Ama, a 19-year-old student, is brought to Korle Bu emergency centre after deliberately ingesting an unknown quantity of aspirin tablets. She is alert and tachypnoeic (RR 32/min). ABG on air: pH 7.48, …
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Joseph, a 70-year-old man with known chronic kidney disease, is reviewed at the regional hospital A&E with worsening shortness of breath and ankle swelling. His venous electrolytes show Na 138, K 6.2,…
Aisha, a 28-year-old woman with known type 1 diabetes, presents to the district hospital A&E in Brong-Ahafo with vomiting and abdominal pain for 12 hours. She is tachycardic at 118 bpm, BP 96/60 mmHg,…
A 19-year-old student, Abena, is brought to the district hospital A&E after her roommate found her with an empty bottle of aspirin tablets. She is tachypnoeic at 28 breaths/min and complaining of tinn…
Kwame, a 68-year-old man with known COPD, is brought to the regional hospital A&E in respiratory distress. He is using accessory muscles and has a respiratory rate of 28 breaths per minute. His ABG on…
Yaw, a 19-year-old man with known type 1 diabetes, is brought to the UGMC Emergency Centre by his family. He has been vomiting for two days and appears dehydrated with Kussmaul breathing. Blood glucos…
A 34-year-old man, Kwame, is brought to the regional hospital A&E by relatives after being found confused at home. He is a known type 1 diabetic who has not taken insulin for three days. His ABG on ai…
Akua, a 58-year-old woman with known hypertension, is brought to Korle Bu Emergency Centre after collapsing at home. She appears mottled, cold, and clammy. Her blood pressure is 72/40 mmHg, heart rate…
Kofi, a 34-year-old man, is found unresponsive in the waiting area of Korle Bu Emergency Centre. A bystander reports he was seen injecting himself. On examination he has a Glasgow Coma Scale of 7, res…
A 34-year-old man, Kwabena, is brought to the A&E of a regional hospital in Ashanti after sustaining burns to his face and neck in a house fire. On arrival he is agitated and speaking in a hoarse voic…
A 6-year-old girl, Akua, is brought to Komfo Anokye ED by her mother with a 12-hour history of fever, sore throat, and progressive difficulty swallowing. On examination she is sitting upright, droolin…
A 38-year-old man, Kofi, is brought to Korle Bu emergency centre after a house fire. He has singed nasal hairs, soot around the mouth and nares, and a hoarse voice. His oxygen saturation is 96% on roo…
A 45-year-old man, Kwame, is brought to the district hospital A&E in Brong-Ahafo following a house fire. He has singed nasal hairs, soot around his mouth, and a hoarse voice. His respiratory rate is 2…
A 45-year-old man, Kwame, is brought to the district hospital A&E in Brong-Ahafo after being found unresponsive following a road traffic accident. He is breathing but produces a loud snoring sound wit…
A 55-year-old woman, Adwoa, is in cardiac arrest in the resus bay at the Komfo Anokye ED. Two nurses are performing CPR. You are providing ventilation with a bag-valve-mask (BVM) device. Despite squee…
A 55-year-old woman, Adwoa, collapses in the waiting area of a district hospital in the Upper East Region. She is unresponsive and apnoeic. A nurse brings a bag-valve-mask (BVM) device. You are alone …
A 45-year-old woman, Adwoa, presents to a regional hospital A&E with severe anaphylaxis following a bee sting. She has received intramuscular adrenaline and IV fluids but remains in respiratory distre…
A 40-year-old man, Mensah, is involved in a road traffic accident near Tamale and is brought to the district hospital A&E. He is unconscious with a GCS of 6 and has suspected cervical spine injury. Th…
A 7-year-old girl, Afia, is brought to the regional hospital A&E after a witnessed tonic-clonic seizure. She is now post-ictal, breathing spontaneously but with reduced consciousness (GCS 9). There is…
A 52-year-old woman, Adwoa, is found unresponsive at home and brought to the district hospital A&E in Brong-Ahafo by bystanders. She has no gag reflex and makes no spontaneous respiratory effort. The …
A 40-year-old man, Mohammed, is brought to the regional hospital A&E in Tamale with a GCS of 7 following a witnessed generalised tonic-clonic seizure that has now terminated. He is breathing spontaneo…
A 6-year-old boy, Kofi, is brought to the Komfo Anokye ED by his mother with a 12-hour history of fever, drooling, and refusal to eat. He is sitting upright, leaning forward with his neck extended, an…
A 50-year-old woman, Akosua, is brought to the Komfo Anokye ED in cardiac arrest. Two nurses are performing CPR. You attempt endotracheal intubation but are unable to visualise the cords after two att…
A 34-year-old man, Kwame, is brought to a district hospital A&E in Brong-Ahafo by relatives after a road traffic accident. He is unresponsive with noisy, gurgling respirations. There is no suspicion o…
A 30-year-old woman, Ama, is found unconscious at the roadside near Kumasi and is brought to the regional hospital A&E. She is unresponsive, making gurgling noises, and her Glasgow Coma Scale score is…
A 38-year-old man, Mohammed, is in the resus bay at Korle Bu emergency centre following a stab wound to the neck. Two intubation attempts have failed. BVM ventilation is now impossible. SpO2 is fallin…
A 52-year-old woman, Adwoa, is referred from a district hospital to Komfo Anokye ED with a 2-day history of confusion, unsteady gait, and double vision. Her relatives report chronic heavy alcohol use …
A 35-year-old man, Mohammed, is brought to the Komfo Anokye ED by police. He was found confused and agitated in the street. He smells of alcohol but his family confirms he drinks only occasionally. Hi…
A 52-year-old woman, Adwoa, is referred to the regional hospital A&E in Tamale. Her family reports she has been drinking heavily for many years and has not eaten for several days. On examination she h…
A 42-year-old man, Kwame, is brought to the district hospital A&E in Brong-Ahafo by his family after being found confused and unsteady. He is a known heavy drinker. On examination he is disoriented, h…