Clinical Pearls
Short, high-yield teaching points for emergency medicine candidates. Each pearl is a 3-minute read built around one fact that lands on exams and saves patients.
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West African EM - Envenomation - Rural + Public Health - HIGH-YIELD MEMBERSHIP · 16 min read
Snake envenomation at Membership level - species-specific management, 20WBCT + VICC + antivenom pharmacology, neurotoxic + anticholinesterase trial, fasciotomy caution, late complications, and the Ghana Snakebite Envenomation Initiative
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West African EM - Allergy and Immunology - Critical Care - HIGH-YIELD MEMBERSHIP · 15 min read
Anaphylaxis at Membership level - biphasic + refractory management, perioperative + food + drug specifics, Kounis + mastocytosis, adrenaline auto-injector in Ghana, and the WAO 2020 + ICON: Food Allergy framework
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West African EM - Cardiovascular Emergency - Time-Critical Reperfusion - HIGH-YIELD MEMBERSHIP · 16 min read
STEMI at Membership level - the equivalents, pharmaco-invasive strategy, cardiogenic shock trial hierarchy, RV STEMI, mechanical complications, and the Ghana PCI-versus-fibrinolysis reality
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West African EM - Infectious Diseases - Public Health Programme - HIGH-YIELD MEMBERSHIP · 18 min read
HIV emergencies at Membership level - AMBITION-cm cryptococcal induction, TB co-infection ART timing, PredART TB-IRIS, PMTCT + PrEP + PEP, viral-load cascade, and the Ghana NHACP + Global Fund landscape
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West African EM - Cardiovascular Emergency - Critical Care and Public Health - HIGH-YIELD MEMBERSHIP · 17 min read
Massive and intermediate-risk PE at Membership level - PEITHO + catheter-directed evidence, ECMO bridge, thrombophilia + cancer + pregnancy DOAC choices, CTEPH surveillance, and the Ghana VTE prophylaxis reform framework
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West African EM - Surgical Emergency - Critical Care and Reconstruction - HIGH-YIELD MEMBERSHIP · 16 min read
Necrotising fasciitis and Fournier's gangrene at Membership level - strep TSS + IVIG, MRSA + linezolid, the FGSI, reconstructive planning, and the Ghana barbershop public-health framework
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West African EM - Paediatric Toxicology - Paediatric ICU - HIGH-YIELD MEMBERSHIP · 15 min read
Kerosene ingestion at Membership level - paediatric ARDS, HFNO/NIV thresholds, the pneumatocele patient, and the Ghana LPG cooking programme
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Critical Care - Antimicrobial Resistance - Obstetric - Public Health - Ghana - High-yield Membership · 13 min read
Typhoid fever at Membership level - XDR H58, meropenem, TCV, chronic carriage, pregnancy, and the post-perforation ICU
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Infectious Disease - Occupational Health - Obstetric - Outbreak Response - Ghana - High-yield Membership · 12 min read
Lassa fever at Membership level - HCW post-exposure prophylaxis, the pregnancy decision, the ICG stockpile, and the vaccine pipeline
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Critical Care - Vaccine Adverse Event - Outbreak Response - Ghana - High-yield Membership · 12 min read
Yellow fever at Membership level - YEL-AVD, ICU management, ICG stockpile mass vaccination, and the WHO EYE strategy
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Critical Care - Infectious Disease - One Health - Ghana - High-yield Membership · 12 min read
Leptospirosis at Membership level - the severe pulmonary form, MAT paired sera, the Lassa differential, and the doxycycline chemoprophylaxis programme
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Cardiology - Obstetric - Cardiac Surgery - Ghana - High-yield Membership · 13 min read
RHD at Membership level - the pregnant patient with severe mitral stenosis, valvular AF, the balloon valvotomy, and the young-woman valve choice
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Critical Care - Obstetric - Paediatric - Outbreak Response - Ghana - High-yield Membership · 13 min read
Cholera at Membership level - the pregnant patient, the SAM child, the treatment unit, the OCV campaign, and the CFR benchmark
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Critical Care - Autonomic - Neonatal - Ghana - High-yield Membership · 12 min read
Tetanus at Membership level - Ablett IV autonomic storm, the tracheostomy trajectory, neonatal tetanus, and the Ghana EPI adult gap
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Obstetric Critical Care - HELLP - Massive Transfusion - Ghana - High-yield Membership · 12 min read
PPH at Membership level - the H+4 collapse, HELLP overlap, MTP + TEG-guided resuscitation, surgical stepladder, and MDSR
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Toxicology - Critical Care - Rural Ghana - High-yield Membership · 11 min read
OP poisoning at Membership level - the intermediate syndrome, OPIDN, ventilator titration, and the carbamate look-alike
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Infectious disease - Rabies - HIV - Ghana - High-yield Membership · 11 min read
Rabies at Membership level - late presentation, HIV / CD4 < 200, RIG stock-out, and the Milwaukee reality check
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Infectious disease · Meningitis · TB · Cryptococcus · HIV Ghana · 9 min read
Meningitis at Membership level — TB, cryptococcal, Listeria, and the dexamethasone decision by pathogen
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Haematology · Acute chest syndrome · Exchange transfusion · Sickle cell · 8 min read
Acute chest syndrome and exchange transfusion in sickle cell — the Membership-level decisions
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Tropical envenomation · Snake bite · Ghana moat · West African EM · 7 min read
Snake envenomation — carpet viper and puff adder bites in the Ghanaian ED
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Endocrine · DKA · 3 min read
DKA — fluid first, insulin second (the order that catches trainees out)
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Tropical · Severe malaria · 4 min read
Severe malaria in adults — recognising cerebral involvement early
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Obstetric · Eclampsia · 3 min read
Eclampsia — Pritchard magnesium, not phenytoin
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Trauma · Antifibrinolytics · 3 min read
TXA in trauma — the CRASH-2 3-hour window (and when it harms)
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Electrolytes · Hyponatraemia · 3 min read
Sodium correction speed — the central pontine trap
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Toxicology · Paracetamol · 4 min read
Paracetamol overdose — Rumack-Matthew nomogram interpretation
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Cardiology · Antiarrhythmics · 3 min read
Magnesium first, amiodarone second — why Torsades breaks the ACLS rules
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Cardiology · ECG · 4 min read
Wellens syndrome — the pain-free LAD time bomb
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Resuscitation · 3 min read
The 4 Hs and 4 Ts of cardiac arrest — your 90-second framework