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2131 matches for “Ghana” — showing 1141–1170
Trauma · Gustilo-Anderson classification β˜… HY difficulty 2/5

A 28-year-old man, Kwame, is brought to the emergency centre at Komfo Anokye Teaching Hospital after a road traffic accident. He has a 2 cm laceration over the mid-shaft of his right tibia with a visi…

Trauma · Permissive hypotension β˜… HY difficulty 3/5

A 42-year-old man is brought to Korle Bu emergency centre after being struck by a vehicle. He has suspected pelvic fracture and ongoing haemodynamic instability despite two litres of crystalloid. Vita…

Trauma · Lung sliding and M-mode seashore/barcode sign for pneumothorax β˜… HY difficulty 3/5

A 55-year-old man, Joseph, is brought to the Korle Bu Emergency Centre after a high-speed road traffic collision. He was the driver and sustained chest impact against the steering wheel. He is tachypn…

Trauma · FAST scan interpretation and decision-making β˜… HY difficulty 3/5

A 28-year-old man, Kofi, is brought to the Komfo Anokye ED resus bay after a high-speed road traffic collision. On primary survey: GCS 15, BP 88/60 mmHg, HR 124 bpm, RR 22/min, SpO2 96% on 15L O2. You…

Trauma · Pelvic binder placement - greater trochanters β˜… HY difficulty 2/5

A 35-year-old woman, Ama, is brought to a regional hospital A&E in Brong-Ahafo after a road traffic collision. She was a front-seat passenger in a vehicle that rolled. On examination: BP 82/54 mmHg, H…

Trauma · Antibiotic prophylaxis β€” open fracture β˜… HY difficulty 3/5

Akosua, a 35-year-old subsistence farmer, presents to a district hospital in Brong-Ahafo region two hours after sustaining a machete injury to her left forearm. There is a 4 cm laceration with visible…

Trauma · Tranexamic acid CRASH-2 timing β˜… HY difficulty 4/5

A 40-year-old woman, Afia, is brought to the emergency unit of a regional hospital in the Ashanti Region after a road traffic crash in which she was a pedestrian struck by a heavy goods vehicle. She h…

Trauma · TBI - ICP Monitoring Indications β˜… HY difficulty 3/5

Ama, a 52-year-old market trader with no known comorbidities, is brought to a regional hospital A&E in Ashanti after being struck by a minibus. Her GCS on arrival is 9 (E2V3M4), blood pressure 162/88 …

Trauma · CABC priorities - airway β˜… HY difficulty 2/5

A 28-year-old man, Kwame, is brought by relatives to Komfo Anokye ED following a high-speed road traffic collision. He is unresponsive with audible gurgling respirations. Vital signs: GCS 6, HR 118 bp…

Trauma · Massive haemorrhage β€” extremity β˜… HY difficulty 2/5

A 35-year-old woman, Afia, is brought to a regional hospital ED in the Northern Region after a motorcycle accident 45 minutes ago. She has a large degloving wound of the right thigh with ongoing arter…

Trauma · Haemorrhagic shock - permissive hypotension β˜… HY difficulty 3/5

Kwame, a 28-year-old construction worker, is brought to a regional hospital A&E in Kumasi after a concrete slab fell onto his lower abdomen and pelvis. On arrival he is agitated and diaphoretic, with …

Trauma · Pelvic binder placement - open-book fracture β˜… HY difficulty 2/5

A 55-year-old woman, Adwoa, is brought to the Korle Bu emergency centre following a pedestrian-vehicle collision. She is in haemorrhagic shock: BP 70/40 mmHg, HR 140 bpm, GCS 15. Pelvic X-ray reveals …

Trauma · Tension pneumothorax β€” clinical recognition and emergency decompression β˜… HY difficulty 2/5

A 35-year-old man is brought to Komfo Anokye ED after a road traffic collision in which he was a restrained front-seat passenger. He complains of left chest pain and breathlessness. On examination: HR…

Trauma · FAST scan interpretation - haemodynamically unstable patient β˜… HY difficulty 2/5

A 28-year-old man, Kwabena, is brought to the Komfo Anokye ED resus bay after a high-speed road traffic collision in which he was an unrestrained passenger. On arrival he is agitated, with a GCS of 14…

Trauma · Tourniquet timing and management β€” CoTCCC β˜… HY difficulty 3/5

A 26-year-old soldier named Mohammed sustains a gunshot wound to the right thigh during a training exercise at a military facility in the Northern Region. Bystanders report brisk arterial haemorrhage …

Trauma · NEXUS criteria β˜… HY difficulty 3/5

A 34-year-old woman, Adwoa, is evaluated in the Komfo Anokye Teaching Hospital ED after a road traffic crash. She was the unrestrained driver of a vehicle that hit a pothole and rolled over at moderat…

Trauma · Subxiphoid pericardial FAST view β˜… HY difficulty 3/5

A 19-year-old man named Yaw is brought to a regional hospital ED in Ashanti after a stab wound to the epigastrium. He is pale and sweaty. Vitals: BP 80/50 mmHg, HR 140/min, RR 26/min, SpOβ‚‚ 94%. Two la…

Trauma · Massive transfusion protocol β˜… HY difficulty 3/5

A 19-year-old man, Kofi, arrives at Komfo Anokye ED after a stab wound to the left chest. He is hypotensive (BP 70/40 mmHg), tachycardic (HR 140 bpm), and has already received 1.5 litres of crystalloi…

Trauma · Massive transfusion protocol - 1:1:1 ratio β˜… HY difficulty 3/5

Ama, a 34-year-old market trader, is brought to the Korle Bu emergency centre following a stab wound to the left flank. She is pale, diaphoretic, and barely responsive. BP 60/40 mmHg, HR 148 bpm, GCS …

Trauma · Morison's pouch / hepato-renal FAST window β˜… HY difficulty 2/5

A 28-year-old man named Kwame is brought to the Komfo Anokye ED after a road traffic collision in which he was an unrestrained front-seat passenger. He is conscious but agitated. Vitals: BP 88/60 mmHg…

Trauma · Pelvic Trauma - binder placement and haemorrhage control β˜… HY difficulty 4/5

Mohammed, a 42-year-old man, is brought by relatives to a regional hospital A&E in the Northern Region following a crush injury when a vehicle rolled onto his pelvis at a construction site. He is obtu…

Trauma · Tension pneumothorax β€” immediate management β˜… HY difficulty 2/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye ED resus bay after a high-speed road traffic collision. He is agitated and in severe respiratory distress. Vitals: HR 128 bpm, BP 72/40 mmHg, R…

Trauma · Penetrating abdominal trauma - selective non-operative management β˜… HY difficulty 3/5

A 30-year-old man, Kofi, presents to a district hospital A&E in the Ashanti Region after sustaining a single stab wound to the right upper quadrant of the abdomen. He is haemodynamically stable: BP 12…

Trauma · Massive haemothorax - initial management β˜… HY difficulty 3/5

A 35-year-old woman, Afia, is referred from a district hospital in Brong-Ahafo following a high-speed motor vehicle collision. On arrival at the regional A&E she is pale and obtunded. Vitals: BP 70/40…

Trauma · Tranexamic acid β€” CRASH-2 protocol β˜… HY difficulty 3/5

A 17-year-old boy is brought to a district hospital in the Volta Region after being stabbed in the right flank 2 hours and 40 minutes ago during a community dispute. He is conscious and cooperative. V…

Trauma · Traumatic aortic injury β€” investigation β˜… HY difficulty 4/5

A 38-year-old man, Yaw, is transferred to Korle Bu emergency centre from a regional hospital following a high-speed motor vehicle collision 3 hours ago. He is haemodynamically stable on arrival: HR 96…

Trauma · Tension pneumothorax - immediate management β˜… HY difficulty 2/5

A 28-year-old man, Kwame, is brought by relatives to the Komfo Anokye ED following a road traffic collision. He is agitated and in severe respiratory distress. Vitals: BP 78/50 mmHg, HR 130 bpm, RR 32…

Trauma · Open-book pelvis and GU injury association β˜… HY difficulty 3/5

A 19-year-old man, Kofi, is brought to the Korle Bu Emergency Centre after a motorcycle collision. He complains of lower abdominal pain and inability to void. On examination: BP 110/70 mmHg, HR 104 bp…

Trauma · Abdominal Trauma - FAST scan interpretation and operative triage β˜… HY difficulty 3/5

Kwame, a 28-year-old motorcyclist, is brought by relatives to the Komfo Anokye ED after a high-speed collision with a lorry. He is combative but responds to voice, with a GCS of 13. Vital signs: BP 88…

Trauma · Commotio cordis - mechanism and defibrillation β˜… HY difficulty 2/5

A 16-year-old footballer, Kofi, collapses suddenly on the pitch at a secondary school in Accra during a match. A teammate struck a hard football directly to his left precordium during a corner kick. H…