Yaw, a 10-year-old boy with HbSS, weighing 30 kg, presents to the Komfo Anokye paediatric resus bay with a 12-hour history of chest pain, fever, and increasing shortness of breath. He had a vaso-occlu…
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An 8-month-old boy is brought to the Korle Bu emergency centre. His grandmother reports he 'fell off the sofa' this morning. He is drowsy, with GCS 10 (E3V3M4), and has vomited twice. Vitals: HR 148, …
A 10-month-old infant, Mohammed, weighing 8 kg, is referred from a district hospital in the Upper West Region to a regional hospital. He was started on WHO Plan B oral rehydration therapy 4 hours ago …
Akua is a 10-year-old girl weighing 32 kg with acute severe asthma at Korle Bu paediatric ED. She has received three back-to-back salbutamol 5 mg nebulisers over 60 minutes, oral prednisolone 30 minut…
Kofi, a 6-year-old boy weighing 20 kg, received IM adrenaline 0.2 mg and IV normal saline 400 mL at the Korle Bu paediatric ED for anaphylaxis to latex after a minor surgical procedure. His symptoms r…
Adwoa is a 5-week-old female neonate weighing 3.8 kg, brought to the paediatric A&E at Korle Bu with a 6-hour history of fever, poor feeding, and a mottled appearance. Temperature is 38.7°C (rectal), …
Kwame, a 5-year-old boy weighing 18 kg, presents to a district hospital in Brong-Ahafo with a fever of 39.4°C and a generalised seizure that began 5 minutes ago. The nurse administers buccal midazolam…
A 3-month-old girl, weighing 5.8 kg, is brought to the paediatric A&E at Korle Bu by her mother after she reportedly 'rolled off the bed'. On examination she has a 2 cm bruise over her left cheek and …
A 9-month-old boy named Kwame is brought to the Komfo Anokye Teaching Hospital emergency centre. He has had cough and fast breathing for 2 days. On examination: temperature 38.9°C, respiratory rate 62…
Ama, a 7-week-old girl weighing 4.2 kg, is referred from a CHPS compound in Brong-Ahafo to the district hospital with a 3-day history of cough and poor feeding. She was born at term with no perinatal …
Kofi is a 6-year-old boy weighing 20 kg with a known history of sickle cell disease, presenting to the Korle Bu paediatric ED with 2 days of fever and progressive respiratory distress. Vitals: HR 138 …
Ama is a 10-week-old female infant weighing 5.1 kg, brought to the regional hospital paediatric A&E with a 1-day history of fever. Temperature is 38.9°C (rectal), HR 158 bpm, RR 38/min, SpO₂ 98% in ai…
A 6-year-old boy, Kwame, weighing 22 kg, is brought to the regional hospital paediatric A&E by his mother with a 3-hour history of worsening wheeze and cough. He has a known history of asthma. On asse…
A 2-year-old boy, Yaw, weighing 12 kg, is brought by ambulance to the regional hospital paediatric resus bay. He has had fever for 6 hours and is now unresponsive. On examination: HR 188 bpm, RR 42/mi…
Abena is a 7-year-old girl brought to a regional hospital ED in the Ashanti Region. She has been febrile for 5 days and became increasingly breathless and drowsy over the past 12 hours. Her mother rep…
A 2.5-year-old boy, Yaw, presented to the emergency unit of a regional hospital in the Northern Region four hours ago with moderate croup (Westley score 6). He received nebulised adrenaline 0.5 mL/kg …
Kofi, a 3-year-old boy weighing 14 kg, is brought to the regional hospital paediatric A&E by his mother after 8 minutes of generalised tonic-clonic seizure at home. He has no IV access. HR 148 bpm, RR…
A 3-year-old boy, Kofi, is brought to the district hospital A&E in Brong-Ahafo after falling from a second-floor window. He is unconscious with a GCS of 8. The paramedic team has placed him supine on …
A 7-year-old girl, Akua, is brought to the Komfo Anokye ED by her mother after a road traffic collision in which she was an unrestrained rear passenger. On arrival she is anxious but responsive. Vital…
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…
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…
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…
Kofi is a 28-year-old man with known sickle cell disease who arrives at the Komfo Anokye Emergency Department in a vaso-occlusive crisis. He rates his pain 9/10 in both legs and his lower back. He has…
Afia, a 19-year-old woman, receives IV fentanyl 1.5 micrograms/kg for pain management following a femoral shaft fracture in the Korle Bu emergency centre. Five minutes later she becomes unresponsive w…
A 7-year-old boy, Kofi, is brought to the paediatric A&E at Komfo Anokye Teaching Hospital after a forearm fracture requiring closed reduction. He weighs 22 kg. You plan procedural sedation with ketam…
A 45-year-old man is brought to the district hospital in the Brong-Ahafo Region after sustaining extensive burns to his upper limbs and chest (estimated 25% TBSA, partial thickness) from a cooking fir…
A 7-year-old boy, Kwame, is brought to the paediatric A&E at Komfo Anokye Teaching Hospital after a forearm fracture requiring manipulation. He is distressed but haemodynamically stable: HR 110, BP 98…
A 6-year-old boy, Kofi, is brought to the emergency centre at Komfo Anokye Teaching Hospital after sustaining a displaced mid-shaft forearm fracture during a fall from a mango tree. He is alert, cryin…
A 55-year-old man is brought to the Korle Bu Emergency Centre by his family after being found unresponsive at home. His daughter reports he has chronic lower back pain and collects his medications fro…
Akosua, a 34-year-old woman, undergoes propofol sedation for cardioversion of atrial flutter in the regional hospital A&E. Immediately after the 1.5 mg/kg IV propofol bolus, she becomes apnoeic. SpO2 …