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2131 matches for “Ghana” — showing 961–990
Respiratory Emergencies · Lung-protective ventilation and prone positioning in severe ARDS ★ HY difficulty 4/5

Mohammed, a 36-year-old man with no prior medical history, is admitted to the Korle Bu emergency centre following 7 days of worsening dyspnoea and bilateral leg swelling after a severe pneumonia. He h…

Resuscitation · Mean arterial pressure goal and haemodynamic support ★ HY difficulty 4/5

Yaw, a 61-year-old hypertensive man, is admitted to the Korle Bu ICU following ROSC after 24 minutes of CPR for out-of-hospital VF arrest. He is intubated, sedated, and undergoing targeted temperature…

Resuscitation · ALS-TOR rule criteria ★ HY difficulty 2/5

A 72-year-old farmer, Joseph, from a rural district in the Volta Region is brought to the regional hospital ED after being found unresponsive in his field. The time of collapse is unknown. No bystande…

Resuscitation · Shockable rhythm — VF management ★ HY difficulty 2/5

A 58-year-old man, Kofi, collapses in the waiting area of the Komfo Anokye Teaching Hospital emergency department. Bystander CPR is initiated immediately. On assessment by the resuscitation team, he h…

Resuscitation · TTM rewarming rate ★ HY difficulty 3/5

Mohammed, a 52-year-old schoolteacher, was resuscitated from a pulseless electrical activity (PEA) cardiac arrest at the Korle Bu emergency centre. He required 22 minutes of CPR before ROSC. His initi…

Resuscitation · Post-arrest ventilation targets ★ HY difficulty 3/5

Aisha, a 44-year-old woman, is admitted to the Komfo Anokye ED after in-hospital cardiac arrest secondary to massive pulmonary embolism. She achieved ROSC after 12 minutes of CPR. She is intubated and…

Resuscitation · Post-TTM neurological prognostication timing ★ HY difficulty 4/5

Akosua, a 67-year-old retired teacher, is admitted to the Korle Bu ICU following successful resuscitation from a witnessed out-of-hospital VF arrest. She completed 24 hours of TTM at 33°C and was rewa…

Resuscitation · Acute complete airway obstruction — infant management ★ HY difficulty 3/5

A 14-month-old boy named Kwame is carried into Komfo Anokye ED by his father. The father reports the child was eating at the dinner table when he suddenly gagged, turned blue, and became limp. On arri…

Resuscitation · Oxygenation and ventilation targets ★ HY difficulty 3/5

A 38-year-old woman, Abena, is admitted to the Komfo Anokye ED resuscitation bay after cardiac arrest secondary to severe asthma. ROSC was achieved after 12 minutes. She is intubated and sedated. Vita…

Resuscitation · Shock-refractory VF — amiodarone vs lignocaine ★ HY difficulty 3/5

A 27-year-old man, Mohammed, collapses in the waiting area of the Korle Bu emergency centre while accompanying a relative. Bystanders call for help immediately. On arrival of the team, he is unrespons…

Resuscitation · CPR utility and prognostication with ETCO2 ★ HY difficulty 3/5

A 58-year-old woman, Adwoa, collapses in the outpatient waiting area of the Komfo Anokye Teaching Hospital ED. CPR is initiated immediately. She is intubated after 2 minutes. High-quality chest compre…

Resuscitation · RUSH protocol — distinguishing shock categories ★ HY difficulty 3/5

A 58-year-old man, Kwame, is brought to the Korle Bu emergency centre by family after collapsing at home. He has a history of hypertension and type 2 diabetes. On arrival: BP 78/50 mmHg, HR 118 bpm, R…

Resuscitation · ECPR selection criteria — low-flow time ★ HY difficulty 3/5

The Komfo Anokye Teaching Hospital emergency department is developing an ECPR protocol. The team is debating the maximum acceptable 'low-flow time' (duration of CPR before ECPR initiation) beyond whic…

Resuscitation · ECPR contraindications — no-flow time ★ HY difficulty 3/5

A 55-year-old man is brought by family to a regional hospital emergency department in the Ashanti Region after collapsing at home. His wife reports she found him unresponsive at the kitchen table — sh…

Resuscitation · Neurological prognostication at 72 hours ★ HY difficulty 4/5

A 67-year-old woman, Adwoa, is admitted to the Korle Bu neuro-ICU following out-of-hospital cardiac arrest of unknown duration. She remains comatose at 72 hours post-ROSC. She has completed TTM at 36°…

Resuscitation · Neuroprognostication timing and multimodal assessment ★ HY difficulty 4/5

Fatima, a 47-year-old woman with no known comorbidities, is admitted to the Korle Bu Emergency Centre following resuscitation from an out-of-hospital cardiac arrest. She achieved ROSC after 8 minutes …

Resuscitation · TTM cooling methods in resource-limited settings ★ HY difficulty 3/5

Yaw, a 63-year-old man with known hypertension and type 2 diabetes, presents to a regional hospital emergency department in Ashanti Region after witnessed cardiac arrest at a community football event.…

Resuscitation · Post-arrest glycaemic control ★ HY difficulty 3/5

Joseph, a 62-year-old man with known type 2 diabetes, is in the Korle Bu emergency centre 4 hours after ROSC from a witnessed ventricular fibrillation arrest. He is intubated, haemodynamically stable …

Resuscitation · Reversible causes — hyperkalaemia in cardiac arrest ★ HY difficulty 3/5

At Korle Bu Teaching Hospital, the resuscitation team is managing a 65-year-old woman, Yaa, who is in cardiac arrest following a witnessed collapse. She has chronic kidney disease stage 4 and missed h…

Resuscitation · Reversible causes — cardiac tamponade ★ HY difficulty 3/5

A 44-year-old woman, Abena, is brought to the Korle Bu emergency centre by family after she was found unresponsive at home. CPR is in progress on arrival. The cardiac monitor shows a narrow-complex rh…

Resuscitation · BLS-TOR rule criteria ★ HY difficulty 2/5

A 58-year-old man, Kwame, collapses in a market in Kumasi. Bystanders begin CPR immediately and call for help. A community health worker arrives within 6 minutes with an AED but delivers no shock (non…

Resuscitation · Reversible causes — tension pneumothorax in trauma ★ HY difficulty 3/5

Afia, a 38-year-old woman, is admitted in cardiac arrest to the Tamale Teaching Hospital ED. She was involved in a road traffic crash and was brought in by a passing vehicle. Witnesses report she was …

Resuscitation · Targeted temperature management ★ HY difficulty 2/5

Kofi, a 54-year-old man with hypertension, is brought to the Korle Bu emergency centre after a witnessed cardiac arrest at home. Bystander CPR was performed and ROSC was achieved after 18 minutes of r…

Sexual Assault, Forensic, and Safeguarding · HIV PEP, emergency contraception, and STI prophylaxis post-sexual assault ★ HY difficulty 3/5

Ama, a 19-year-old woman, presents to Korle Bu Teaching Hospital A&E 58 hours after a reported rape. She is HIV-negative on a rapid test performed in the department. She has no known hepatitis B vacci…

Sexual Assault, Forensic, and Safeguarding · Emergency contraception after sexual assault - timing and choice ★ HY difficulty 3/5

Fatima, a 17-year-old girl, is brought to the district hospital A&E by her older sister 90 hours after a sexual assault. She did not disclose immediately due to shame and fear. She is not on contracep…

Sexual Assault, Forensic, and Safeguarding · HIV PEP after sexual assault - timing and regimen ★ HY difficulty 3/5

Ama, a 19-year-old university student, presents to the regional hospital A&E in Kumasi 58 hours after a reported rape. She has not previously disclosed the assault. She is HIV-negative on a rapid test…

Sexual Assault, Forensic, and Safeguarding · Paediatric non-accidental injury - recognition, mandatory reporting, and admission for protection ★ HY difficulty 4/5

A 7-month-old infant, Kwame, is brought to the A&E at Tamale Teaching Hospital by his mother, who reports he 'fell off the bed' this morning. On examination, he has multiple bruises over his trunk and…

Sexual Assault, Forensic, and Safeguarding · Forensic evidence preservation - clothing and chain of custody ★ HY difficulty 2/5

A 24-year-old woman, Akua, presents to the A&E at Korle Bu Teaching Hospital at 02:00 hrs, 3 hours after being sexually assaulted by an unknown assailant. She is distressed but haemodynamically stable…

Sexual Assault, Forensic, and Safeguarding · Paediatric safeguarding - non-accidental injury recognition and referral ★ HY difficulty 2/5

A 7-month-old boy, Kwame, is brought to the district hospital A&E by his mother. She reports he 'fell off the sofa' yesterday. On examination he has multiple bruises over his trunk and buttocks in dif…

Sexual Assault, Forensic, and Safeguarding · Forensic preservation and chain of custody ★ HY difficulty 3/5

Akua, a 24-year-old woman, presents to the A&E at a regional hospital in Kumasi at 02:00, reporting that she was sexually assaulted approximately 3 hours ago. She is distressed but haemodynamically st…