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2131 matches for “Ghana” — showing 2011–2040
Toxicology - Toxidromes · Sympathomimetic toxidrome: mechanism and differentiation from anticholinergic difficulty 3/5

Yaw, a 26-year-old unemployed man in Accra, is brought to the Korle Bu emergency centre by friends at 02:15 after being found collapsed at a party. His friends admit he had been using 'ice' (crystal m…

Trauma · Tension pneumothorax recognition and immediate management difficulty 2/5

A 34-year-old man is brought to a district hospital in the Upper West Region by motorcycle ambulance after a high-speed road traffic collision. He was a front-seat passenger; airbags were absent. He i…

Trauma · REBOA - zone selection for pelvic haemorrhage difficulty 4/5

A 42-year-old man, Yaw, arrives at the Korle Bu Emergency Centre after a high-speed road traffic collision. He is haemodynamically unstable: BP 70/40 mmHg despite 2 litres of crystalloid and 2 units o…

Trauma · Open-book pelvic fracture and pelvic binder application difficulty 3/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye ED after being struck by a loaded cargo truck while riding a motorbike. He was helmeted. On arrival: BP 88/60 mmHg, HR 128 bpm, RR 24/min, SpO2…

Trauma · TBI - Decompressive Craniectomy Evidence difficulty 4/5

Yaw, a 28-year-old farmer, is transferred from a district hospital in Northern Region to Tamale Teaching Hospital after sustaining severe TBI in a motorcycle collision. On arrival his GCS is 5 (E1V1M3…

Trauma · Blunt cardiac injury — myocardial contusion difficulty 3/5

A 28-year-old man, Kofi, is brought to the Korle Bu emergency centre following a road traffic collision in which he was a motorcyclist who collided with a heavy goods vehicle. He has no loss of consci…

Trauma · Haemothorax — thoracotomy thresholds difficulty 3/5

A 34-year-old man, Kwame, is brought to the Komfo Anokye ED after a high-speed road traffic collision on the Kumasi-Accra highway. He was a restrained front-seat passenger. On arrival: BP 88/60 mmHg, …

Trauma · Splenic Injury - AAST grading and management difficulty 4/5

Ama, a 34-year-old woman, is referred from a district hospital in the Volta Region to Korle Bu emergency centre following a pedestrian-versus-vehicle collision three hours earlier. She was initially h…

Trauma · Log-roll technique difficulty 2/5

A 52-year-old farmer, Kofi, is brought to a district hospital in Brong-Ahafo Region after falling approximately 3 metres from a cocoa tree. He landed on his back. He is conscious, GCS 15, and complain…

Trauma · Traumatic brain injury triage difficulty 4/5

Kofi, a 19-year-old student, is brought to the Korle Bu emergency centre after falling from the second floor of a building during a graduation celebration. Witnesses report a brief loss of consciousne…

Trauma · Massive haemothorax - diagnostic thresholds and surgical criteria difficulty 3/5

A 45-year-old woman, Akua, is referred from a district hospital in Brong-Ahafo to Komfo Anokye Teaching Hospital following a blunt chest injury sustained when she was struck by a falling palm tree. Sh…

Trauma · Flail chest — pulmonary contusion pathophysiology difficulty 4/5

A 52-year-old woman, Adwoa, is brought to a regional hospital ED after being struck in the chest by a falling timber log at a construction site in the Western Region. She is conscious but in severe re…

Trauma · Irrigation and debridement timing difficulty 3/5

Yaw, a 52-year-old cocoa farmer, is referred from a district hospital to the regional hospital ED in Ashanti Region. He sustained an open tibial fracture six hours ago when a tractor rolled over his l…

Trauma · Seat-belt sign and bowel/mesenteric injury difficulty 4/5

Adwoa, a 42-year-old market trader, is brought to the Korle Bu emergency centre 6 hours after a road traffic collision in which she was a front-seat passenger wearing a lap-only seatbelt. She initiall…

Trauma · REBOA - zone selection and indication difficulty 4/5

A 41-year-old woman, Akosua, arrives at the Korle Bu emergency centre by ambulance following a high-speed road traffic collision. She is unresponsive, GCS 6, BP 60/40 mmHg, HR 140 bpm, and has a diste…

Trauma · Multiple rib fractures — disposition and resource-limited management difficulty 4/5

A 19-year-old man, Kofi, is brought to a district hospital A&E in the Northern Region after a motorcycle collision. He has multiple left-sided rib fractures on clinical examination and is in moderate …

Trauma · Damage control resuscitation - surgical principles difficulty 3/5

Yaa, a 19-year-old university student, is brought to the Korle Bu emergency centre after sustaining multiple stab wounds to the abdomen during a robbery. She is obtunded, with BP 65/35 mmHg and HR 160…

Trauma · Predicted-difficult airway in neck trauma - double setup approach difficulty 4/5

A 55-year-old man is brought to a district hospital in Brong-Ahafo after a road traffic collision in which he sustained blunt anterior neck trauma from the steering wheel. He has a hoarse voice, subcu…

Trauma · FAST scan limitations - retroperitoneal injury difficulty 3/5

A 42-year-old man, Yaw, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital following a blunt abdominal trauma from a tractor rollover. On arrival, BP is 96/64 mmHg…

Trauma · Open pneumothorax — sucking chest wound difficulty 3/5

A 45-year-old man presents to Korle Bu emergency centre after sustaining a stab wound to the right chest during an assault. On arrival: HR 120 bpm, BP 100/70 mmHg, RR 28/min, SpO₂ 88% on 15 L/min oxyg…

Trauma · Open pneumothorax — emergency wound management difficulty 3/5

A 19-year-old woman, Aisha, is brought to a district hospital in the Northern Region after a stab wound to the left anterior chest. She is anxious and in mild respiratory distress. Vitals: BP 100/70 m…

Trauma · Blunt abdominal trauma — damage control in resource-limited settings difficulty 4/5

Kofi, a 19-year-old male university student, is brought to a regional hospital ED in Tamale after a road traffic collision in which he was a rear-seat passenger without a seatbelt. He was ejected from…

Trauma · Splenic injury grading and management difficulty 4/5

A 35-year-old man is brought to the Korle Bu emergency centre after blunt abdominal trauma from a road traffic collision. He is haemodynamically stable: BP 118/76 mmHg, HR 92 bpm, GCS 15. CT abdomen w…

Trauma · Pericardiocentesis vs subxiphoid window - indications difficulty 3/5

A 35-year-old woman, Akua, is brought to a regional hospital A&E in the Ashanti Region after a high-speed road traffic collision. She is haemodynamically unstable with a blood pressure of 70/40 mmHg, …

Trauma · Spinal shock vs neurogenic shock difficulty 3/5

A 19-year-old student, Aisha, is brought to the emergency department of a regional hospital in Northern Ghana after diving into a shallow river and striking her head on the riverbed. Bystanders report…

Trauma · Haemorrhagic shock - TXA timing and CRASH-2 evidence difficulty 4/5

Yaw, a 45-year-old cocoa farmer, is referred from a district hospital in Brong-Ahafo to the regional hospital A&E after a road traffic collision in which his vehicle overturned. He sustained blunt abd…

Trauma · Traumatic aortic injury — radiographic signs difficulty 4/5

A 45-year-old man is brought to the Komfo Anokye ED from the scene of a road traffic collision in which he was driving a vehicle that struck a wall at high speed. He was unrestrained. He is alert and …

Trauma / Environmental · Compartment syndrome overlap with crush injury difficulty 3/5

A 55-year-old man, Mohammed, is admitted to a regional hospital ED in the Upper East Region after being found unconscious in his home, having apparently fallen and been unable to get up for an estimat…

Trauma / Haematology · Fibrinogen concentrate vs cryoprecipitate in massive haemorrhage difficulty 4/5

Esi, a 34-year-old primigravida at 36 weeks gestation, is brought to the Korle Bu emergency centre by ambulance after a placental abruption resulting in massive postpartum haemorrhage. She has receive…

Trauma / Neurology · Autonomic dysreflexia difficulty 4/5

A 34-year-old man, Yaw, sustained a T6 complete spinal cord injury in a road traffic collision 14 months ago. He is now wheelchair-dependent and lives in Kumasi. He is brought to the Komfo Anokye ED b…