Afia, a 34-year-old woman, presents to the Korle Bu emergency centre after a motor vehicle crash. She was a restrained rear-seat passenger. She is haemodynamically stable: BP 126/82 mmHg, HR 88/min, R…
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A 28-year-old man, Kofi, is brought to Komfo Anokye ED after a high-speed road traffic collision. He is restless and diaphoretic. Vitals: BP 88/60 mmHg, HR 128 bpm, RR 24/min, SpO2 96% on 15L O2. FAST…
A 35-year-old woman, Akosua, is referred from a district hospital in Brong-Ahafo after a motor vehicle crash. On arrival at the regional hospital A&E, her BP is 74/50 mmHg and HR is 138 bpm. The pelvi…
A 19-year-old male footballer, Yaw, is brought to Korle Bu emergency centre after sustaining a direct blow to the left upper abdomen. He is haemodynamically stable: BP 118/76 mmHg, HR 94 bpm. CT abdom…
A 19-year-old woman, Esi, is brought to the Korle Bu emergency centre by friends after being found confused in her university hostel. She is known to have type 1 diabetes and missed her insulin doses …
A 45-year-old woman named Ama presents to the Korle Bu emergency centre with a two-day history of altered consciousness and vomiting. Her husband reports she has been consuming large quantities of loc…
A 60-year-old man named Mensah with a 20-year history of type 2 diabetes and chronic kidney disease (baseline creatinine 280 micromol/L) presents to the Korle Bu emergency centre with worsening dyspno…
A 52-year-old man named Kwabena is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a three-day history of profuse watery diarrhoea and abdominal cramps. He ha…
A 34-year-old woman named Akua is brought to the Komfo Anokye ED by relatives after a witnessed generalised tonic-clonic seizure at home. She is known to have type 1 diabetes mellitus and was reported…
A 52-year-old man, Kwabena, is referred from a district hospital in Brong-Ahafo to Komfo Anokye ED with a 2-day history of generalised weakness, anorexia, and decreased urine output. He has type 2 dia…
Akua, a 72-year-old woman with known hypertension and a 40 pack-year smoking history, is brought to Korle Bu Emergency Centre by her son complaining of sudden-onset tearing back and flank pain that be…
Akosua, a 52-year-old woman with a known history of gallstones, is brought to Korle Bu emergency centre with a 6-hour history of right upper quadrant pain, jaundice, and high-grade fever with rigors. …
Ama, a 72-year-old woman with known atrial fibrillation on no anticoagulation, presents to the regional hospital A&E with 4 hours of severe, diffuse abdominal pain that she describes as 'out of propor…
A 72-year-old woman with known atrial fibrillation is brought to Komfo Anokye ED by her family with a 3-hour history of severe central abdominal pain disproportionate to her examination findings, and …
A 67-year-old man, Kwame, is brought by relatives to the Komfo Anokye ED with sudden-onset, severe periumbilical pain radiating to his back that began 2 hours ago. He has a history of hypertension and…
Yaw, a 68-year-old hypertensive man, is brought by relatives to Korle Bu emergency centre with sudden-onset severe back and abdominal pain. Vitals: HR 124 bpm, BP 82/50 mmHg, RR 26/min, SpO2 94% on ai…
A 28-year-old man, Kwame, presents to the regional hospital A&E in Kumasi with a 24-hour history of periumbilical pain that has migrated to the right iliac fossa. He is febrile at 38.4°C, HR 102 bpm, …
Akua, a 45-year-old obese woman, presents to a district hospital A&E in Brong-Ahafo with a 6-hour history of right upper quadrant pain radiating to her right shoulder tip, fever (38.9°C), jaundice, an…
Yaw, a 28-year-old male university student, presents to the Korle Bu emergency centre with a 24-hour history of periumbilical pain that has migrated to the right iliac fossa. He has anorexia, nausea, …
Kofi, a 55-year-old man with a background of peptic ulcer disease, presents to the Korle Bu emergency centre with sudden-onset, severe epigastric pain that began 3 hours ago and has since spread to in…
A 68-year-old man, Mensah, is brought by relatives to the regional hospital A&E in Kumasi after sudden onset of severe, diffuse abdominal pain beginning 3 hours ago. He has a history of atrial fibrill…
Fatima, a 34-year-old woman who is 36 weeks pregnant, collapses in the waiting area of a regional hospital in the Upper West Region. A bystander reports she was eating groundnut soup when she suddenly…
A 63-year-old woman, Afia, is brought unconscious to the Korle Bu emergency centre by her family. She is a known hypertensive and type 2 diabetic. She is edentulous (no teeth), with a large tongue, a …
A 45-year-old man is brought to Korle Bu Emergency Centre after a road traffic accident. He is unconscious with a GCS of 6 (E1V2M3) and has a suspected cervical spine injury. The airway nurse begins B…
A 67-year-old woman, Adwoa, is referred from a district hospital in the Brong-Ahafo region to the Komfo Anokye ED with known severe ankylosing spondylitis and a fractured right neck of femur after a f…
A 34-year-old woman, Akosua, is brought to the Komfo Anokye ED after a road traffic accident. She is unconscious with a GCS of 7, BP 110/70 mmHg, HR 104 bpm, SpO2 88% on 15 L/min oxygen via non-rebrea…
Ama, a 7-year-old girl (weight approximately 22 kg), is brought to a regional hospital ED in the Volta Region after ingesting a button battery 2 hours ago. She develops acute stridor, increasing respi…
During a difficult intubation attempt in the Korle Bu Emergency Centre, a 55-year-old man, Kofi, with a predicted difficult airway (Mallampati IV, short thyromental distance) has been apnoeic for 45 s…
The emergency medicine team at Korle Bu is preparing a 44-year-old man, Kofi, with a large anterior mediastinal mass for awake fibreoptic intubation. He has positional dyspnoea — symptoms worsen drama…
A 34-year-old man, Kwame, is brought to the Komfo Anokye ED after a road traffic accident. He is unresponsive with a GCS of 6 (E1V2M3), has noisy airway sounds, and smells of alcohol. Vitals: BP 148/9…