Scenarios

1. 1

   Focused history: persistent cough after a cold

   Characterize cough patterns and triggers, explore exposures and alternative causes, check warning symptoms, and explain evaluation while addressing the patient’s concerns.

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2. 2

   Focused history: worsening cough and breathlessness

   Compare usual symptoms with the recent change, screen for urgent breathing concerns, and ask about smoking, other exposures, and daily function.

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3. 3

   Focused history: fever and worsening cough

   Ask about cough, fever, breathing, and chest symptoms, screen for urgent concerns, and summarize relevant exposures and risks for prompt clinician assessment.

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4. 4

   Focused history: sudden sharp chest pain

   Request urgent assessment, take a brief chest-pain and breathing history, and review clot risks while addressing the patient’s pain and fear.

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5. 5

   Focused history: snoring and daytime sleepiness

   Take a focused sleep history, use STOP-BANG to assess risk, discuss driving safety, and agree on practical next steps with clinician support.

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6. 6

   Focused history: daytime tiredness and sleep screening

   Clarify daytime tiredness, assess sleep patterns and apnea risk, explore contributing factors, address driving safety, and agree on supervised follow-up.

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7. 7

   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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8. 8

   Consent: emergency intubation with a family decision-maker

   Explain urgent breathing support, benefits, risks and delay, acknowledge family distress, and confirm an informed decision while emergency care continues.

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9. 9

   Consent: thoracentesis with hearing support

   Explain drainage of fluid around the lung, discuss risks and alternatives, adapt to hearing needs, check understanding, and agree on next steps.

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