OSCE 9: Overdose Advice.
An experienced GP/anaesthetist rings you from a small rural ED. They are 90 minutes drive away from your tertiary ED. They have a patient with an amitriptyline (TCA) overdose and are ringing you for management advice.
You have seven minutes
- Medical Expertise
- Professionalism and Communication
Advice / framework for overdose discussions:
- Establish contact numbers and be supportive.
- Make sure that they can write down your advice.
- For toxicology cases it is unlikely you will miss a step if you go down the RRSIDEAD algorithm.
- For any treatment, give doses and end goals.
- If rural, think about disposition and if you can provide some cognitive offload by arranging a retrieval then offer to arrange this.
- Allow questions.
- Summarise and offer to call back or welcome them to give you an update.
Additional comments / Resources on this video:
- Covered all points.
- Liked the explanation of treatments and end goals.
- Obviously helped to use a RRSIDEAD framework.
- Toxicology library – TCA overdose.