Wernicke encephalopathy in hyperemesis — emergency management station

Station brief

Format. Emergency management station, approximately 12 minutes. You are the obstetric registrar called to the ward. The ward nurse and an ED doctor who clerked her are present; your consultant is in theatre and contactable. The assessor will run the clock and feed you new findings. ^[2]

Candidate instruction. Recognise and manage suspected Wernicke encephalopathy in a hyperemetic woman. Verbalise the time-critical intervention, the drug and dose, the escalation, and your communication with the ED doctor who has prescribed dextrose. ^[1][2]