Key elements are written in red, with bold and italics.

I – Hello, my name is ___ and I am a JMO.

S – I have examined Payne Stark, a 35-year-old woman who presented with dull chest pain, worsening on inspiration, and shortness of breath. The symptoms’ onset was sudden, three hours prior to presentation. She is currently stable.

B – She has past medical history of gastroesophageal reflux, treated with pantoprazole, and takes the combined oral contraceptive pill. She has a 15 pack year smoking history and drinks 6 standard drinks of alcohol per day, sedentary occupation and lifestyle (bus driver). Family history of cardiac disease. On examination, she is tachypnoeic and hypoxic, currently managed with O2 via nasal prongs. Cardiovascular and respiratory examinations are normal, however has a swollen and painful left calf.

A – I suspect Payne has a pulmonary embolism secondary to deep vein thrombosis.

R – I recommend she receives anticoagulation and close monitoring with full review every two hours.

Needed to win

Need to include all 5 sections of ISBAR, plus mention at least four of the following:

1. Provide details of the presenting complaint: dull chest pain and shortness of breath, with sudden onset.
2. Report past medical history, particularly use of combined oral contraceptive pill.
3. Report smoking history and sedentary lifestyle.
4. Provide description of physical examination, including vitals.
5. Provide differential diagnosis of pulmonary embolism.