I have a tendency to waffle and take a long time to say things that could be said in a much shorter time period. Which is to say, I am excessively verbose. Some strategies (evolving):
Organisation
“Key Issues” as a general heading for relevant SAQ/viva questions as a means of demonstrating that I have a handle on how to approach an issue without going into unnecessary detail if time does not permit or the examiner is not interested Or “key concerns”, “key considerations”, etc Dot points with phrases rather than full sentences (avoids unnecessary words which take more time to write) For vivas especially, consider picking three considerations which are the most important/relevant for the case and therefore most likely to pick up marks Words and Phrases
Write out terms once but then specify an acronym for future use e.g. “damage control resuscitation (DCR)” Context-sensitive approaches “Obstetric and non-obstetric causes” “Structural and non-structural” (e.g. causes of decreased GCS) “Haemorrhage control: general + specific to pelvic trauma” “Decision-making” → “judgment” (e.g. “judgment about need for further imaging vs straight to OT”) “Lung protective ventilation” Specific Things to Mention
NESB → interpreter needed (nothing more to say) Specific Questions
“What is your anaesthetic plan?” “I would give a [general/spinal/etc] anaesthetic using an [ETT/other type of airway if relevant]” “The key intraoperative considerations are x, y and z” “Because of x, I would do [some things]” “Because of y, I would do [some other things]” General Crisis Approach
What other information do I immediately need to know Do I need to call for help Verbalise my initial assessment (”this is a medical emergency” vs “this is a concerning change that warrants my immediate attention”) Specific to context (e.g. FiO2 to 100%, vasopressor) What are the most likely diagnoses in this patient? What are the most concerning diagnoses consistent with what is happening? “In this patient, I think the most likely issues are x and y. However, I would remain wary of a more life-threatening problem such as anaphylaxis or malignant hyperthermia” Broad classification of the potential causes and how they can be assessed Specific Crises
Dysrhythmias (tachy, brady or otherwise) Primary (intrinsic cardiac) Metabolic (electrolytes, acid-base, thyroid, temperature) Surgical (stimulation, oculocardiac, pneumoperitoneum) Anaesthetic (too light or too deep, drugs, airway management) 
Reducing Verbosity