AMC 2 Emergency Medicine station practice

Example Emergency Medicine stations in Vivora

• Black, tarry stools

  You are an ED resident. Raymond Cole, 65, presents with two days of black, tarry stools and feeling faint when he stands.

• Sudden worst-ever headache

  You are an ED resident. Megan Foster, 40, presents with a sudden severe headache that came on two hours ago.

• Pelvic pain in early pregnancy

  You are an ED resident. Aisha Rahman, 28, presents with left-sided lower abdominal pain and a little vaginal bleeding. Her urine pregnancy test is positive.

• Acute shortness of breath

  You are a GP. Mica Mitchell, 34, has come in as an urgent same-day appointment. She is short of breath. The practice nurse recorded: SpO₂ 90% on room air, RR 24, HR 112 regular, BP 118/76, temp 36.9°C.

What examiners focus on in Emergency Medicine stations

• Prioritising the time-critical parts of the history before background/social history
• Verbalising a working diagnosis and immediate next steps, not just a differential list
• Asking for vitals and basic bedside findings early, then reacting to them
• A clear disposition and safety-netting plan the patient or examiner can follow

Common mistakes IMGs make in Emergency Medicine stations

• Spending too long on social history before addressing the acute presenting problem
• Never explicitly stating a working diagnosis or immediate management step
• Forgetting to close the loop on vitals or results you asked for

Why practise Emergency Medicine out loud

Reading about a emergency medicine presentation is not the same as running the station: taking a focused history, asking the examiner for findings, and giving a diagnosis and plan out loud, under time pressure. Vivora builds that fluency directly, so the real exam feels familiar rather than the first time you've said any of it aloud.