Scenarios

1. 1

   Consult: cardiology for urgent chest discomfort

   Present the urgent chest-pain concern, explain relevant findings and uncertainty, request cardiology input, and confirm responsibilities, timing and escalation.

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2. 2

   Consult: gastroenterology for upper gastrointestinal bleeding

   Summarize bleeding and treatment response, explain remaining risk, request an endoscopy plan, and confirm interim care, responsibilities and escalation.

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3. 3

   Consult: nephrology for worsening kidney function

   Present worsening kidney function, assess urgent complications, request advice on medicines, fluids and monitoring, and confirm responsibilities and follow-up.

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4. 4

   Consult: neurology after a first convulsive event

   Describe the witnessed event and recovery, communicate safety concerns and missing information, request evaluation, and confirm responsibilities and escalation.

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5. 5

   Consult: infectious diseases for persistent fever

   Summarize the fever and antibiotic timeline, identify missing information, request diagnostic and treatment review, and confirm reassessment and follow-up.

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6. 6

   Consult: critical care for worsening breathing

   Communicate worsening breathing and oxygen needs, request immediate critical care assessment, and confirm bedside support, responsibilities and escalation.

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7. 7

   Consult: general surgery for urgent abdominal assessment

   Present abdominal findings and diagnostic uncertainty, request urgent surgical assessment, and confirm interim care, response timing and escalation for deterioration.

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8. 8

   Consult: hematology for an incidental low platelet count

   Present the platelet trend and bleeding history, explain current urgency, request workup advice, and agree on testing and follow-up responsibilities.

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9. 9

   Consult: orthopedics for a nondisplaced wrist fracture

   Summarize the fracture and circulation and nerve checks, confirm immobilization and discharge safety, and agree on follow-up and return precautions.

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10. 10

    Consult: psychiatry for unsafe behavior during delirium

    Describe unsafe behavior and measures already tried, consider reversible medical causes, request management guidance, and confirm monitoring and reassessment.

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11. 11

    Consult: palliative care for discharge disagreement

    Explain the family disagreement and patient’s care needs, identify gaps in values and decision-making authority, and arrange a supported planning discussion.

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