O&G Cases · Perioperative — intraoperative and post-operative management
Emergency management station — intraoperative gas embolism and bowel injury at laparoscopic entry
Team-based emergency station: gas embolism recognition and resuscitation, then intraoperative bowel injury management, then communication with the team and the patient. Tests parallel action, named four-move resuscitation, Lund/McKernan ladder applied to bowel injury, and structured handover. Includes assessor key and marking domains.
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Station brief
Format. Emergency management station, approximately 12 minutes. You are the gynaecology registrar in theatre; a scrub midwife and an anaesthetist are with you; the consultant is reachable within minutes. The assessor will run the clock and feed you a sequence of intraoperative events.[1]
Candidate instruction. Lead the management of the patient through a sequence of intraoperative events: gas embolism recognition and resuscitation, then intraoperative bowel injury, then communication with the team and the patient. Verbalise your actions, named four-move resuscitation, and structured handover to the consultant.[2]
References2ShowHide
- [1]Ahmad G, Baker J, Finnerty J, Phillips K, Watson A Laparoscopic entry techniques Cochrane Database Syst Rev, 2019.PMID 30657163
- [2]Elnaggar AA, Diab KR, El-Hangour BA, Kamel IS, Farhat AM, Abdelsattar AT, Zarad MS Direct trocar insertion vs. Veress needle technique in laparoscopic surgeries. A systematic review and meta-analysis. J Visc Surg, 2023.PMID 36842955