Psych CASC / OSCE · Addiction psychiatry — inhalant-related disorders
Explain chroming risks and N2O numbness without stigma — CASC communication station
MRCPsych/FRANZCP-style communication station: explain sudden sniffing death risk in plain language, absence of licensed anti-craving standard, psychosocial plan, family product access, and N2O myeloneuropathy warning without stigma.
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Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry/addiction registrar. Examiner may play adolescent and/or parent. [1]
Candidate instructions. Engage without stigma. Explain in plain language why chroming can cause sudden death even in young people, especially with exercise or fright. Respond honestly that there is no approved methadone-like medicine for paint/petrol sniffing. Outline psychosocial and family steps (including product access). Mention nitrous oxide nerve/spinal risk and when to seek care. Check understanding and agree a safety and follow-up plan. [2][3][5]
References6ShowHide
- [1]Howard MO, Bowen SE, Garland EL, et al. Inhalant use and inhalant use disorders in the United States Addict Sci Clin Pract, 2011.PMID 22003419
- [2]Bass M Sudden sniffing death JAMA, 1970.PMID 5467774
- [3]Berling I, Isbister GK Rare but relevant: Hydrocarbons and sudden sniffing syndrome Addiction, 2025.PMID 40275758
- [4]Swart G, Blair C, Lu Z, et al. Nitrous oxide-induced myeloneuropathy Eur J Neurol, 2021.PMID 34427020
- [5]Konghom S, Verachai V, Srisurapanont M, et al. Treatment for inhalant dependence and abuse Cochrane Database Syst Rev, 2010.PMID 21154379
- [6]MacLean S, Cameron J, Harney A, Lee NK Psychosocial therapeutic interventions for volatile substance use: a systematic review Addiction, 2012.PMID 22248138