Simulation

OSCE scenarios

Run these with a partner: one candidate, one examiner. Every station includes the dispatch brief, evolving vitals, a mark sheet and examiner prompts.

Cardiology
Intermediate
12 min

Central Chest Pain, 58-Year-Old Male

Cat 2 — 58-year-old male, central chest pain radiating to left arm, sweaty, at home.

Paediatrics
Advanced
10 min

Paediatric Respiratory Distress, 3-Year-Old

Cat 1 — 3-year-old female, noisy breathing, worsening cough overnight.

Trauma
Advanced
15 min

RTC With Single Front-Seat Entrapment

Cat 1 — single vehicle into tree, 40 mph, one occupant trapped, fire service en route.

Medical
Foundation
12 min

Suspected Sepsis in a Care Home

Cat 2 — 84-year-old male, more confused than usual, hot to touch, reduced oral intake.

Medical
Intermediate
10 min

Anaphylaxis Following Wasp Sting, 34-Year-Old Female

Cat 1 — 34-year-old female, facial swelling and difficulty breathing after wasp sting, known allergy.

Medical
Foundation
9 min

Unresponsive Known Diabetic, 46-Year-Old Male

Cat 1 — 46-year-old male found unresponsive at home by wife, known type 1 diabetic.

Medical
Advanced
11 min

Acute Severe Asthma, 27-Year-Old Female

Cat 1 — 27-year-old female, known asthmatic, unable to complete sentences, blue inhaler not helping.

Medical
Intermediate
10 min

Suspected Acute Stroke, 71-Year-Old Male

Cat 2 — 71-year-old male, sudden onset facial droop and slurred speech, last seen well 45 minutes ago.

Medical
Advanced
12 min

Diabetic Ketoacidosis, 19-Year-Old Female

Cat 2 — 19-year-old female, known type 1 diabetic, vomiting and abdominal pain for two days, increasingly drowsy.

Trauma
Advanced
10 min

Penetrating Chest Injury, 22-Year-Old Male

Cat 1 — 22-year-old male, stabbed in the chest, bystanders applying pressure, police en route.

Trauma
Intermediate
11 min

Elderly Fall With Head Injury on Anticoagulants

Cat 2 — 82-year-old female, fall down stairs, head laceration, takes warfarin for AF.

Trauma
Advanced
12 min

Significant Burns From House Fire, 40-Year-Old Male

Cat 1 — 40-year-old male, burns to face and chest escaping house fire, fire service on scene.

Trauma
Advanced
13 min

Fall From Height With Suspected Pelvic Fracture

Cat 1 — 29-year-old male, fell approximately 4 metres from scaffolding, complaining of pelvic and back pain.

Trauma
Advanced
11 min

Suspected Non-Accidental Injury, 18-Month-Old

Cat 2 — 18-month-old child, reported fall from sofa, bruising to torso noted by caller.

Cardiac Arrest
Advanced
14 min

Witnessed VF Cardiac Arrest in a Shopping Centre

Cat 1 — 60-year-old male collapsed suddenly, bystander CPR in progress, AED attached by security.

Cardiac Arrest
Intermediate
12 min

Asystolic Arrest at Home, 88-Year-Old Female

Cat 1 — 88-year-old female found unresponsive by carer, no CPR in progress on arrival of crew.

Cardiac Arrest
Advanced
13 min

Post-ROSC Care Following Cardiac Arrest

Continuation of a Cat 1 cardiac arrest call — return of spontaneous circulation achieved after third shock.

Cardiac Arrest
Advanced
15 min

Cold Water Drowning With Hypothermic Cardiac Arrest

Cat 1 — adult male pulled from river after approximately 20 minutes submersion, CPR in progress by fire and rescue.

Cardiac Arrest
Advanced
13 min

Traumatic Cardiac Arrest Following Motorcycle Collision

Cat 1 — motorcyclist versus car at speed, rider unresponsive, bystanders state no pulse felt.

Paediatrics
Advanced
14 min

Paediatric Cardiac Arrest Following Submersion

Cat 1 — 4-year-old child pulled from garden pond, unresponsive, not breathing, parent performing rescue breaths.

Paediatrics
Foundation
9 min

Simple Febrile Convulsion, 2-Year-Old

Cat 2 — 2-year-old, seizure witnessed by mother lasting approximately 3 minutes, now settling.

Paediatrics
Intermediate
9 min

Moderate Croup, 18-Month-Old

Cat 2 — 18-month-old, barking cough and noisy breathing overnight, worse when upset.

Paediatrics
Advanced
12 min

Suspected Meningococcal Sepsis, 6-Year-Old

Cat 1 — 6-year-old, high fever, lethargy and non-blanching rash noted by parent.

Paediatrics
Advanced
10 min

Paediatric Anaphylaxis Following Peanut Exposure

Cat 1 — 8-year-old male, facial swelling and breathing difficulty after eating at a party, known peanut allergy.

Obstetrics
Intermediate
12 min

Imminent Birth, Multiparous Woman

Cat 1 — 32-year-old female, 39 weeks pregnant, contractions 2 minutes apart, feels urge to push, third pregnancy.

Obstetrics
Advanced
11 min

Primary Postpartum Haemorrhage Following Home Birth

Cat 1 — 29-year-old female, delivered baby 15 minutes ago at home with midwife, now heavy vaginal bleeding.

Obstetrics
Advanced
12 min

Eclamptic Seizure, 34 Weeks Pregnant

Cat 1 — 26-year-old female, 34 weeks pregnant, witnessed seizure, history of high blood pressure this pregnancy.

Obstetrics
Advanced
10 min

Umbilical Cord Prolapse During Labour

Cat 1 — 30-year-old female in established labour at home, sudden gush of fluid followed by visible cord at the vaginal opening.

Obstetrics
Advanced
11 min

Shoulder Dystocia During Home Delivery

Cat 1 — 27-year-old female, in active second stage of labour, head delivered but body not following with normal traction.