EM Cases · Acute coronary syndromes (STEMI/NSTEMI)
STEMI with ventricular fibrillation — the resus station
An ACEM Fellowship OSCE clinical-management (resus) station. Tests the ECG at first contact, the immediate ACS drug bundle with doses, catheter-laboratory activation, the ALS management of ventricular fibrillation complicating ischaemia, and team leadership. Maps to the OSCE clinical-management domain. ACEM-primary, globally tagged.
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Station brief
Format. Clinical-management (resus) station, 11 minutes total — 4 minutes reading, 7 minutes active assessment. You are the Emergency Medicine consultant leading the resuscitation.
Candidate instructions. You are called to a monitored bay where a 60-year-old man has central chest pain. Read the observations and the ECG report, then manage the patient. The examiner plays the nursing team and responds to your instructions. State your actions and reasoning aloud.[1]
References1ShowHide
- [1]Byrne RA, Rossello X, Coughlan JJ, et al. 2023 ESC Guidelines for the management of acute coronary syndromes. European Heart Journal, 2023.PMID 37622654