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A 28-year-old market woman, Ama, presents to the Komfo Anokye ED after collapsing at work. She is confused and her rectal temperature is 41.5°C. The nurse has removed her clothing and is preparing to …

A 14-year-old boy, Yaw, is brought to Korle Bu emergency centre after a viper bite to the left forearm sustained 2 hours ago during a school trip to Aburi Botanical Gardens. The forearm is markedly sw…

During a triage exercise at a regional hospital A&E, four patients arrive simultaneously after a building fire. Patient 1: a 45-year-old man, confused with singed eyebrows and stridor. Patient 2: a 30…

A 28-year-old farmer, Kwame, is brought to a district hospital in Brong-Ahafo after collapsing in the fields during the harmattan. He is confused and agitated. His temperature is 41.2°C, pulse 118 bpm…

A 9-year-old boy, Kwabena, is brought to a district hospital A&E in the Upper East Region after being bitten on the right hand by a stray dog 2 hours ago. The wound is a deep puncture with surrounding…

A 30-year-old electrician, Kwabena, is brought to a regional hospital A&E after sustaining a high-voltage electrical injury at a construction site in Kumasi. He was thrown several metres and is now al…

A 34-year-old farmer, Kwame, is brought to a district hospital in Brong-Ahafo after collapsing in his field during a hot afternoon. On arrival he is confused and agitated, unable to follow commands. H…

A 14-year-old girl, Abena, is brought to a district hospital in the Volta Region after being bitten on the hand by a stray dog that was behaving erratically. The wound is a deep puncture with surround…

A 32-year-old male farmer, Kofi, is brought to a district hospital A&E in the Northern Region after collapsing during an afternoon harvest in intense heat. He is confused and agitated. On examination:…

A 68-year-old man, Kwame, is brought to the regional hospital A&E by his family after a massive stroke. He is unresponsive with a GCS of 5, and the neurology registrar estimates a very poor prognosis.…

Fatima, a 28-year-old woman, is brought to the Korle Bu emergency centre after a paracetamol overdose. She is alert and states clearly that she does not want her stomach washed out. The medical office…

A 65-year-old woman, Adwoa, is brought to Korle Bu emergency centre in cardiac arrest after a witnessed collapse at home. Resuscitation is initiated. Her husband arrives and states that she had told h…

A 58-year-old man, Kwame, is brought to the regional hospital A&E in Kumasi after a large haemorrhagic stroke. He is drowsy but rousable, and his family insist that he be 'kept alive at all costs'. Th…

A 45-year-old woman, Akosua, presents to the district hospital A&E with a severe headache and is found to have a blood pressure of 210/130 mmHg. After initial assessment, the doctor explains the need …

A 68-year-old woman, Maame Akua, is brought to the regional hospital A&E by her son after a massive haemorrhagic stroke. She is deeply unconscious (GCS 3/15), not protecting her airway, and her pupils…

Kwame, a 58-year-old man with advanced hepatocellular carcinoma, is brought to the regional hospital A&E by his family. He is alert and oriented, and states clearly that he does not want any further a…

Yaa, an 80-year-old woman with end-stage heart failure and a documented DNAR order, arrests in the A&E of a regional hospital in Accra. A newly posted house officer who was not present when the DNAR w…

A 55-year-old woman, Afia, is brought to the regional hospital A&E after a witnessed cardiac arrest. Resuscitation has been ongoing for 45 minutes with no return of spontaneous circulation, no shockab…

Kofi, a 70-year-old man with known metastatic prostate cancer, presents to a district hospital A&E in Brong-Ahafo with severe bone pain rated 9/10. He is alert and oriented. His family report he has b…

Ama, a 45-year-old woman with end-stage breast cancer, is brought to the Komfo Anokye ED obtunded and not following commands. Her husband presents a written advance directive she completed two weeks a…

Yaw, a 60-year-old man with end-stage chronic obstructive pulmonary disease, presents to the regional hospital A&E in severe respiratory distress. He is alert and able to speak in short sentences. He …

Ama, a 70-year-old woman with known metastatic breast cancer, is brought to the Komfo Anokye ED by her daughter. Ama is alert and oriented but is visibly distressed, with a respiratory rate of 28 brea…

Joseph, a 35-year-old man, presents to the regional hospital A&E in Tamale after a road traffic accident. He has a suspected closed femur fracture and requires urgent surgery. He is alert, oriented, a…

Akosua, a 28-year-old woman with no past medical history, is brought to the district hospital A&E in Ashanti Region after taking a large overdose of paracetamol. She is conscious and oriented. She sta…

Kofi, a 19-year-old footballer, attends the regional hospital A&E in Kumasi after twisting his wrist during a match. He has no visible deformity and wrist X-rays are reported as normal. However, he ha…

Afia, a 19-year-old woman, was involved in a road traffic accident 6 hours ago and sustained a closed fracture of her left forearm. She was splinted at a peripheral clinic and referred to the regional…

Kofi, a 19-year-old apprentice mechanic, is brought to the A&E of a district hospital in Brong-Ahafo after his forearm was caught in a grinding machine. Examination reveals a 4 cm wound over the mid-s…

Kofi, a 24-year-old footballer, attends the district hospital A&E in Brong-Ahafo after a tackle to his right wrist. He has mild swelling but no obvious deformity. Plain X-rays of the wrist are reporte…

Abena, a 28-year-old woman, presents to the regional hospital A&E in Tamale six hours after sustaining a closed fracture of the left tibia in a road traffic crash. She is now complaining of severe pai…

A 40-year-old man is brought to the Korle Bu emergency centre after a high-speed road traffic accident. He has a closed injury to his right lower leg. On examination, the right leg is pale and cool be…