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3996 matches for “Ghana” — showing 1951–1980
Respiratory Emergencies · Magnesium sulphate dosing in asthma ★ HY difficulty 3/5

Yaw, a 41-year-old taxi driver, presents to a regional hospital ED with a severe asthma attack. He has received nebulised salbutamol 5 mg three times, nebulised ipratropium 0.5 mg twice, and IV hydroc…

Respiratory Emergencies · ARDSnet Lung-Protective Ventilation - 6 mL/kg Protocol ★ HY difficulty 3/5

A 35-year-old woman, Esi, with no prior medical history is admitted to the Komfo Anokye ED after five days of progressive dyspnoea following a severe pneumonia. She is intubated and mechanically venti…

Respiratory Emergencies · Life-threatening asthma - magnesium sulphate ★ HY difficulty 3/5

Kofi, a 35-year-old man with known asthma, presents to a regional hospital A&E. He is sitting upright, unable to speak in full sentences, RR 30/min, HR 122 bpm, SpO2 91% on 6 L/min oxygen via face mas…

Respiratory Emergencies · Capnogram morphology in airway obstruction ★ HY difficulty 3/5

A 9-year-old boy, Kofi, is brought to a district hospital in Brong-Ahafo by his parents. He has a known history of asthma and has had worsening wheeze and breathlessness for 6 hours, not responding to…

Respiratory Emergencies · COPD exacerbation - NIV in type 2 respiratory failure ★ HY difficulty 3/5

Kofi, a 61-year-old man with a 40 pack-year smoking history and known COPD (on home salbutamol and ipratropium inhalers), is brought to the regional hospital A&E in Brong-Ahafo by relatives after two …

Respiratory Emergencies · NIV Indications - Cardiogenic Pulmonary Oedema ★ HY difficulty 2/5

A 67-year-old man, Mensah, is brought to a regional hospital A&E in the Northern Region after being found confused at home. He has a history of congestive cardiac failure managed with frusemide and ca…

Respiratory Emergencies · Escalation to NIV after failed initial therapy ★ HY difficulty 3/5

Yaw, a 63-year-old man with COPD, is brought to Korle Bu emergency centre by relatives. He is alert and distressed, RR 30/min, SpO2 78% on air, HR 118/min, BP 142/88 mmHg. He is commenced on 28% Ventu…

Respiratory Emergencies · Acute severe asthma - magnesium sulphate in resource-limited settings ★ HY difficulty 3/5

A 55-year-old woman is brought to a district hospital in Brong-Ahafo by her family with acute severe asthma. She has received salbutamol nebulisation and IV hydrocortisone 200 mg. Forty minutes later …

Respiratory Emergencies · Age-Adjusted D-Dimer ★ HY difficulty 3/5

A 72-year-old man, Yaw, attends the regional hospital A&E in Tamale with exertional dyspnoea for three days. His Wells score is calculated as 2 (low probability). D-dimer returns at 580 micrograms/L a…

Respiratory Emergencies · Prone Positioning Evidence - PROSEVA Trial ★ HY difficulty 4/5

A 52-year-old man, Yaw, is mechanically ventilated in the Korle Bu ICU for severe ARDS secondary to Gram-negative pneumonia. He is on volume-control ventilation: Vt 6 mL/kg PBW (336 mL), RR 22 breaths…

Respiratory Emergencies · Secondary spontaneous pneumothorax in COPD ★ HY difficulty 3/5

Abena, a 58-year-old woman with a 15-year history of severe COPD (on home salbutamol and beclomethasone inhalers), is brought to the emergency centre at Korle Bu Teaching Hospital by her family with a…

Respiratory Emergencies · Lung-protective ventilation and prone positioning in severe ARDS ★ HY difficulty 4/5

Mohammed, a 36-year-old man with no prior medical history, is admitted to the Korle Bu emergency centre following 7 days of worsening dyspnoea and bilateral leg swelling after a severe pneumonia. He h…

Resuscitation · Mean arterial pressure goal and haemodynamic support ★ HY difficulty 4/5

Yaw, a 61-year-old hypertensive man, is admitted to the Korle Bu ICU following ROSC after 24 minutes of CPR for out-of-hospital VF arrest. He is intubated, sedated, and undergoing targeted temperature…

Resuscitation · ALS-TOR rule criteria ★ HY difficulty 2/5

A 72-year-old farmer, Joseph, from a rural district in the Volta Region is brought to the regional hospital ED after being found unresponsive in his field. The time of collapse is unknown. No bystande…

Resuscitation · Shockable rhythm — VF management ★ HY difficulty 2/5

A 58-year-old man, Kofi, collapses in the waiting area of the Komfo Anokye Teaching Hospital emergency department. Bystander CPR is initiated immediately. On assessment by the resuscitation team, he h…

Resuscitation · TTM rewarming rate ★ HY difficulty 3/5

Mohammed, a 52-year-old schoolteacher, was resuscitated from a pulseless electrical activity (PEA) cardiac arrest at the Korle Bu emergency centre. He required 22 minutes of CPR before ROSC. His initi…

Resuscitation · Post-arrest ventilation targets ★ HY difficulty 3/5

Aisha, a 44-year-old woman, is admitted to the Komfo Anokye ED after in-hospital cardiac arrest secondary to massive pulmonary embolism. She achieved ROSC after 12 minutes of CPR. She is intubated and…

Resuscitation · Post-TTM neurological prognostication timing ★ HY difficulty 4/5

Akosua, a 67-year-old retired teacher, is admitted to the Korle Bu ICU following successful resuscitation from a witnessed out-of-hospital VF arrest. She completed 24 hours of TTM at 33°C and was rewa…

Resuscitation · Acute complete airway obstruction — infant management ★ HY difficulty 3/5

A 14-month-old boy named Kwame is carried into Komfo Anokye ED by his father. The father reports the child was eating at the dinner table when he suddenly gagged, turned blue, and became limp. On arri…

Resuscitation · Oxygenation and ventilation targets ★ HY difficulty 3/5

A 38-year-old woman, Abena, is admitted to the Komfo Anokye ED resuscitation bay after cardiac arrest secondary to severe asthma. ROSC was achieved after 12 minutes. She is intubated and sedated. Vita…

Resuscitation · Shock-refractory VF — amiodarone vs lignocaine ★ HY difficulty 3/5

A 27-year-old man, Mohammed, collapses in the waiting area of the Korle Bu emergency centre while accompanying a relative. Bystanders call for help immediately. On arrival of the team, he is unrespons…

Resuscitation · CPR utility and prognostication with ETCO2 ★ HY difficulty 3/5

A 58-year-old woman, Adwoa, collapses in the outpatient waiting area of the Komfo Anokye Teaching Hospital ED. CPR is initiated immediately. She is intubated after 2 minutes. High-quality chest compre…

Resuscitation · RUSH protocol — distinguishing shock categories ★ HY difficulty 3/5

A 58-year-old man, Kwame, is brought to the Korle Bu emergency centre by family after collapsing at home. He has a history of hypertension and type 2 diabetes. On arrival: BP 78/50 mmHg, HR 118 bpm, R…

Resuscitation · ECPR selection criteria — low-flow time ★ HY difficulty 3/5

The Komfo Anokye Teaching Hospital emergency department is developing an ECPR protocol. The team is debating the maximum acceptable 'low-flow time' (duration of CPR before ECPR initiation) beyond whic…

Resuscitation · ECPR contraindications — no-flow time ★ HY difficulty 3/5

A 55-year-old man is brought by family to a regional hospital emergency department in the Ashanti Region after collapsing at home. His wife reports she found him unresponsive at the kitchen table — sh…

Resuscitation · Neurological prognostication at 72 hours ★ HY difficulty 4/5

A 67-year-old woman, Adwoa, is admitted to the Korle Bu neuro-ICU following out-of-hospital cardiac arrest of unknown duration. She remains comatose at 72 hours post-ROSC. She has completed TTM at 36°…

Resuscitation · Neuroprognostication timing and multimodal assessment ★ HY difficulty 4/5

Fatima, a 47-year-old woman with no known comorbidities, is admitted to the Korle Bu Emergency Centre following resuscitation from an out-of-hospital cardiac arrest. She achieved ROSC after 8 minutes …

Resuscitation · TTM cooling methods in resource-limited settings ★ HY difficulty 3/5

Yaw, a 63-year-old man with known hypertension and type 2 diabetes, presents to a regional hospital emergency department in Ashanti Region after witnessed cardiac arrest at a community football event.…

Resuscitation · Post-arrest glycaemic control ★ HY difficulty 3/5

Joseph, a 62-year-old man with known type 2 diabetes, is in the Korle Bu emergency centre 4 hours after ROSC from a witnessed ventricular fibrillation arrest. He is intubated, haemodynamically stable …

Resuscitation · Reversible causes — hyperkalaemia in cardiac arrest ★ HY difficulty 3/5

At Korle Bu Teaching Hospital, the resuscitation team is managing a 65-year-old woman, Yaa, who is in cardiac arrest following a witnessed collapse. She has chronic kidney disease stage 4 and missed h…