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3996 matches for “Ghana” — showing 2401–2430
Trauma · Massive haemorrhage protocol ★ HY difficulty 3/5

A 35-year-old woman, Akosua, is referred from a district hospital in the Brong-Ahafo region to the regional hospital emergency department following a machete attack. She arrives 45 minutes after the i…

Trauma · Tranexamic acid in major trauma ★ HY difficulty 2/5

A 31-year-old man, Yaw, is brought to the Tamale Teaching Hospital ED after a gunshot wound to the abdomen sustained 2 hours ago. He is haemodynamically unstable. The trauma team activates the massive…

Trauma · Blunt cardiac injury - risk stratification and monitoring ★ HY difficulty 3/5

A 42-year-old man is referred from a district hospital in the Brong-Ahafo Region to the Komfo Anokye ED following a high-speed head-on motor vehicle collision. He was the restrained driver. On arrival…

Trauma · Massive haemothorax — diagnosis and immediate management ★ HY difficulty 3/5

A 35-year-old woman, Akosua, is referred from a district hospital in Brong-Ahafo following a blunt chest injury from a vehicle rollover 2 hours ago. On arrival at the regional A&E: HR 118 bpm, BP 88/6…

Trauma · Gustilo-Anderson classification ★ HY difficulty 2/5

A 28-year-old man, Kwame, is brought to the emergency centre at Komfo Anokye Teaching Hospital after a road traffic accident. He has a 2 cm laceration over the mid-shaft of his right tibia with a visi…

Trauma · Permissive hypotension ★ HY difficulty 3/5

A 42-year-old man is brought to Korle Bu emergency centre after being struck by a vehicle. He has suspected pelvic fracture and ongoing haemodynamic instability despite two litres of crystalloid. Vita…

Trauma · Lung sliding and M-mode seashore/barcode sign for pneumothorax ★ HY difficulty 3/5

A 55-year-old man, Joseph, is brought to the Korle Bu Emergency Centre after a high-speed road traffic collision. He was the driver and sustained chest impact against the steering wheel. He is tachypn…

Trauma · FAST scan interpretation and decision-making ★ HY difficulty 3/5

A 28-year-old man, Kofi, is brought to the Komfo Anokye ED resus bay after a high-speed road traffic collision. On primary survey: GCS 15, BP 88/60 mmHg, HR 124 bpm, RR 22/min, SpO2 96% on 15L O2. You…

Trauma · Pelvic binder placement - greater trochanters ★ HY difficulty 2/5

A 35-year-old woman, Ama, is brought to a regional hospital A&E in Brong-Ahafo after a road traffic collision. She was a front-seat passenger in a vehicle that rolled. On examination: BP 82/54 mmHg, H…

Trauma · Antibiotic prophylaxis — open fracture ★ HY difficulty 3/5

Akosua, a 35-year-old subsistence farmer, presents to a district hospital in Brong-Ahafo region two hours after sustaining a machete injury to her left forearm. There is a 4 cm laceration with visible…

Trauma · Tranexamic acid CRASH-2 timing ★ HY difficulty 4/5

A 40-year-old woman, Afia, is brought to the emergency unit of a regional hospital in the Ashanti Region after a road traffic crash in which she was a pedestrian struck by a heavy goods vehicle. She h…

Trauma · TBI - ICP Monitoring Indications ★ HY difficulty 3/5

Ama, a 52-year-old market trader with no known comorbidities, is brought to a regional hospital A&E in Ashanti after being struck by a minibus. Her GCS on arrival is 9 (E2V3M4), blood pressure 162/88 …

Trauma · CABC priorities - airway ★ HY difficulty 2/5

A 28-year-old man, Kwame, is brought by relatives to Komfo Anokye ED following a high-speed road traffic collision. He is unresponsive with audible gurgling respirations. Vital signs: GCS 6, HR 118 bp…

Trauma · Massive haemorrhage — extremity ★ HY difficulty 2/5

A 35-year-old woman, Afia, is brought to a regional hospital ED in the Northern Region after a motorcycle accident 45 minutes ago. She has a large degloving wound of the right thigh with ongoing arter…

Trauma · Haemorrhagic shock - permissive hypotension ★ HY difficulty 3/5

Kwame, a 28-year-old construction worker, is brought to a regional hospital A&E in Kumasi after a concrete slab fell onto his lower abdomen and pelvis. On arrival he is agitated and diaphoretic, with …

Trauma · Pelvic binder placement - open-book fracture ★ HY difficulty 2/5

A 55-year-old woman, Adwoa, is brought to the Korle Bu emergency centre following a pedestrian-vehicle collision. She is in haemorrhagic shock: BP 70/40 mmHg, HR 140 bpm, GCS 15. Pelvic X-ray reveals …

Trauma · Crush syndrome — initial resuscitation ★ HY difficulty 2/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye ED by family after being trapped under a collapsed wall for approximately 5 hours following a building collapse. On extraction he appeared well…

Trauma · Tension pneumothorax — clinical recognition and emergency decompression ★ HY difficulty 2/5

A 35-year-old man is brought to Komfo Anokye ED after a road traffic collision in which he was a restrained front-seat passenger. He complains of left chest pain and breathlessness. On examination: HR…

Trauma · FAST scan interpretation - haemodynamically unstable patient ★ HY difficulty 2/5

A 28-year-old man, Kwabena, is brought to the Komfo Anokye ED resus bay after a high-speed road traffic collision in which he was an unrestrained passenger. On arrival he is agitated, with a GCS of 14…

Trauma · Tourniquet timing and management — CoTCCC ★ HY difficulty 3/5

A 26-year-old soldier named Mohammed sustains a gunshot wound to the right thigh during a training exercise at a military facility in the Northern Region. Bystanders report brisk arterial haemorrhage …

Trauma · NEXUS criteria ★ HY difficulty 3/5

A 34-year-old woman, Adwoa, is evaluated in the Komfo Anokye Teaching Hospital ED after a road traffic crash. She was the unrestrained driver of a vehicle that hit a pothole and rolled over at moderat…

Trauma · Subxiphoid pericardial FAST view ★ HY difficulty 3/5

A 19-year-old man named Yaw is brought to a regional hospital ED in Ashanti after a stab wound to the epigastrium. He is pale and sweaty. Vitals: BP 80/50 mmHg, HR 140/min, RR 26/min, SpO₂ 94%. Two la…

Trauma · Massive transfusion protocol ★ HY difficulty 3/5

A 19-year-old man, Kofi, arrives at Komfo Anokye ED after a stab wound to the left chest. He is hypotensive (BP 70/40 mmHg), tachycardic (HR 140 bpm), and has already received 1.5 litres of crystalloi…

Trauma · Massive transfusion protocol - 1:1:1 ratio ★ HY difficulty 3/5

Ama, a 34-year-old market trader, is brought to the Korle Bu emergency centre following a stab wound to the left flank. She is pale, diaphoretic, and barely responsive. BP 60/40 mmHg, HR 148 bpm, GCS …

Trauma · Morison's pouch / hepato-renal FAST window ★ HY difficulty 2/5

A 28-year-old man named Kwame is brought to the Komfo Anokye ED after a road traffic collision in which he was an unrestrained front-seat passenger. He is conscious but agitated. Vitals: BP 88/60 mmHg…

Trauma · Pelvic Trauma - binder placement and haemorrhage control ★ HY difficulty 4/5

Mohammed, a 42-year-old man, is brought by relatives to a regional hospital A&E in the Northern Region following a crush injury when a vehicle rolled onto his pelvis at a construction site. He is obtu…

Trauma · Tension pneumothorax — immediate management ★ HY difficulty 2/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye ED resus bay after a high-speed road traffic collision. He is agitated and in severe respiratory distress. Vitals: HR 128 bpm, BP 72/40 mmHg, R…

Trauma · Urinary alkalinisation in rhabdomyolysis ★ HY difficulty 3/5

A 35-year-old woman, Afia, is referred from a district hospital in the Northern Region to the Tamale Teaching Hospital ED. She sustained crush injuries to both lower limbs when a vehicle overturned on…

Trauma · Penetrating abdominal trauma - selective non-operative management ★ HY difficulty 3/5

A 30-year-old man, Kofi, presents to a district hospital A&E in the Ashanti Region after sustaining a single stab wound to the right upper quadrant of the abdomen. He is haemodynamically stable: BP 12…

Trauma · Massive haemothorax - initial management ★ HY difficulty 3/5

A 35-year-old woman, Afia, is referred from a district hospital in Brong-Ahafo following a high-speed motor vehicle collision. On arrival at the regional A&E she is pale and obtunded. Vitals: BP 70/40…