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3996 matches for “Ghana” — showing 1201–1230
Local and Regional Anaesthesia · Wound irrigation pressure - 5-8 psi technique ★ HY difficulty 3/5

Kofi, a 45-year-old farmer, is brought to Komfo Anokye ED with a heavily contaminated wound to his right thigh following a machete injury sustained while clearing farmland 2 hours ago. The wound is 8 …

Local and Regional Anaesthesia · Digital ring block - contraindication to adrenaline in end-arteries ★ HY difficulty 3/5

Akua, a 28-year-old market trader, presents to the district hospital A&E in Brong-Ahafo with a 4 cm laceration to her right index finger sustained from a broken bottle 45 minutes ago. The wound is cle…

Local and Regional Anaesthesia · Lidocaine maximum dose - plain vs adrenaline-containing ★ HY difficulty 2/5

Yaa, a 32-year-old seamstress, presents to a regional hospital A&E with a 3 cm laceration to her right forearm sustained from a sewing machine blade 30 minutes ago. The wound is clean, superficial, an…

Ludwig Angina · ENT ★ HY difficulty 2/5

A 22-year-old man, Yaw, presents to the surgical outpatient clinic of a district hospital in the Northern Region with a 5-day history of progressive bilateral jaw and neck swelling, odynophagia, and i…

Ludwig Angina · ENT ★ HY difficulty 3/5

A 34-year-old man, Kwame, is brought by relatives to the emergency department of Komfo Anokye Teaching Hospital with a 4-day history of severe odontogenic pain in the left lower jaw, progressive neck …

Ludwig Angina · ENT ★ HY difficulty 4/5

A 28-year-old woman, Akua, is referred from a district hospital in the Volta Region to the regional hospital with a two-day history of rapidly worsening neck swelling, odynophagia, and drooling. She h…

Ludwig Angina · ENT ★ HY difficulty 4/5

A 50-year-old man, Mensah, is on the surgical ward at a regional hospital in the Volta Region on day 3 of treatment for Ludwig angina. He was managed with airway protection (nasopharyngeal airway — fi…

Ludwig Angina · ENT ★ HY difficulty 4/5

A 28-year-old woman, Akua, is referred from a district hospital in the Ashanti Region to the regional hospital surgical unit with a two-day history of worsening bilateral neck swelling, fever, and dro…

Ludwig Angina · ENT ★ HY difficulty 3/5

A 19-year-old student, Akosua, is seen in the emergency department of a regional hospital in the Eastern Region with a 3-day history of left lower jaw pain and swelling after a dental abscess. Over th…

Ludwig Angina · ENT ★ HY difficulty 3/5

A 28-year-old woman, Ama, is referred from a district hospital in Brong-Ahafo to the regional hospital with a 5-day history of left lower molar pain followed by progressive bilateral submandibular swe…

Ludwig Angina · ENT ★ HY difficulty 3/5

A 34-year-old man, Kwame, presents to the Komfo Anokye emergency department brought by relatives after three days of progressive floor-of-mouth swelling, trismus, and difficulty swallowing. He had a l…

Ludwig Angina · ENT ★ HY difficulty 3/5

A 34-year-old man, Kwame, is brought to the emergency department of Komfo Anokye Teaching Hospital by relatives after three days of progressive jaw swelling, fever, and difficulty swallowing. He had a…

Ludwig Angina · ENT ★ HY difficulty 3/5

A 38-year-old man, Kofi, is admitted to the Tamale Teaching Hospital surgical ward with Ludwig's angina secondary to a periapical abscess of the lower right third molar. He is febrile (39.0°C), HR 112…

Major Incidents and Mass Casualty · START triage algorithm ★ HY difficulty 2/5

A fuel tanker overturns on the Accra–Kumasi highway near Nkawkaw, injuring 34 people. The regional hospital ED in the Eastern Region activates its mass casualty response. A 28-year-old man is found ly…

Major Incidents and Mass Casualty · Decontamination zones - chemical / biological incidents ★ HY difficulty 4/5

A gas explosion at a chemical processing plant near Tema injures 28 workers, several of whom arrive at the Tema General Hospital A&E with burning eyes, excessive lacrimation, and skin erythema. Three …

Major Incidents and Mass Casualty · JumpSTART paediatric triage ★ HY difficulty 3/5

A gas cylinder explosion at a market in Tamale injures 22 people. The Tamale Teaching Hospital ED receives 11 casualties within 20 minutes. During field triage, a 7-year-old girl named Aisha is found …

Major Incidents and Mass Casualty · START triage - walking wounded, respiration, perfusion, mental status into red/yellow/green/black ★ HY difficulty 2/5

A stampede at a football stadium in Kumasi results in 67 casualties being brought to Komfo Anokye Teaching Hospital (KATH) A&E. The hospital major incident plan is activated. A 34-year-old man, Kwaben…

Major Incidents and Mass Casualty · Decontamination zones for chemical / biological incidents ★ HY difficulty 3/5

A suspected chlorine gas leak at an industrial facility near Tema Port results in 28 workers presenting to the regional hospital A&E with eye irritation, coughing, and skin burning of varying severity…

Major Incidents and Mass Casualty · Hospital major incident activation - call-in cascade and role allocation ★ HY difficulty 2/5

A fuel tanker overturns on the N1 highway near Accra, triggering a multi-vehicle collision involving a commercial bus. Forty-three casualties are reported at the scene. The A&E registrar at Korle Bu T…

Major Incidents and Mass Casualty · START mass-casualty triage system ★ HY difficulty 2/5

A fuel tanker overturns on the N1 highway near Kumasi, triggering a mass-casualty incident involving 23 victims. The regional hospital A&E activates its disaster plan and deploys a triage team to the …

Major Incidents and Mass Casualty · JumpSTART — rescue breaths and AVPU ★ HY difficulty 4/5

A 6-year-old boy named Kofi is found unresponsive at the scene of a school bus crash in the Ashanti Region. He is apnoeic. A triage officer opens his airway with a head-tilt chin-lift; he still does n…

Major Incidents and Mass Casualty · Hospital major incident response activation - call-in cascade + triage point setup ★ HY difficulty 3/5

A fuel tanker overturns on the Accra-Kumasi highway, triggering a multi-vehicle collision involving two intercity buses. Forty-three casualties are reported at the scene. The first ambulance crew on s…

Major Incidents and Mass Casualty · START triage - respiration, perfusion, mental status categories ★ HY difficulty 2/5

A 34-year-old man, Kwabena, is found at the scene of a building collapse at a construction site in Kumasi. The first responder applies START triage. Kwabena is not walking, has a respiratory rate of 2…

Maxillofacial Trauma · Airway priority in massive midface injury ★ HY difficulty 4/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye ED after a high-speed road traffic collision. He is unconscious (GCS 7), with massive midface swelling, blood pooling in the oropharynx, and gu…

Maxillofacial and Dental Emergencies · Dental avulsion — storage medium and reimplantation window ★ HY difficulty 2/5

Ama, a 9-year-old girl, is brought to the A&E of a regional hospital by her mother after falling from a mango tree and knocking out an upper front tooth. The avulsed tooth is a permanent upper central…

Maxillofacial and Dental Emergencies · Post-extraction haemorrhage - local haemostasis and anticoagulation management ★ HY difficulty 3/5

A 52-year-old man, Kofi, presents to Korle Bu A&E with persistent bleeding from the left lower molar socket following a tooth extraction performed 6 hours ago. He is on warfarin for atrial fibrillatio…

Maxillofacial and Dental Emergencies · Dental avulsion - reimplantation window and storage medium ★ HY difficulty 2/5

A 19-year-old student, Esi, presents to the A&E at a regional hospital in Tamale after being struck in the face during a football match 25 minutes ago. Her upper left central incisor was completely av…

Medicine: Cardiovascular · Acute coronary syndrome — inferior STEMI localisation and management ★ HY difficulty 3/5

Yaw, a 55-year-old hypertensive man, is brought to the casualty department at Cape Coast Teaching Hospital with a sudden-onset crushing central chest pain radiating to the left arm, associated with di…

Medicine: Cardiovascular · Acute pericarditis — first-line treatment ★ HY difficulty 3/5

Mr Quaye, a 30-year-old man, has had sharp central chest pain for 2 days that is worse lying flat and eased by sitting forward, following a sore throat. A pericardial rub is heard. Troponin is normal,…

Medicine: Infectious Diseases · Sepsis – Hour-1 Bundle management ★ HY difficulty 3/5

Akua, a 55-year-old market trader with known type 2 diabetes, is admitted to Korle Bu Teaching Hospital with a 2-day history of high fever, rigors and right-sided loin pain. On examination, she is con…