ABSTRACT

Patient 2 is a 46-year-old man found under a collapsed wall. He has severe facial injuries. His observations are: GCS 3 BP unrecordable Pulse 110 bpm Oxygen saturation 94% on 15 L of O2 R pupil fixed and dilated

Patient 3 is a 6-year-old girl who walked out of the building and is supporting her right wrist. She is alert, but is crying and complaining of difficulty in breathing. Her chest is clear on auscultation. She has a history of asthma. Her observations are: RR 42 breaths min−1

Pulse 140 bpm Oxygen saturation 96% on air

You should begin the OSCE by giving a definition of a major incident:

• A major incident is an incident where the location, number, severity or type of live casualties requires extraordinary resources.