A 68-year-old hypertensive man, Mensah, is brought to Korle Bu emergency centre by his wife. He suddenly became confused and unresponsive at home. His GCS is 7 (E2V1M4), blood pressure is 210/120 mmHg…
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A 68-year-old woman is brought to the district hospital A&E in Brong-Ahafo by her relatives. She opens her eyes to voice, makes confused speech, and localises to pain. Her blood pressure is 100/70 mmH…
A 45-year-old farmer, Kwame, is brought to the district hospital A&E in Brong-Ahafo by his family. He is confused, sweating profusely, and trembling. He is a known diabetic on insulin. Bedside capilla…
A 35-year-old woman, Fatima, presents to the regional hospital A&E in Tamale with a 3-day history of fever, headache, and progressive confusion. She returned from a rural farming area 5 days ago. Her …
A 40-year-old man, Kofi, presents to the regional hospital A&E in Tamale with a 2-day history of fever, headache, and progressive confusion. He lives in a malaria-endemic area and has not taken any pr…
Kofi, a 54-year-old man with known type 2 diabetes, is brought to the regional hospital A&E by his wife. He is unresponsive to voice but withdraws from pain. His wife reports he took his glibenclamide…
A 22-year-old man, Yaw, is brought to the Komfo Anokye ED by friends who found him unresponsive at a party. His GCS is 6 (E1V2M3). Respiratory rate is 6 breaths per minute, pupils are bilaterally pinp…
A 52-year-old farmer, Kwame, is brought to the district hospital A&E in Brong-Ahafo by his family. He is found unresponsive on the examination couch. His vital signs show BP 110/70 mmHg, HR 98 bpm, RR…
A 34-year-old man, Kofi, is brought to the district hospital A&E in Ashanti Region by his colleagues who found him unresponsive at his workstation. He has a known history of type 1 diabetes mellitus. …
A 45-year-old woman, Ama, is brought to the district hospital A&E in Northern Region by her husband. She has been increasingly confused over the past 2 hours. Her bedside glucose is 1.8 mmol/L, and sh…
A 28-year-old man, Yaw, is brought to the Komfo Anokye ED by police after being found collapsed on the roadside. He is deeply unconscious with a GCS of 5. His respiratory rate is 6 breaths/min with sh…
You are working at the Korle Bu emergency centre and need to insert an intercostal drain in a 34-year-old man, Kwame, who has a large right-sided haemopneumothorax following blunt chest trauma. He is …
A 45-year-old woman, Ama, is in the resus bay at a tertiary ED following a penetrating chest injury. She is in cardiac arrest with no output for 4 minutes. The team leader decides to perform an emerge…
A 55-year-old man, Yaw, presents to the Korle Bu emergency centre with a three-day history of fever, severe headache, and neck stiffness. You plan to perform a lumbar puncture. He is placed in the lef…
A 28-year-old man, Yaw, presents to the district hospital A&E with a suspected subarachnoid haemorrhage. You decide to perform a lumbar puncture. He is seated and cooperative.
A 52-year-old woman, Akosua, is admitted to the regional hospital A&E in hypovolaemic shock following a ruptured ectopic pregnancy. She requires urgent central venous access. Her neck veins are flat a…
A 22-year-old woman, Aisha, is brought to the Tamale Teaching Hospital A&E after a motorbike crash. She has a suspected right-sided haemothorax. The surgical registrar asks you to insert a chest drain…
A junior doctor at a regional hospital A&E inserts an intercostal drain for a right-sided pneumothorax. After insertion, the patient develops worsening pain and the drain is not swinging. On review, y…
Abena, a 7-year-old girl, is brought to the district hospital A&E in cardiac arrest following severe burns. Intravenous access cannot be obtained after two attempts. The team decides to establish intr…
A 28-year-old man, Yaw, presents to a district hospital A&E in Northern Ghana with a severe headache, photophobia, and neck stiffness for 18 hours. The doctor decides to perform a lumbar puncture. The…
Kwame, a 34-year-old man, is brought to the Korle Bu emergency centre following a road traffic crash. He has severe maxillofacial injuries and cannot be intubated by direct laryngoscopy. The team deci…
Ama, a 28-year-old woman, is brought to the regional hospital A&E after a stab wound to the left chest. She is in severe respiratory distress with absent breath sounds on the left, tracheal deviation …
Aisha, a 27-year-old woman, is brought to the district hospital A&E in Brong-Ahafo following a road traffic collision. She has decreased air entry on the left with oxygen saturations of 88% on high-fl…
A 34-year-old man, Kwame, is brought to the Korle Bu emergency centre following a road traffic accident. He has a tension pneumothorax confirmed clinically and requires an intercostal chest drain afte…
A 34-year-old man, Kwame, is brought to the regional hospital A&E in Kumasi following a road traffic crash. He has a right-sided tension pneumothorax confirmed clinically. After needle decompression, …
Kofi, a 45-year-old man with known pulmonary tuberculosis, arrives at the Komfo Anokye ED with increasing breathlessness and a right-sided empyema confirmed on chest X-ray. The consultant requests ins…
A 72-year-old woman, Adwoa, presents to the Tamale Teaching Hospital ED with a 3-day history of fever and neck stiffness. CT head is not available. After fundoscopy shows no papilloedema, you proceed …
You are preparing to insert a central venous catheter in a 38-year-old man, Kwame, who has been brought to the Komfo Anokye ED in septic shock. His peripheral veins are collapsed and he requires urgen…
Mensah, a 50-year-old farmer, is brought to a district hospital A&E in the Ashanti Region by his family. He is pale, sweating, and barely responsive to voice. His blood pressure is 80/50 mmHg, heart r…
Esi, a 35-year-old woman, is brought to Korle Bu Emergency Centre after a witnessed generalised tonic-clonic seizure lasting 8 minutes. On arrival she is post-ictal, responding only to pain, with a Gl…