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2131 matches for “Ghana” — showing 1681–1710
Local Anaesthesia · Buffering to reduce injection pain difficulty 2/5

Mohammed, a 55-year-old man, is seen in the Komfo Anokye ED for suturing of a 6 cm scalp laceration after a road traffic collision. He is alert and cooperative. BP 138/88 mmHg, HR 96 bpm. The registra…

Major Incidents and Mass Casualty · JESIP principles - joint command and interoperability difficulty 3/5

A stampede at a music festival in Accra injures 60 people. NADMO has activated a multi-agency response involving Ghana Police Service, Ghana National Fire Service, and Ghana Red Cross. The scene comma…

Major Incidents and Mass Casualty · SALT triage - sort, assess, lifesaving interventions, treatment categories difficulty 4/5

A gas cylinder explosion at a market in Tamale injures 35 people. The Medical Incident Commander at scene uses the SALT triage method. A 45-year-old man, Yaw, is found with a penetrating abdominal wou…

Major Incidents and Mass Casualty · START triage - red category criteria including perfusion and mental status difficulty 3/5

A 7-year-old girl, Akua, is brought to the triage point following a coach crash on the Accra-Kumasi road. She is not walking. On assessment, she has no spontaneous respirations; the first aider reposi…

Major Incidents and Mass Casualty · JESIP principles - joint emergency services interoperability and on-scene command coordination difficulty 4/5

A building collapse in Tamale following heavy rains traps multiple construction workers. Ghana Fire Service, Ghana Police Service, and ambulance crews from Tamale Teaching Hospital are all on scene si…

Major Incidents and Mass Casualty · JESIP principles - M/ETHANE structured scene communication difficulty 2/5

A major road traffic collision on the Cape Coast highway involves two commercial buses and a petrol tanker. Sixty-two casualties are reported. The first structured communication from the scene to Komf…

Mass Casualty / Disaster Medicine · START algorithm — apnoeic patient categorisation difficulty 2/5

A fuel tanker overturns on the Accra–Kumasi highway near Nkawkaw, exploding and engulfing three minibuses. Police count approximately 55 casualties scattered across 200 metres of road. A team of two d…

Mass Casualty / Disaster Medicine · SALT triage framework — principles and comparison with START difficulty 3/5

A ferry capsizes on the Volta Lake near Yeji. NADMO (National Disaster Management Organisation) activates a regional response. The Brong-Ahafo Regional Hospital ED medical director is designated as th…

Mass Casualty / Disaster Medicine · JumpSTART paediatric triage — apnoeic child with palpable pulse difficulty 3/5

A building collapse occurs at a construction site in Tamale. The Tamale Teaching Hospital emergency centre activates its mass casualty plan. Among the 40 casualties brought in over 90 minutes, a 9-yea…

Mass Casualty / Disaster Medicine · Role of emergency physician as medical command officer in hospital mass casualty response difficulty 4/5

A road traffic crash involving a loaded commercial bus occurs on the N10 highway near Techiman. Forty-one people are injured; 8 are dead at scene. NADMO activates the district mass casualty response a…

Maxillofacial Trauma · Traumatic hyphaema difficulty 2/5

Abena, a 17-year-old girl, presents to Komfo Anokye ED after a football struck her directly in the right eye. She complains of eye pain and haematopsia (blood in vision). Visual acuity is 6/24 on the …

Maxillofacial Trauma · Open globe injury difficulty 4/5

A 19-year-old woman, Abena, is brought to the Komfo Anokye ED after being involved in a road traffic collision. She was a pedestrian struck by a vehicle. She is alert with GCS 15. Vital signs: BP 110/…

Maxillofacial Trauma · Airway priority in midface trauma difficulty 2/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye ED following a high-speed road traffic collision. He was an unrestrained passenger. On arrival he is unconscious with a GCS of 7 (E2V2M3). Vita…

Maxillofacial Trauma · C-spine clearance in maxillofacial trauma difficulty 3/5

A 55-year-old man is referred from a district hospital in Brong-Ahafo to a regional hospital ED after a vehicle rollover. He has been placed in a cervical collar. He is alert, GCS 15. He has obvious m…

Maxillofacial Trauma · Mandibular fractures and airway risk difficulty 3/5

A 22-year-old man, Yaw, presents to a regional hospital ED after being assaulted outside a nightclub. He was punched on the left jaw. He now reports pain on opening his mouth and bite feels 'off'. On …

Maxillofacial Trauma · Le Fort fracture classification difficulty 3/5

A 35-year-old woman, Afia, is referred from a district hospital to the Korle Bu emergency centre following an assault. She was struck across the face with a wooden plank. On examination: BP 124/78 mmH…

Maxillofacial and Dental Emergencies · TMJ dislocation — reduction technique and disposition difficulty 4/5

Akosua, a 28-year-old woman, presents to Korle Bu Teaching Hospital A&E with inability to close her mouth after yawning widely. She is distressed, drooling, and her jaw is locked in an open position. …

Maxillofacial and Dental Emergencies · Dental fracture classification - Ellis II management difficulty 3/5

A 9-year-old boy, Yaw, is brought to the A&E at a regional hospital by his mother after falling off his bicycle and hitting his face on the ground. His upper right central incisor is chipped. On exami…

Maxillofacial and Dental Emergencies · Mandibular fracture - disposition and referral difficulty 2/5

A 22-year-old man, Mohammed, is brought to the A&E at Tamale Teaching Hospital following an assault. He has pain and swelling over the left angle of the mandible, trismus, and malocclusion. Orthopanto…

Maxillofacial and Dental Emergencies · Post-extraction haemorrhage — stepwise local management difficulty 3/5

Yaw, a 52-year-old market trader, presents to Tamale Teaching Hospital A&E with persistent bleeding from a lower right molar socket, three hours after tooth extraction at a community dental clinic. He…

Mental Capacity and Ethics · Capacity for specific treatment decision — not global difficulty 4/5

Adwoa is a 35-year-old nurse admitted to the Komfo Anokye ED with a two-day history of fever, headache, and photophobia. She is febrile at 38.9°C, BP 104/68 mmHg, HR 108 bpm, RR 22/min, SpO2 97%. She …

Mental Capacity and Ethics · Ghana Mental Health Authority sectioning and the weigh-and-use limb difficulty 4/5

Ama is a 45-year-old market trader brought to the Korle Bu emergency centre by her daughter. She has a known diagnosis of bipolar affective disorder, currently on lithium. She was found acting bizarre…

Mental Capacity and Ethics · Lasting power of attorney recognition and proxy decision-making difficulty 4/5

Kofi is a 72-year-old retired teacher with known vascular dementia, brought to the Komfo Anokye ED by his daughter. He requires an urgent right below-knee amputation for wet gangrene with systemic sep…

Mental Capacity and Ethics · Capacity and autonomy in obstetric emergencies difficulty 4/5

A 30-year-old woman, Fatima, presents to a district hospital ED in the Upper East Region at 36 weeks gestation with severe headache, visual disturbance, and BP 170/115 mmHg. She is conscious and commu…

Musculoskeletal Emergencies · Posterior shoulder dislocation — seizure association difficulty 3/5

Aisha, a 22-year-old woman with known generalised epilepsy, is brought to a regional hospital ED by her family after a witnessed tonic-clonic seizure lasting approximately 3 minutes. She is now post-i…

Musculoskeletal Emergencies · Anterior shoulder dislocation — reduction techniques difficulty 2/5

Kwame, a 28-year-old footballer, is brought to the Komfo Anokye ED after a collision on the pitch. He is holding his right arm in slight abduction and external rotation, unable to adduct it. He is in …

Musculoskeletal Emergencies · Washout urgency and empiric antibiotics at district level difficulty 3/5

A 19-year-old man named Kofi presents to a district hospital in the Upper East Region with a 2-day history of severe pain and swelling in his right knee after a minor football injury. Temperature is 3…

Musculoskeletal Emergencies · Hip dislocation — prosthetic vs native, reduction urgency difficulty 4/5

Mr Joseph Agyemang, a 72-year-old man with a history of right total hip replacement 2 years ago, is referred from a district hospital in Brong-Ahafo to the Komfo Anokye ED after a fall from a chair. H…

Musculoskeletal Emergencies · Patellar dislocation — acute management difficulty 3/5

Adwoa, a 19-year-old student, attends the Korle Bu emergency centre after twisting her left knee while dancing. She describes her kneecap 'going to the outside' and then relocating spontaneously befor…

Musculoskeletal Emergencies · Sickle cell osteomyelitis and Salmonella difficulty 4/5

A 35-year-old man known to have sickle cell disease (HbSS) is referred from a district hospital in the Northern Region to the Tamale Teaching Hospital ED with a 10-day history of progressive right mid…