Kofi is a 28-year-old man with known sickle cell disease who arrives at the Komfo Anokye Emergency Department in a vaso-occlusive crisis. He rates his pain 9/10 in both legs and his lower back. He has…
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Afia, a 19-year-old woman, receives IV fentanyl 1.5 micrograms/kg for pain management following a femoral shaft fracture in the Korle Bu emergency centre. Five minutes later she becomes unresponsive w…
A 7-year-old boy, Kofi, is brought to the paediatric A&E at Komfo Anokye Teaching Hospital after a forearm fracture requiring closed reduction. He weighs 22 kg. You plan procedural sedation with ketam…
A 28-year-old woman, Akua, is brought to the Korle Bu Emergency Centre with a closed femur fracture following a road traffic collision. She is haemodynamically stable after fluid resuscitation. You pl…
A 45-year-old man is brought to the district hospital in the Brong-Ahafo Region after sustaining extensive burns to his upper limbs and chest (estimated 25% TBSA, partial thickness) from a cooking fir…
A 7-year-old boy, Kwame, is brought to the paediatric A&E at Komfo Anokye Teaching Hospital after a forearm fracture requiring manipulation. He is distressed but haemodynamically stable: HR 110, BP 98…
A 6-year-old boy, Kofi, is brought to the emergency centre at Komfo Anokye Teaching Hospital after sustaining a displaced mid-shaft forearm fracture during a fall from a mango tree. He is alert, cryin…
Akua, a 34-year-old woman, presents to the A&E at a regional hospital in the Ashanti Region with a dislocated right shoulder following a road traffic crash. She is otherwise healthy, has no known alle…
A 55-year-old man is brought to the Korle Bu Emergency Centre by his family after being found unresponsive at home. His daughter reports he has chronic lower back pain and collects his medications fro…
Akosua, a 34-year-old woman, undergoes propofol sedation for cardioversion of atrial flutter in the regional hospital A&E. Immediately after the 1.5 mg/kg IV propofol bolus, she becomes apnoeic. SpO2 …
Kwame, a 12-year-old boy, is brought to the district hospital A&E in Brong-Ahafo after sustaining a displaced forearm fracture during a football match. He weighs 30 kg. The attending physician decides…
A 38-year-old man, Mohammed, is brought to a regional hospital emergency department from the scene of a motor vehicle crash. He is haemodynamically unstable: BP 78/50 mmHg, HR 132 bpm, RR 28/min, SpO2…
A 34-year-old woman, Akosua, presents to a district hospital in Brong-Ahafo with moderate low back pain following a road traffic injury two days ago. She has no neurological deficits and plain X-ray s…
A 19-year-old student, Yaw, presents to a regional hospital ED at 11 PM with a closed midshaft femur fracture sustained in a motorcycle collision. He is haemodynamically stable: BP 124/78 mmHg, HR 98 …
Kwame, a 34-year-old man, is brought to the Tamale Teaching Hospital A&E following a high-speed road traffic collision. He is combative, has a Glasgow Coma Scale score of 9, and has blood and vomitus …
A 34-year-old man, Kwame, is brought to the Komfo Anokye ED resus bay after a high-speed road traffic collision on the Kumasi-Accra highway. He is combative, with a GCS of 9 (E2V3M4), suspected closed…
A 58-year-old woman, Akua, presents to a district hospital A&E in Brong-Ahafo with severe community-acquired pneumonia. Her SpO2 is 78% on room air and 84% on a 15 L/min non-rebreather mask. She is al…
Akua, a 28-year-old primigravida at 36 weeks gestation, presents to the Korle Bu Emergency Centre with a 2-hour history of severe headache, blurred vision, and three generalised tonic-clonic seizures.…
Ama, a 52-year-old woman, is brought to the Komfo Anokye Teaching Hospital Emergency Department in cardiac arrest following a witnessed collapse in the waiting area. She was intubated with a size 7.5 …
Akua, a 32-year-old G3P2 woman, delivers a live infant at a district hospital in the Upper West Region. Fifteen minutes after delivery, she develops heavy vaginal bleeding. Estimated blood loss is 700…
Kwabena, a 30-year-old carpenter, presents to a district hospital A&E in Northern Region after a crush injury to his right forearm from a falling timber beam two hours ago. His forearm is swollen, ten…
Ama, a 52-year-old teacher, is brought to the plaster room at Tamale Teaching Hospital after sustaining a Colles-type fracture of the right wrist following a fall on an outstretched hand. The fracture…
Kofi, a 48-year-old man with a history of chronic obstructive pulmonary disease, is brought to a regional hospital A&E in the Northern Region in severe respiratory distress. His trachea is deviated to…
Esi, a 22-year-old university student, presents to Komfo Anokye ED after a spontaneous left-sided pneumothorax confirmed on chest X-ray. The pneumothorax is large (>2 cm rim on CXR) and she is breathl…
Kofi, a 45-year-old teacher, presents to a district hospital in Brong-Ahafo with a 3-day history of progressive dyspnoea and right-sided pleuritic chest pain. Chest X-ray confirms a large right sponta…
A 34-year-old male farmer, Kwame, is brought to a district hospital A&E in Brong-Ahafo following a road traffic collision. He is in moderate respiratory distress with a respiratory rate of 28/min, oxy…
A 4-year-old boy, Yaw, is brought to the A&E of a district hospital in the Northern Region in status epilepticus. He has been seizing for 20 minutes and has no peripheral venous access after three att…
Akua, a 28-year-old woman, is brought to the A&E at Komfo Anokye Teaching Hospital by her sister after ingesting an unknown quantity of paracetamol tablets approximately 3 hours ago following an argum…
Kwame, a 52-year-old farmer, presents to the district hospital A&E in the Brong-Ahafo region brought by police after he was found standing on a bridge stating he wanted to jump. He has a history of al…
Akua, a 34-year-old teacher, is brought to the A&E at Komfo Anokye Teaching Hospital by her husband after he found her drowsy at home with an empty blister pack of paracetamol tablets nearby. She repo…