A 14-month-old boy, Kofi, is brought to a district hospital A&E in the Northern Region by his mother in December. He has had three days of coryzal symptoms followed by progressive wheeze and difficult…
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A 14-month-old girl, Akua, is brought to Korle Bu emergency centre with a 2-day history of worsening cough and difficulty breathing. On examination she is alert, has a respiratory rate of 58 breaths p…
A 5-year-old boy, Mensah, is seen at a district hospital in the Volta region. He has a 3-day history of cough, fever, and fast breathing. On examination, his respiratory rate is 56/minute, temperature…
A 2-year-old boy is brought to a regional hospital A&E after his older sibling witnessed him put a small toy part in his mouth. He had a sudden choking episode 30 minutes ago that has partially resolv…
A 4-year-old boy named Kwame is brought urgently to Komfo Anokye ED by his mother after suddenly choking during a meal of groundnuts 30 minutes ago. The coughing has now settled. On examination he is …
A 3-year-old girl, Yaa, is brought to a district hospital A&E in the Upper East region with a 2-day history of fever, cough, and fast breathing. Her temperature is 38.9°C, respiratory rate is 52/minut…
Fatima, a 24-year-old woman at 30 weeks gestation, presents to a district hospital A&E with severe right-sided loin pain radiating to the groin. Urinalysis shows microscopic haematuria. She is in sign…
Kofi, a 70-year-old man with chronic kidney disease, presents to a regional hospital A&E with a painful right hip fracture confirmed on plain X-ray. He weighs 60 kg. The doctor plans to give intraveno…
A 35-year-old man, Mohammed, presents to Korle Bu emergency centre following a road traffic collision. He has a closed mid-shaft femur fracture confirmed on X-ray, with a pain score of 9/10. IV access…
A 52-year-old woman, Adwoa, presents to the Komfo Anokye ED with severe low back pain rated 9/10 following a sudden onset while lifting at home. She has no neurological deficits and vital signs are no…
A 22-year-old man, Kofi, presents to the district hospital A&E in the Upper East Region with a 1-hour history of a painful, swollen right knee after a sports injury. He rates his pain as 6/10. He has …
A 60-year-old woman, Ama, is brought to the Korle Bu emergency centre with a painful, swollen right hip after a fall. X-ray confirms a right neck of femur fracture. Her pain is rated 7/10. She has a h…
A 7-year-old girl, Akua, is brought to the district hospital in Brong-Ahafo after sustaining a closed fracture of her right forearm in a fall. She is crying and holding her arm rigidly. The attending …
A 9-year-old boy named Kwame is brought to the district hospital A&E in Brong-Ahafo after sustaining a closed fracture of his right forearm following a fall from a mango tree. He is crying and unable …
A 50-year-old man, Kwabena, presents to the regional hospital A&E in Tamale with severe epigastric pain radiating to the back, rated 8/10. He has a known history of peptic ulcer disease and is current…
Yaw, a 28-year-old man, is brought to the Komfo Anokye ED with a dislocated right shoulder after a rugby tackle. His pain is 8/10 on the NRS and he is extremely anxious. The emergency physician plans …
A 40-year-old man, Kofi, requires procedural sedation in the Komfo Anokye ED for reduction of a dislocated right shoulder. He is haemodynamically stable, has been nil by mouth for 4 hours, and has no …
A 28-year-old woman, Ama, presents to the Korle Bu emergency centre with a 3-day history of low back pain following heavy lifting at work. She rates her pain as 5/10 on the NRS. She has no neurologica…
A 45-year-old man is brought to a district hospital A&E in the Volta Region after a fall from a palm tree. Primary survey is clear. The attending doctor examines the abdomen, which is soft, and clears…
Following a serious medication error in Komfo Anokye ED in which a patient received ten times the prescribed dose of morphine, the hospital management convenes a review. The review team examines the s…
After a night shift during which a medical officer at Komfo Anokye ED worked 18 consecutive hours, she makes an error calculating an IV morphine dose for a 60-year-old man, Mensah, with renal colic. S…
A 60-year-old woman, Akua, presents to a district hospital A&E in Northern Region with a two-day history of productive cough, fever of 38.9°C, and breathlessness. The attending doctor diagnoses commun…
Following the death of a 28-year-old woman, Afia, in the resus bay of a regional hospital A&E after a delayed diagnosis of ectopic pregnancy, the medical director convenes a formal review. The team is…
A 60-year-old woman, Yaa, is in the resus bay at Tamale Teaching Hospital ED with suspected septic shock. The registrar verbally orders 'ceftriaxone 2 grams IV' during a busy resus. The nurse asks the…
A 25-year-old woman, Esi, is brought to a district hospital A&E after a road traffic accident. The triage officer assesses her quickly and labels her as 'minor injuries' because she is walking and tal…
A nurse at a regional hospital A&E is about to administer IV potassium chloride 40 mmol to a 55-year-old man, Mohammed, with hypokalaemia. She has drawn up the solution and is ready to give it as a ra…
At a regional hospital A&E in the Northern Region, a nurse prepares to administer intravenous morphine 10 mg to a 70-year-old woman, Adwoa, who weighs 45 kg. The prescription was written hastily durin…
A 28-year-old woman, Abena, is brought to the Korle Bu emergency centre by relatives after a road traffic collision. She was assessed in the resus bay, her primary survey was clear, and she was moved …
A 32-year-old man, Kwabena, presents to a regional hospital A&E in Brong-Ahafo at 03:00 with a two-hour history of severe central chest pain radiating to the left arm. The ECG shows 3 mm ST elevation …
Akosua, a 32-year-old woman, presents to the Komfo Anokye ED with a 2-week history of worsening lower abdominal pain, fever, and vaginal discharge. She is sexually active and uses no contraception. On…