An 81-year-old woman attends ED from a Nursing Home with a reduced GCS, tachycardia, tachypnoea, hypotension, hypothermia and hyperglycaemia.…
Why the fall?
An elderly lady presents to a Minor Injuries Unit following head injury. On examination, evidence of suspected skull base fracture is found and she is, therefore, referred to the ED for radiological i…
Young People Don’t Get Strokes?
It’s 5am. A 26-year-old is blue lighted to ED with slurred speech and limb weakness.…
COOL —–àRUSH
A 33-year-old patient is brought in unresponsive. She is hypothermic, hypotensive, bradycardic, hypoglycaemic and has unequal pupils.…
Less than one percent
A 43-year-old lady presents with left thigh pain and swelling.…
Wheelie Bad Fall
A 15-year-old twists his ankle while skateboarding.…
Lid Laceration
An 80-year-old woman sustains a lid-laceration in an RTC. How should this be managed?…
With a Pinch of Salt
A 46-year-old gentleman with a known history of alcohol dependence re-attends to the ED with a reduced GCS. Is he just drunk?…
What is this lump in my neck?
A 52-year-old male complains of a mass at the base of his neck following a fall from his mountain bike.…
It’s gone viral!
A 28-year-old man recently returned from abroad. He is feverish with sore eyes and a rash.…
“I can’t speak”
A 70-year-old gentleman presents to the ED with pain in left lower jaw, worsening over the last 3 days.…
A shoulder to cry on
A young lady presents with shoulder pain, for which there are multiple differential diagnoses. How do you differentiate between them in order to manage her effectively?…
Why so silent?
Elderly lady presenting with abdominal pain and fleeting left upper limb weakness.…
Let’s Twist Again
A 29-year-old male attends with left knee pain having been hit by a slow-moving car 2 days earlier.…
A Constant Cough
A 9-week-old female infant presents to Paediatric A&E at 2200 hrs with a history of coughing, difficulty in breathing, lethargy and reduced feeding.…
A leaky pipe?
A 65-year-old male is brought to the ED with severe abdominal pain and nausea.…
Doc, I’m about to croak out!
A patient presents with suspected aspiration but turns out to have something even more concerning.…
An Unexpected Twist
A 67-year-old lady presents to the ED with mild wheeze, frontal headache, fever and vomiting. She is hypotensive and tachycardic. You arrange to see her in Resus.…
Vision Not Quite Right!
A 15-year-old male presents to the ED complaining of blurred vision in the right eye, floaters, and mild headache.…
Maternal sepsis: be aware and beware!
A 40-year-old female presents to the Emergency Department feeling lethargic for 24 hours.…