Mensah, a 45-year-old man, is discharged from the A&E of a district hospital after a well-managed episode of anaphylaxis to a bee sting. He has no known allergies and has never carried any emergency m…
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Yaa, a 30-year-old woman, is treated in the A&E of a regional hospital for anaphylaxis following a wasp sting. She received IM adrenaline and IV fluids and improved significantly within 20 minutes. Sh…
A 7-year-old boy, Kofi, is brought to the Komfo Anokye ED after developing lip swelling, generalised urticaria, and wheeze 20 minutes after eating fish. His weight is estimated at 20 kg. He is distres…
Adwoa, a 19-year-old student, is brought to Korle Bu Emergency Centre by friends after eating at a restaurant. She has widespread urticaria, vomiting, and abdominal cramps. Her airway is patent, her b…
A 62-year-old man is brought to the district hospital A&E in the Northern Region after receiving a ceftriaxone infusion. He has generalised flushing, urticaria, and vomiting. His BP is 94/58 mmHg, HR …
A 35-year-old man, Kofi, presents to a district hospital A&E in Brong-Ahafo one hour after eating groundnuts at a social gathering. He developed widespread urticaria, lip swelling, and difficulty brea…
Ama, a 22-year-old student, is brought to the regional hospital A&E after eating groundnut stew at a party. She has widespread urticaria, periorbital swelling, and vomiting. Her blood pressure is 90/6…
Fatima, a 19-year-old woman, is seen in the Korle Bu emergency centre after developing urticaria, lip swelling, and abdominal cramps following ingestion of a new herbal supplement. Her blood pressure …
Kwame, a 40-year-old man, presents to Komfo Anokye ED after receiving IV contrast for a CT scan. He has diffuse urticaria, vomiting, and wheeze. IM adrenaline 0.5 mg has been given into the anterolate…
Kwame, a 55-year-old man with known asthma, is brought to a regional hospital A&E with bronchospasm, urticaria, and hypotension following ingestion of ibuprofen. He receives IM adrenaline and IV fluid…
A 19-year-old student is brought to the Korle Bu emergency centre by friends after being found unresponsive at a party. On arrival she responds only to painful stimuli (E2 V2 M4), GCS 8. Her friends a…
A 70-year-old retired teacher, Kofi, is brought to the district hospital A&E in Volta Region by his son. He has been increasingly confused and drowsy over 2 weeks with no fever or headache. His BP is …
A 72-year-old woman, Yaa, is brought to the Korle Bu emergency centre by her son after he found her confused at home. She is a known epileptic on phenobarbitone. She had a witnessed generalised tonic-…
A 55-year-old woman, Adwoa, is brought to the district hospital A&E in the Northern Region with acute confusion. She has a known history of hypertension and alcohol use. Vital signs: BP 160/95 mmHg, H…
A 28-year-old man with known epilepsy is brought to a district hospital A&E. His relatives report he had a witnessed convulsion 40 minutes ago that stopped spontaneously. He is now lying still on the …
Maame Akua, an 80-year-old woman, is brought to the regional hospital A&E by her daughter. She has been acutely confused for 12 hours, pulling at her clothes, and calling out at night — a marked chang…
A 25-year-old man, Kwabena, is brought to the Komfo Anokye ED after a witnessed tonic-clonic seizure at home. On arrival he is confused and agitated with a GCS of 12. His temperature is 37.0°C, HR 105…
A 60-year-old man, Kwabena, is brought to the district hospital A&E in the Volta Region with confusion and lethargy. He has a history of chronic kidney disease. On examination: GCS 12, blood pressure …
A 65-year-old man, Joseph, is admitted to a district hospital A&E with septic shock. The medical officer plans to insert a subclavian central venous catheter. The patient is supine with a small roll b…
A 41-year-old woman, Afia, requires urgent central venous access in the Komfo Anokye ED resus bay. The team decides on an internal jugular approach. The patient is supine with the head turned 30 degre…
Abena, a 34-year-old woman, requires urgent central venous access at a district hospital in the Volta Region. The clinician is concerned about the risk of pneumothorax. She has a corrected coagulopath…
A 52-year-old woman, Adwoa, is admitted to Korle Bu emergency centre in septic shock requiring central venous access. The anaesthetic registrar asks you to site an internal jugular central venous cath…
A 45-year-old man is brought to the Tamale Teaching Hospital ED following a stab wound to the left chest. He develops cardiac tamponade with pulseless electrical activity. The team prepares for an eme…
A 38-year-old man, Kofi, requires urgent central venous access in the A&E of a district hospital in Brong-Ahafo. He is coagulopathic (INR 3.2) and has known bilateral apical lung disease on chest X-ra…
A 67-year-old man is brought to the Komfo Anokye ED with a displaced fracture of the neck of femur following a fall. He is in significant pain and cannot tolerate movement. You plan to perform a femor…
Mensah, a 55-year-old man, is brought to the Korle Bu emergency centre in haemorrhagic shock after a gunshot wound to the abdomen. Peripheral venous access is impossible. The team decides to insert a …
A 38-year-old man, Mohammed, is brought to the Korle Bu emergency centre after a penetrating stab wound to the left chest. He is in traumatic cardiac arrest. The senior registrar decides to perform a …
Akua, a 38-year-old woman with a known seizure disorder, is brought to the UGMC emergency centre with new-onset severe headache, fever, and neck stiffness. The team suspects bacterial meningitis and p…
Yaw, a 60-year-old man with a history of hypertension, presents to the UGMC emergency centre with sudden severe chest pain radiating to the back, hypotension, and muffled heart sounds. A bedside ultra…
A 55-year-old man, Joseph, is in the resus bay at Korle Bu emergency centre with refractory septic shock. He requires central venous access urgently. The team debates between subclavian and internal j…