EM Cases · Recognition of deterioration (track and trigger)
Rising NEWS2 on the ward — track-and-trigger resus station
ACEM Fellowship OSCE resus station testing NEWS2 interpretation, graded escalation, ABCDE reassessment, and conversion of a track-and-trigger event into a full sepsis resuscitation.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
A ward patient with rising NEWS2 after pneumonia treatment who is referred late to ED/MET with evolving septic shock.
Station brief
Format. Clinical-management (resus) station, 11 minutes. You attend as ED/MET consultant to a deteriorating ward patient.
Candidate instructions. Interpret the track-and-trigger data, escalate care, and resuscitate. Examiner plays ward nurse. [1]
References2ShowHide
- [1]Smith GB, Redfern OC, Pimentel MA, et al. The National Early Warning Score 2 (NEWS2). Clin Med (Lond), 2019.PMID 31092526
- [2]Evans L, Rhodes A, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. Crit Care Med, 2021.PMID 34605781