• Clinical Case

Rare is here! A troublesome NG tube

A 70-year-old patient, on nasogastric feeding, was seen with a spontaneous non-functioning NG tube, passed 2 days ago successfully. Attempts with fresh tap water flushes went in vain. Physician felt quite a resistance while trying to pull it out.
  • Clinical Case

End of life care in ED

A 45-year-old female with end-stage COPD presents with acute breathlessness and drowsiness. Despite optimized medical management and prior discussions on care preferences, she declines interventions and has died shortly after admission.
  • Clinical Case

From Wheeze to Squeeze: a patient presenting with breathlessness

A 37-year old female woman presents with worsening shortness-of-breath and is noted to be severely hypertensive.
  • Clinical Case

A Shocking Period

A young woman is seriously unwell. Her flatmates give you all the information you need. Now you must save her life. Period!
  • Clinical Case

Hypoactive Delirium

A 73-year-old female, who lives alone, is found collapsed at home by her neighbours and brought in the ED.
  • Clinical Case

Chemical Burns

A 30-year-old, 50kg, factory worker presents to your ED following a chemical burn injury. While operating a machine at the Royal Mint an accident sprayed chemical over his face, neck and upper chest.
  • Clinical Case

Hot Tub, Hot Feet

Two girls present to the Emergency Department on the same day with similar painful foot rashes, raising concerns about a common exposure.
  • Clinical Case

Itching to get home but, is your concern spot on?

Exposure to a viral illness in pregnancy. How worried should Mum be?
  • Clinical Case

Returning from Spain with new epigastric pain, in shock

A hypotensive female in her 60s is pre-alerted to resus with severe abdominal pain radiating to both shoulders.
  • Clinical Case

Nobody Nose – Punched on Face

A 35-year-old male presents to the ED with a history of being punched on the face, with a nasal bone injury, bleeding and deformity. Discussion on evaluation, examination, imaging and specialist referral in the ED.
  • Clinical Case

Blast in the Head

A 27-year-old female presents to the ED with one day history of sudden onset of moderate to severe intensity headache, vomiting, diplopia and abdominal discomfort.
  • Clinical Case

Blunt trauma to the abdomen – don’t forget the kidneys!

A 37-year-old man is brought into the emergency department following a road traffic collision.
  • Clinical Case

Spontaneous Pneumothorax in Early Pregnancy

A 31-year-old woman presents with a one-day history of sudden onset of the left shoulder pain and shortness of breath.
  • Clinical Case, ECG

What does this ECG suggest?

An elderly lady presents to the emergency department from a nursing home having been found on the floor in her room
  • Clinical Case

Thats a Yellow Card! Risks and Regulation

A female in her 60s attends with tongue swelling.
  • Clinical Case

Syncope with Arm Exercise

Sudden onset of neurological symptoms after exertion, accompanied by vacant episodes that were triggered by movement of the arm due to steno occlusive disease in the subclavian artery, proximal to the origin of the ipsilateral vertebral artery.
  • Clinical Case

Feeling Blue: When a good night turns bad

A woman is found unresponsive in a takeaway at midnight. She is hypotensive, drowsy and has low oxygen saturations. She is unable to give a history and there is nobody with her. Can you help her?
  • Clinical Case

Sweet and Salty

Hyperglycaemic hyperosmolar state is a medical emergency and is different from DKA and as such its treatment requires a different approach.
  • Clinical Case

A Droopy Eye

A man in his thirties presents to the ED after being instructed to do so by an optician, suspecting a stroke.
  • Clinical Case, ECG

Will you look at this ECG for me?

You are handed the ECG of a lady with known alcohol excess who has presented with at least 48 hours of vomiting. The ECG reveals one of her blood tests may be critical but which one?
  • Clinical Case

PUMP it up

A 35-year-old male presents with central non radiating chest pain with ECG changes and a blood pressure of 241/179mmHg.
  • Clinical Case

When the Well Runs Dry

An 80-year-old woman arrives after an unwitnessed fall, uninjured but profoundly unwell - dizzy, fatigued, and oliguric. Could this be the tip of a multifactorial medical iceberg?
  • Clinical Case

More than just a DVT

A 38-year-old man reattends obtunded and narcosed after being treated for a DVT the day before.
  • Clinical Case

Penetrating Thoracic Trauma

A 21-year old male has been stabbed outside of a night-club.