A 72-year-old man, Mensah, presents to the Komfo Anokye ED with a 12-hour history of severe mid-back pain. He has a history of hypertension and hyperlipidaemia. He is haemodynamically stable with a bl…
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A 62-year-old woman, Adwoa, presents to a regional hospital A&E in the Ashanti Region with a 3-hour history of severe, sudden-onset chest pain radiating to her back. She has known hypertension and is …
A 58-year-old man, Kwame, is brought by relatives to the Korle Bu emergency centre after developing sudden-onset, tearing chest pain radiating to his interscapular region 2 hours ago. He has a 15-year…
A 28-year-old man, Kwame, is brought by family to the emergency centre at Komfo Anokye Teaching Hospital after a road traffic crash. He was an unrestrained front-seat passenger. On arrival he is in mo…
A 19-year-old man, Kofi, arrives at a district hospital in the Northern Region after sustaining a stab wound to the left anterior chest in the 4th intercostal space, mid-clavicular line. He is anxious…
A 35-year-old woman, Afia, is brought to the regional hospital emergency department after a high-speed road traffic crash in which her vehicle rolled over. On primary survey: airway patent, GCS 15. Vi…
A 52-year-old man, Joseph, presents to the Korle Bu emergency centre after a head-on road traffic collision. He was a restrained driver. He complains of anterior chest pain and mild shortness of breat…
A 38-year-old man, Kwame, is admitted to the Komfo Anokye ED following 5 days of worsening pneumonia. He is intubated for respiratory failure and placed on mechanical ventilation. His height is 175 cm…
Akosua, a 34-year-old woman, presents to Korle Bu emergency centre with rigors, right loin pain, and vomiting for 18 hours. Vitals: temp 39.4°C, HR 124 bpm, BP 96/60 mmHg, RR 22/min, SpO2 97% on air. …
A 67-year-old man is in the resus bay at Komfo Anokye ED with septic shock secondary to a perforated sigmoid colon. He has received 2.5 litres of Hartmann's solution over 90 minutes. Current vitals: B…
A 72-year-old man, Joseph, is in the Korle Bu resus bay with septic shock from a presumed urinary source. He has received 30 mL/kg IV crystalloid and noradrenaline is running at 0.25 mcg/kg/min. His M…
A 58-year-old man, Kofi, is admitted to the ED-ICU at Komfo Anokye Teaching Hospital following emergency laparotomy for perforated peptic ulcer. He is mechanically ventilated, haemodynamically stable …
Adwoa, a 67-year-old woman with known hypertension, is in the resus bay at Korle Bu emergency centre with septic shock from a suspected biliary source. She has received 2 litres of IV Hartmann's solut…
Mohammed, a 44-year-old farmer, is admitted to a regional hospital ED in Northern Ghana with bilateral pneumonia, respiratory failure, and new ARDS (PaO2/FiO2 ratio 118). He has been intubated and pla…
A 44-year-old woman, Abena, has been in the ED-ICU at Korle Bu Emergency Centre for 5 days following severe community-acquired pneumonia requiring mechanical ventilation. She is on fentanyl 50 mcg/hr …
Kofi, a 34-year-old man, presents to a regional hospital A&E with fever, productive cough, and hypotension for 6 hours. Vitals: temp 39.2°C, HR 122 bpm, BP 82/50 mmHg, RR 28/min, SpO₂ 91% on air. CXR …
A 58-year-old woman, Akosua, is brought to the Komfo Anokye ED by relatives with a 2-day history of fever, rigors, and confusion. She has a urinary catheter in situ. Vitals: temp 38.9°C, HR 118 bpm, B…
A 52-year-old man, Kwame, is brought to the Komfo Anokye ED by family after three days of fever, rigors, and confusion. He has no known comorbidities. On arrival: BP 74/40 mmHg, HR 118 bpm, RR 26/min,…
Ama, a 34-year-old primigravida at 36 weeks gestation, is admitted to the regional hospital ED in Tamale with severe pre-eclampsia that has evolved to eclampsia with three tonic-clonic seizures. She i…
A 45-year-old man, Yaw, presents to the Tamale Teaching Hospital ED with 3 days of right thigh pain, swelling, and fever. He is confused. Vitals: temp 39.8°C, HR 136 bpm, BP 80/44 mmHg, RR 30/min. Exa…
A 72-year-old woman, Yaa, is in the ED-ICU at Korle Bu following admission for community-acquired pneumonia. She is on low-flow oxygen (4 L/min nasal cannula, SpO2 92%), not intubated, and receiving I…
Kofi, a 62-year-old man with known type 2 diabetes, is admitted to the Komfo Anokye Teaching Hospital ICU following a severe ischaemic stroke with reduced GCS (E2V2M4). He is intubated for airway prot…
A 38-year-old woman, Afia, is being weaned from mechanical ventilation in the ED-ICU at Komfo Anokye Teaching Hospital after a 4-day course for ARDS secondary to severe falciparum malaria. She is haem…
A 71-year-old man, Kofi, with known heart failure (ejection fraction 30%) and diabetes is brought to the regional hospital ED with a three-day history of productive cough, confusion, and reduced urine…
A 58-year-old man, Kwame, is brought to the regional hospital A&E by relatives after two days of productive cough and confusion. Vitals: temp 38.9°C, HR 118 bpm, BP 88/54 mmHg, RR 26/min, SpO2 90% on …
Kofi, a 62-year-old man with hypertension and chronic kidney disease stage 3, is admitted to the Korle Bu emergency centre with suspected gram-negative bacteraemia following an infected diabetic foot …
Ama, a 34-year-old woman, is brought to a district hospital in Brong-Ahafo by her family. She delivered a baby 48 hours ago at home and has developed high fever, rigors, and lower abdominal pain. On e…
Akua, a 45-year-old woman with type 2 diabetes, presents to a regional hospital A&E in the Ashanti Region with two days of dysuria, rigors, and right flank pain. She is febrile at 39.4°C, hypotensive …
A 58-year-old man, Kwame, is brought to the Komfo Anokye ED by relatives after three days of productive cough, fever, and progressive confusion. On arrival, he is disoriented, tachypnoeic at 28 breath…
A 38-year-old woman, Akosua, is intubated in the Korle Bu emergency centre for severe community-acquired pneumonia that has evolved into ARDS. She is on volume-controlled ventilation with FiO2 1.0, PE…