A 28-year-old woman, Akua, is brought to the Komfo Anokye ED by her family after ingesting an unknown quantity of amitriptyline tablets approximately 2 hours ago following a domestic dispute. On arriv…
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Abena, a 28-year-old nurse, is admitted to the Korle Bu Emergency Centre 18 hours after a deliberate ingestion of approximately 25 g of paracetamol. She received IV N-acetylcysteine (NAC) promptly on …
A 34-year-old farmer, Kwame, is brought to a district hospital in the Northern Region two hours after being bitten on the right ankle by a snake described as small, brown, with a saw-scaled pattern on…
A 24-year-old woman, Afia, is brought to the regional hospital A&E in Tamale after being found confused at home. Her housemate reports she has been prescribed methadone for opioid dependence. On exami…
A 45-year-old man is brought to the Korle Bu emergency centre after a deliberate overdose of amitriptyline. He is drowsy and agitated. ECG shows a QRS duration of 130 ms and a tall R wave in aVR. BP i…
A 28-year-old man, Yaw, is brought from a farming community to a regional hospital ED in the Savannah Region after a suspected snakebite to his right foot two hours ago. He did not see the snake. He i…
A 31-year-old woman, Ama, presents to the Komfo Anokye ED 5 hours after ingesting approximately 15 g of paracetamol. Her serum paracetamol level plots above the treatment threshold on the Rumack-Matth…
A 22-year-old woman, Esi, is brought to a regional hospital A&E in the Northern Region after a witnessed generalised tonic-clonic seizure lasting approximately 3 minutes. She is postictal on arrival, …
A 19-year-old student, Mohammed, is brought to Korle Bu Emergency Centre after being found in his hostel room with a running motorcycle engine. His roommate returned after two hours and found him unco…
A 52-year-old cocoa farmer, Yaw, is brought to a regional hospital ED in the Ashanti Region after collapsing in his field. His son reports he was spraying crops without protective equipment. On arriva…
A 45-year-old seamstress, Adwoa, is brought to a regional hospital ED having ingested an unknown number of her late mother's tablets 3 hours ago. She is drowsy but rousable. Vital signs: temperature 3…
A 34-year-old woman, Akosua, is brought to the regional hospital A&E in Kumasi after ingesting an unknown quantity of diazepam tablets two hours ago. She is drowsy but rousable to voice, GCS 12, respi…
A 16-year-old boy named Yaw is brought to the Komfo Anokye ED by his parents 90 minutes after being found unconscious in his room with an empty bottle of aspirin 300 mg tablets. On arrival he is agita…
A 34-year-old man, Kwame, is brought to the Korle Bu emergency centre by friends after collapsing at a party. He is agitated and diaphoretic, with a heart rate of 138 bpm, blood pressure of 178/110 mm…
Mohammed, a 38-year-old cocoa farm worker, is brought to a district hospital in Brong-Ahafo region by colleagues after collapsing in a field where pesticides were being applied. On arrival he is uncon…
Fatima, a 38-year-old woman, is admitted to the Korle Bu emergency centre with hyperthermia (40.6°C), confusion, and severe generalised muscle stiffness. She has a 10-year history of bipolar disorder …
A 28-year-old woman, Abena, is referred from a district hospital in Brong-Ahafo Region 48 hours after a paracetamol overdose. She did not receive NAC. On arrival at the regional hospital A&E she is ja…
A 7-year-old boy named Yaw is brought to Tamale Teaching Hospital ED by his mother after accidentally drinking from a bottle of organophosphate pesticide stored in a soft drink bottle. He is drowsy wi…
A 55-year-old man, Kwame, presents to Tamale Teaching Hospital ED after ingesting a large quantity of amlodipine tablets. He is bradycardic at 42 bpm and hypotensive at 65/40 mmHg. IV access is establ…
A 42-year-old man, Yaw, presents to the Korle Bu emergency centre with a 12-hour history of progressive visual blurring and headache after drinking an adulterated beverage at a social gathering; two o…
A 22-year-old man, Mohammed, is referred from a district hospital in the Northern Region after ingesting an unknown quantity of a liquid he found in a car workshop. He vomited twice and complains of b…
A 6-year-old girl, Abena, is brought to a district hospital in the Volta Region by her parents. She had eaten a large portion of poorly prepared cassava fufu approximately 3 hours ago and has since de…
A 6-year-old girl, Abena, is brought to a district hospital in the Northern Region by her grandmother after she chewed on seeds from a plant growing in their compound. Over 2 hours she has become prog…
Kofi, a 35-year-old man with a known history of depression, is brought to the Korle Bu emergency centre after ingesting approximately 30 tablets of imipramine 25 mg (total dose 750 mg) two hours ago. …
Akosua, a 32-year-old woman, presents to the Korle Bu emergency centre with agitation, confusion, and profuse sweating that began approximately 3 hours after she took an extra dose of her prescribed s…
Kofi, a 42-year-old man, is brought to the Komfo Anokye ED after a deliberate overdose of his mother's amitriptyline. He is confused, HR 138 bpm, BP 82/50 mmHg. His ECG shows a QRS duration of 140 ms …
A 19-year-old man named Kofi is brought to a regional hospital A&E at 02:00 by friends after collapsing at a party. He is diaphoretic, extremely agitated, and grinding his teeth. Vitals: HR 160, BP 19…
A 24-year-old man, Kofi, presents to a regional hospital A&E in Ashanti Region 6 hours after ingesting approximately 20 g of paracetamol in a single episode. His serum paracetamol level returns at 130…
Yaw, a 40-year-old man, is referred to Korle Bu emergency centre 72 hours after a large paracetamol overdose. He is confused and jaundiced. Investigations: INR 6.8, creatinine 340 micromol/L, bilirubi…
A 19-year-old male student, Kofi, is brought by campus security to the Komfo Anokye ED after being found collapsed in his dormitory. He is obtunded, GCS 9 (E2V3M4). Vital signs: temperature 36.5°C, HR…