Monday, 30 April 2012

Answer to clinical scenario 27.03.2012

Hey everyone,

You may remember the clinical scenario that was posted on the 27th of last month. Well, for those of you who were wondering what the actor was asked to do - if the candidate apologised for the accident with the lignocaine and stated that it was contraindicated in her father, the actor would stand up and shout 'you killed my father' and leave the room! Imagine that.

The correct way to handle that situation is to explain the situation in its totality, and explain that at the local anaesthetic concentration, lignocaine pretty much has no effect on the heart, so would play no role in contributing toward the patient's death. Of course, you would also get a senior to discuss the situation with you and the family together.

MRCP clinical scenarios only appear scary on paper. They are no more than regular scenarios encountered in clinical practice. Keep a cool head, and they are all a walk in the park.

More scenarios soon!

Cardio4mrcp team.

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