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Pathological CTG OSCE

Discussion in 'Clinical Skills Assessment, OSCE & VIVA' started by MrsC, Jun 6, 2011.

  1. MrsC Member

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    We have our OSCES next month and I am trying to revise but not getting on so well! One of the possible scenarios is pathological CTG and althought we had a fantastic teaching session on CTG interpretation we didn't go over the actions required etc.

    Has anyone done pathological CTG as an OSCE that can shed some light for me?:?

    Thanks
    MrsC, Jun 6, 2011
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  2. midwiferymatters Member

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    you would inform registrar for review of ctg, ?FSE ?cord prolapse- think about doing VE to cross this possibility out. or emergency buzzer- emergency section
    midwiferymatters, Jul 1, 2011
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  3. jellygem Member

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    dont forget to inform your snr mw
    jellygem, Jul 1, 2011
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  4. iolaus Education Moderator

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    also jump call if the obstetrician on the ward doesn't pay attention
    iolaus, Jul 1, 2011
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  5. Lil Miss Sunshine Welfare Moderator

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    what does jump call mean please?
    Lil Miss Sunshine, Jul 1, 2011
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  6. Roo Well-Known Member

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    Consider fetal blood sampling (by the obstetrician obviously)- then if they are normal and the pathological ctg continues for another half hour then repeat them again - in the meantime expedite the delivery. (obviously if she is at say 5cm with pathological ctg I'd probably consider lscs rather than wait.) if they are abnormal - straight to section.
    Roo, Jul 1, 2011
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  7. iolaus Education Moderator

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    jump call is ringing the consultant direct - it's basically saying 'I don't trust your registrar and he is endangering the woman and/or fetus'
    iolaus, Jul 1, 2011
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  8. MrsC Member

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    Thanks girlies, we have since had a revision session and I am a lot happier about what to do. We had Pathological CTG in our mock OSCE a couple of weeks ago and I managed to fluke an A+ so I am a bit more confident now!
    MrsC, Jul 8, 2011
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  9. jellygem Member

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    well done!
    jellygem, Jul 8, 2011
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