OSP(C)E

Objective structured practical (clinical) exam - OSP(C)E is a method of evaluating the practical clinical competence of higher education applicants in a higher education medical institution based on objective testing through performing practical clinical tasks. OSP(C)E and - is an integral part of the State Certification of Higher Education Exercise - Master's degree in specialties 22 "Health Care".

The Department of Anesthesiology, Intensive Therapy, and Medicine of Emergency PGEF participates in OSP(C)E at the practical station, where students demonstrate the ability to carry out basic resuscitation measures using an automatic external defibrillator and an AMBU bag with a facial mask.

1. Entering the station, a student greets those present and introduces himself.

2. The person who will be his assistant announces the initial data of the scenario (for example, "We are in a shopping center, a middle-aged man was walking in front of us and suddenly fell and does not move".

3. The student performs a practical skill according to the algorithm below.

4. After the student demonstrates all the elements of the algorithm, the examiner stops the scenario with the words, "The ambulance has arrived. Stop scenario.".

An Algorithm of the practical skill

1

Safety assessment of contact with the patient

Ask the one who read the input of the scenario, whether it is safe to approach and touch the patient.

2

Checking the availability of consciousness

1) As you approach the patient loudly to the patient with the words "Do you hear me? All is well with you?".

2) When you approach the patient, shake him by the shoulders and repeat the question.

3

Call for help

1) Contact with a bystander (for example, "Boy in a Red T-shirt, I need your help").

2) Order an assistant to call an ambulance, indicate that he will use number 103, tell the operator where we are, the gender and approximate age of the patient, and the fact that the patient is unconscious.

4

Checking breathing

1) Open the airway by deflecting the head back. To do this, one palm should be placed on the patient's forehead and the other hand to support his lower jaw.

2) Lean over the patient's face and check the presence of breathing as a rule "I see, I hear, I feel" within 10 seconds (count them aloud).

5

The beginning of CPR, chest compression

1) Determine the point of compression by one of the methods.

2) Put your fingers in the lock, straighten your hands in the elbows, and put the base of the palm on the point of compression.

3) Start compressions with a frequency of 100-120 per minute with a depth of pressing on the sternum 5-6 cm.

6

Ensure the bringing of the AED and the AMBU bag

1) Ask the assistant whether he knows where is the nearest defibrillator and the AMUB bag.

2) If he does not know, order him to ask an ambulance operator.

3) Order to quickly bring the AED and the AMBU bag.

7

The use of AED

1) When the assistant brought AED, ask him if he can replace you with compression.

2) Order to replace you with compression and prepare the AED for work. To do this, take the following steps:

• Switch on the AED,

• Listening to its commands to impose electrodes,

• Repeat its command "Do not touch the patient" while analyzing the rhythm, and trace the performance of this command by others and spread their hands to the sides.

• Repeat its command "Do not touch the patient during the shock" loudly, and check the execution of this command while you press the shock button, and take your free hand to the side.

8

Resuscitation after shock

Immediately after shock, order the assistant to restore the compression of the chest, counting to himself up to 25, then counting up to 30 aloud.

9

Artificial respiration

1) Immediately, as the assistant restored compression, apply a mask on the patient's face, pressing it tightly to the face with the thumbs and index finger.

2) Immediately after the 30th compression, perform 2 artificial breaths, controlling the availability of a thoracic excursion.

3) After two breaths, order the assistant to hold the next 30 compressions.

10

Changing the roles of resuscitation

In 2 minutes after the shock, when the AED tells "Stop the resuscitation to assess the heart rate", order the assistant to change places with You.