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1466 matches for “Mahadevan” — showing 151–180
Approach to the emergency patient · ABCDE primary survey — Airway first ★ HY difficulty 1/5

A 45-year-old man named Kwame is brought to the district hospital A&E in Brong-Ahafo by bystanders after being found unresponsive on the roadside. He does not respond to voice or painful stimuli. His …

Approach to the emergency patient · Primary survey — Airway priority in trauma ★ HY difficulty 2/5

A 22-year-old man, Mohammed, is brought to a regional hospital A&E in the Upper East Region after a motorcycle collision. He is unconscious with noisy, gurgling respirations. There is a large scalp la…

Approach to the emergency patient · Recognising the sick patient at a glance — toxic appearance and abnormal vitals ★ HY difficulty 2/5

A 60-year-old man, Mensah, is brought to a district hospital A&E in the Northern Region by his family. He is slumped in the wheelchair, barely arousable, with mottled skin, laboured breathing at 28 br…

Approach to the emergency patient · Triage categories — assigning priority ★ HY difficulty 2/5

A 58-year-old man named Kwame walks into the A&E of a district hospital in Brong-Ahafo complaining of mild chest discomfort that started two hours ago. He is fully conscious, speaking in full sentence…

Approach to the emergency patient · Recognising the sick patient at a glance — toxic appearance, abnormal vitals, altered consciousness ★ HY difficulty 2/5

A 55-year-old woman, Adwoa, is brought to the Korle Bu emergency centre by her daughter. The daughter reports her mother became confused and 'looked very unwell' about an hour ago. On first glance, Ad…

Approach to the emergency patient · Primary survey — Airway first ★ HY difficulty 1/5

A 34-year-old woman is brought to the regional hospital A&E by relatives after a road traffic accident. She is unresponsive, her airway appears obstructed with gurgling sounds, and her radial pulse is…

Approach to the emergency patient · Primary survey ABCDE sequence — Airway first ★ HY difficulty 1/5

A 45-year-old man, Kwame, is brought to the A&E of a district hospital in Brong-Ahafo by bystanders after being found collapsed on the roadside. He is unresponsive, making no spontaneous movements, an…

Approach to the emergency patient · When to call for help — cardiac arrest and immediate BLS ★ HY difficulty 1/5

A 40-year-old man, Kwabena, is brought to Korle Bu Emergency Centre by colleagues after collapsing at work. He is unresponsive, with no spontaneous breathing and no palpable carotid pulse. You are the…

Approach to the emergency patient · Triage categories — RED vs BLACK ★ HY difficulty 2/5

Four patients arrive simultaneously at the regional hospital A&E in Kumasi following a road traffic collision. Patient 1 (Yaa, 30 years) has a closed femur fracture, is in pain, but is talking and has…

Approach to the emergency patient · History versus physical priority in the unwell patient ★ HY difficulty 2/5

A 72-year-old woman named Adwoa is brought to Korle Bu Emergency Centre by her family. She is confused, febrile at 39.4°C, with a blood pressure of 82/50 mmHg and a heart rate of 118 bpm. Her family r…

Approach to the emergency patient · Immediate stabilisation priorities before history-taking ★ HY difficulty 2/5

A 50-year-old woman, Yaa, is seen in the A&E of a district hospital in the Volta Region. She is alert and complaining of chest pain. Her blood pressure is 90/60 mmHg, pulse 118 bpm and weak, respirato…

Approach to the emergency patient · When to call senior immediately ★ HY difficulty 3/5

A 45-year-old man is assessed in the A&E of a regional hospital. He is conscious and coherent, with a BP of 160/100 mmHg, HR 88 bpm, and no acute distress. The junior doctor has completed a thorough h…

Approach to the emergency patient · Primary survey ABCDE sequence — airway first ★ HY difficulty 1/5

A 34-year-old man, Kwame, is brought to the district hospital A&E in Brong-Ahafo by bystanders after being found unresponsive on the roadside. He does not respond to voice or painful stimuli. His brea…

Bleeding — general approach · TXA within 3 hours of traumatic bleeding — CRASH-2 ★ HY difficulty 2/5

Kofi, a 45-year-old man, is brought to a regional hospital A&E 90 minutes after being stabbed in the left thigh. He is alert but pale, with a blood pressure of 96/60 mmHg and heart rate of 118 beats/m…

Bleeding — general approach · Occult haemorrhage — sites of blood loss ★ HY difficulty 2/5

A 34-year-old man, Kwame, is brought to the A&E of a district hospital in Brong-Ahafo following a road traffic accident. He is confused and agitated. On examination, his blood pressure is 80/50 mmHg, …

Bleeding — general approach · Sites of occult blood loss - pelvis ★ HY difficulty 2/5

A 28-year-old woman, Akua, is brought to the district hospital A&E in Brong-Ahafo following a motorbike accident. She has a blood pressure of 90/60 mmHg, heart rate of 118 beats/min, and is anxious bu…

Bleeding — general approach · TXA 1 g IV within 3 hours of bleeding trauma (CRASH-2) ★ HY difficulty 2/5

A 38-year-old man, Mensah, is brought to the Komfo Anokye ED 2 hours after sustaining multiple stab wounds to the abdomen and thigh. He has received 1 litre of IV crystalloid in the field. On arrival,…

Bleeding — general approach · Major haemorrhage recognition — haemodynamic instability ★ HY difficulty 1/5

A 34-year-old man, Kwame, is brought to the A&E of a regional hospital in Ashanti Region after a road traffic collision. He is agitated and confused. His blood pressure is 80/50 mmHg, pulse 128 beats/…

Bleeding — general approach · Massive transfusion protocol activation ★ HY difficulty 2/5

A 45-year-old man, Kofi, is brought to a district hospital in Brong-Ahafo after being struck by a vehicle. His abdomen is distended and rigid on palpation. His BP is 85/55 mmHg, pulse 130 beats/min, a…

Bleeding — general approach · Reversing anticoagulants — warfarin (vitamin K + PCC) ★ HY difficulty 2/5

A 65-year-old woman, Abena, on long-term warfarin for atrial fibrillation presents to a district hospital A&E with sudden-onset severe headache and confusion. Her INR is reported as 7.2. A CT scan is …

Bleeding — general approach · TXA 3-hour window — CRASH-2 contraindication beyond 3 hours ★ HY difficulty 2/5

Yaa, a 30-year-old woman, is brought to Korle Bu emergency centre after a motorbike accident 4 hours ago. She has a 10 cm laceration on her right thigh with ongoing oozing. Her blood pressure is 105/7…

Bleeding — general approach · Massive transfusion protocol activation criteria ★ HY difficulty 2/5

A 55-year-old man, Mensah, is brought to the Korle Bu emergency centre after a high-speed road traffic collision. His blood pressure is 75/45 mmHg and heart rate is 140 beats/min despite 1.5 litres of…

Bleeding — general approach · Sites of occult blood loss - chest ★ HY difficulty 2/5

A 45-year-old man, Kofi, presents to the Komfo Anokye ED in Kumasi after a stab wound to the left chest. His blood pressure is 70/40 mmHg, heart rate is 136 beats/min, and his trachea is central. On a…

Bleeding — general approach · Reversing anticoagulants — warfarin with PCC and vitamin K ★ HY difficulty 2/5

Yaw, a 60-year-old man on warfarin for atrial fibrillation, presents to the A&E of Korle Bu emergency centre with sudden severe headache and right-sided weakness. His blood pressure is 190/110 mmHg an…

Bleeding — general approach · Tranexamic acid in traumatic haemorrhage ★ HY difficulty 1/5

A 32-year-old woman, Ama, is brought to the regional hospital A&E in Tamale after a road traffic collision 90 minutes ago. She has a blood pressure of 95/65 mmHg, heart rate of 112 beats/min, and is b…

Bleeding — general approach · TXA early window (3h trauma) and massive transfusion trigger ★ HY difficulty 2/5

A 28-year-old man, Kwame, is brought to the regional hospital A&E by relatives after a road traffic collision on the Accra–Kumasi highway. He is agitated and tachypnoeic. His vital signs are: BP 88/60…

Bleeding — general approach · Sites of occult blood loss — pelvis ★ HY difficulty 2/5

A 25-year-old woman, Akua, is brought to a regional hospital A&E after a high-speed road traffic collision. She has lower abdominal tenderness and pelvic instability on compression. Her BP is 78/50 mm…

Bleeding — general approach · Haemorrhagic shock recognition - occult blood loss ★ HY difficulty 2/5

A 34-year-old man, Kwame, is brought to the regional hospital A&E in Kumasi after a road traffic collision. He is confused, his blood pressure is 80/50 mmHg, heart rate is 128 beats/min, and respirato…

Bleeding — general approach · Reversing warfarin anticoagulation in life-threatening haemorrhage ★ HY difficulty 2/5

A 68-year-old man, Joseph, on long-term warfarin for atrial fibrillation presents to the district hospital A&E with a 2-hour history of heavy rectal bleeding. His blood pressure is 85/55 mmHg and hear…

Bleeding — general approach · Massive transfusion protocol activation ★ HY difficulty 2/5

Ama, a 28-year-old woman, is brought to Komfo Anokye ED following a motorbike collision. She has a blood pressure of 74/40 mmHg, heart rate of 136 beats/min, and is responding only to voice. Bedside F…