Psych CASC / OSCE · Emergency psychiatry
Explaining NMS and emergency plan to family — CASC communication station
MRCPsych/FRANZCP-style station: explain NMS in plain language, acknowledge medication association without abandoning hope, outline stop-and-support care, and discuss later careful rechallenge principles.
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Target exams
Station brief
Format. Communication station, approximately 7–10 minutes after reading time. You are the psychiatry registrar. The patient is being stabilised medically; you meet the sister. [2]
Candidate instructions. Explain what neuroleptic malignant syndrome is, link it to dopamine-blocking medicines without minimising seriousness, describe what the team is doing now (stopping those medicines, cooling, fluids, monitoring), and answer questions about whether medication can ever be restarted. Avoid jargon dumps and avoid inventing legal section numbers. [1][3]
You have read the opening of this CASC / OSCE. The complete unit — every section and its primary-source references — is part of the Psychiatry Fellowship fellowship atlas.
References3Show ledgerHide ledger
- [1]Gurrera RJ, Caroff SN, Cohen A, et al. An international consensus study of neuroleptic malignant syndrome diagnostic criteria using the Delphi method J Clin Psychiatry, 2011.PMID 21733489
- [2]Pileggi DJ, Cook AM Neuroleptic Malignant Syndrome Ann Pharmacother, 2016.PMID 27423483
- [3]Rosebush PI, Stewart TD, Gelenberg AJ Twenty neuroleptic rechallenges after neuroleptic malignant syndrome in 15 patients J Clin Psychiatry, 1989.PMID 2569457