GP Vivas · rural-health
Rural emergency care and retrieval coordination — structured viva
Structured oral on rural emergency care: defending the transfer decision model, quoting the RTTDC evidence honestly, coordinating a retrieval, flight physiology, and the virtual-care layer.
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Study tools
Target exams
RACGP CCEFRACGP oralsMRCGP SCA
Prompt
The examiner opens: 'You are the only doctor in a 4-bed rural hospital at 2 am. A multi-trauma patient arrives. Talk me through the next hour.' The viva branches through decision-making, coordination, transport physiology, evidence and systems.
Stem
You are the GP. A 30-year-old is thrown from a quad bike 40 minutes ago: GCS 13, chest bruising, deformed femur. The nearest trauma centre is 3 hours away. [14] [36]
References12ShowHide
- [3]Brendt P, Schnekenburger M, Paxton K et al. Endotracheal tube cuff pressure before, during, and after fixed-wing air medical retrieval. Prehosp Emerg Care, 2013.PMID 23252881
- [4]Clark DE, Winchell RJ, Betensky RA Estimating the effect of emergency care on early survival after traffic crashes. Accid Anal Prev, 2013.PMID 24056285
- [14]Pellegrini D, Davies E, Walters L et al. Insights into rural generalist therapeutic reasoning using a simulated multi-patient emergency scenario. Rural Remote Health, 2023.PMID 38043133
- [15]Secombe P, Brown A, Bailey M et al. Characteristics and outcomes of patients admitted to regional and rural intensive care units in Australia. Crit Care Resusc, 2020.PMID 38046878
- [17]Bauman ZM, Khan H, Raposo-Hadley A et al. Rural Trauma Team Development Course Positively Impacts its Desired Objectives. Am Surg, 2024.PMID 38217436
- [18]Dean K, Chang C, McKenna E et al. A retrospective observational study of vCare: a virtual emergency clinical advisory and transfer service in rural and remote Australia. BMC Health Serv Res, 2024.PMID 38238698
- [22]Luscombe GM, Wilson A, Ampt AJ et al. Health service access and quality of care provided by the Western NSW Local Health District Virtual Rural Generalist Service: a retrospective analysis of linked administrative data. Med J Aust, 2024.PMID 39647929
- [25]Priestap F, Armstrong A, Allen L et al. Impact of the rural trauma team development course in Southwestern Ontario: change in practice and course evaluation. Injury, 2025.PMID 40374421
- [30]Lee P, Bivard A, Kurunawai C et al. Quantifying the cost savings of the South Australian Telestroke Service. J Telemed Telecare, 2026.PMID 41490035
- [32]Moore JE, Cole E, Gabbe BJ Outcomes of major trauma patients by hospital level of care in New Zealand. Injury, 2026.PMID 41690826
- [36]Harris M, Mosali T, Doyle F et al. Analysing geospatial variables in the context of trauma networks: A scoping review. Injury, 2026.PMID 42248061
- [39]Mills J, George NH, Ross MA et al. Ketamine Versus Propofol for Sedation in Acute Psychiatric Emergencies During Aeromedical Retrieval: A Randomized Clinical Trial. Prehosp Emerg Care, 2026.PMID 42307216