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3996 matches for “Ghana” — showing 2431–2460
Trauma · Tranexamic acid — CRASH-2 protocol ★ HY difficulty 3/5

A 17-year-old boy is brought to a district hospital in the Volta Region after being stabbed in the right flank 2 hours and 40 minutes ago during a community dispute. He is conscious and cooperative. V…

Trauma · Traumatic aortic injury — investigation ★ HY difficulty 4/5

A 38-year-old man, Yaw, is transferred to Korle Bu emergency centre from a regional hospital following a high-speed motor vehicle collision 3 hours ago. He is haemodynamically stable on arrival: HR 96…

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

A 28-year-old man, Kwame, is brought by relatives to the Komfo Anokye ED following a road traffic collision. He is agitated and in severe respiratory distress. Vitals: BP 78/50 mmHg, HR 130 bpm, RR 32…

Trauma · Open-book pelvis and GU injury association ★ HY difficulty 3/5

A 19-year-old man, Kofi, is brought to the Korle Bu Emergency Centre after a motorcycle collision. He complains of lower abdominal pain and inability to void. On examination: BP 110/70 mmHg, HR 104 bp…

Trauma · Abdominal Trauma - FAST scan interpretation and operative triage ★ HY difficulty 3/5

Kwame, a 28-year-old motorcyclist, is brought by relatives to the Komfo Anokye ED after a high-speed collision with a lorry. He is combative but responds to voice, with a GCS of 13. Vital signs: BP 88…

Trauma · Geriatric occult shock - beta-blocker masking ★ HY difficulty 3/5

A 78-year-old man, Mensah, is brought to the Korle Bu emergency centre after a ground-level fall at home. His daughter reports he takes atenolol 50 mg daily for hypertension and metformin for type 2 d…

Trauma · Commotio cordis - mechanism and defibrillation ★ HY difficulty 2/5

A 16-year-old footballer, Kofi, collapses suddenly on the pitch at a secondary school in Accra during a match. A teammate struck a hard football directly to his left precordium during a corner kick. H…

Trauma · Dialysis indications in crush syndrome AKI ★ HY difficulty 3/5

Kofi, a 19-year-old male university student, is brought to the Korle Bu Emergency Centre 24 hours after sustaining crush injuries to his right leg in a road traffic crash. He has received aggressive I…

Trauma · Penetrating cardiac trauma - tamponade pathophysiology ★ HY difficulty 2/5

A 24-year-old man, Kwame, is brought to the Korle Bu emergency centre by relatives after sustaining a single stab wound to the left anterior chest at the fourth intercostal space, midclavicular line. …

Trauma · Trauma in pregnancy - Rh-negative mother and Kleihauer-Betke test ★ HY difficulty 3/5

Ama, a 34-year-old Rh-negative woman at 26 weeks gestation, is brought to Komfo Anokye Emergency Department following a direct blow to the abdomen sustained during a domestic assault. She is haemodyna…

Trauma · RSI in haemorrhagic shock - ketamine pharmacology ★ HY difficulty 3/5

A 19-year-old woman, Akua, is brought to Korle Bu Emergency Centre by relatives after a road traffic collision. She has a GCS of 6, bilateral periorbital ecchymosis, a midface that moves independently…

Trauma · Splenic injury grading - AAST scale and management ★ HY difficulty 3/5

A 35-year-old woman, Akua, is brought to the regional hospital A&E in Brong-Ahafo after a motor vehicle collision. She is haemodynamically stable: BP 118/76 mmHg, HR 92 bpm. Examination reveals left u…

Trauma · Canadian C-Spine Rule ★ HY difficulty 3/5

A 28-year-old man, Kwame, is brought to the emergency centre at Korle Bu after a road traffic crash. He was a front-seat passenger in a vehicle that was rear-ended at moderate speed. He complains of p…

Trauma · TBI - Cerebral Perfusion Pressure Targets ★ HY difficulty 3/5

Kwame, a 34-year-old construction worker, is brought to the Komfo Anokye ED after falling from scaffolding approximately 6 metres high. On arrival his GCS is 7 (E2V2M3), blood pressure is 148/92 mmHg,…

Trauma · Angioembolisation vs preperitoneal packing decision ★ HY difficulty 4/5

A 50-year-old man, Mensah, is transferred from a district hospital in the Northern Region to Tamale Teaching Hospital after a motor vehicle collision. He has an APC-III pelvic fracture with haemodynam…

Trauma · Paediatric vital sign age-specific cut-offs for shock ★ HY difficulty 3/5

A 2-year-old boy, Yaw, weighing 13 kg, is brought to a regional hospital A&E after being struck by a motorcycle. He is pale, with mottled extremities and a weak, thready radial pulse. The triage nurse…

Trauma · C-spine immobilisation during RSI - MILS technique ★ HY difficulty 3/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye ED resus bay after a high-speed road traffic collision. He is unconscious with a GCS of 7 (E2V1M4), has midface instability on palpation, and i…

Trauma · Tension pneumothorax - penetrating trauma ★ HY difficulty 2/5

A 19-year-old man is brought to a district hospital A&E in the Upper East Region after sustaining a stab wound to the left chest. He is in respiratory distress and hypotensive. Vitals: BP 80/55 mmHg, …

Trauma · Transfer immobilisation and neurogenic shock management ★ HY difficulty 4/5

A 45-year-old man is involved in a head-on motor vehicle collision on the Accra–Kumasi highway. He is conscious at the scene but develops progressive bilateral lower limb weakness over the following 3…

Trauma · Tranexamic acid in major trauma ★ HY difficulty 3/5

A 55-year-old woman, Adwoa, is brought to a district hospital A&E in Brong-Ahafo after a motor vehicle rollover. She has suspected splenic laceration with haemodynamic instability: HR 122 bpm, BP 88/6…

Trauma · RSI in haemorrhagic shock - shock-index-adjusted induction dosing ★ HY difficulty 4/5

A 35-year-old woman, Ama, is brought to a regional hospital A&E in the Northern Region after sustaining a stab wound to the left chest. She is confused (GCS 10), tachycardic at 138 bpm, hypotensive at…

Trauma · Predicted-difficult airway in facial and inhalational injury ★ HY difficulty 4/5

A 42-year-old man, Kofi, is brought to Korle Bu Emergency Centre after a motorcycle collision. He has extensive burns to his face, singed nasal hairs, and progressive hoarseness developing over 30 min…

Trauma · Anticoagulated falls - CT head and repeat imaging ★ HY difficulty 3/5

A 72-year-old woman, Adwoa, is brought to the Komfo Anokye ED after a mechanical fall at home, striking her head on a tiled floor. She is on warfarin for atrial fibrillation, with a known INR of 2.8 t…

Trauma · TXA in the 3-hour window - CRASH-2 and MATTERs ★ HY difficulty 3/5

Adwoa, a 28-year-old market trader, is brought to the Komfo Anokye ED resus bay by relatives after sustaining multiple stab wounds to the abdomen during an altercation. On arrival she is pale, diaphor…

Trauma · Scoop-and-run vs stay-and-play — penetrating torso trauma ★ HY difficulty 3/5

A 19-year-old man named Kofi is brought to the district hospital A&E in Brong-Ahafo by relatives after sustaining a single stab wound to the left chest at the 5th intercostal space, mid-clavicular lin…

Trauma · RUSH protocol — hypovolaemic/haemorrhagic shock ★ HY difficulty 3/5

Aisha, a 32-year-old woman, is brought to the regional hospital ED in Tamale after a road traffic accident. She was a front-seat passenger without a seatbelt. On arrival: BP 85/60 mmHg, HR 130 bpm, RR…

Trauma · Pelvic binding - technique and indication ★ HY difficulty 2/5

A 19-year-old woman, Ama, is brought by relatives to a district hospital A&E in Brong-Ahafo following a motorcycle collision. She is alert but in severe pain. Vital signs: BP 102/70 mmHg, HR 108 bpm, …

Trauma · Pelvic fracture classification - Young-Burgess LC vs APC vs VS ★ HY difficulty 3/5

A 28-year-old man, Kwame, is brought to the Komfo Anokye ED after being struck by a lorry on the Kumasi–Accra highway. He was a pedestrian hit at high speed with a lateral impact to his right side. On…

Trauma · Anti-D dosing and timing ★ HY difficulty 3/5

Abena, a 19-year-old G1P0 at 22 weeks gestation, is brought to the Tamale Teaching Hospital ED after a fall from a building. She is conscious but anxious. Vitals: BP 104/68 mmHg, HR 112 bpm, RR 18/min…

Trauma · ED thoracotomy - indications and technique ★ HY difficulty 3/5

A 19-year-old man, Yaw, arrives at the Komfo Anokye ED in Kumasi after a gunshot wound to the anterior chest. He is pulseless and apnoeic on arrival; bystanders report witnessed cardiac arrest approxi…