Communication | Clear team leadership phrases |
Common errors
- Sending unstable patient to CT.
- Wrong TXA timing/dose.
- Incomplete exposure / missed log-roll plan.