Case of the Month

A 23-year-old man presents to A&E having sustained a blunt force trauma to his head outside a nightclub. On arrival, he has just vomited for the second time and is confused. He is aggressive and claims not to remember the events. He shouts at you that he has no other medical problems, and no collateral history is available.

There is an obvious red swelling above his right brow ridge. There is a substantial ecchymosis overlying the right orbit...

Author Dr Andrew Gardner and Dr Meesha Jogia

A pre-alert has been received for a 25-year-old man who has fallen from a high wall while intoxicated. He is being transferred to your hospital with full spinal immobilisation in place.

On arrival in the Emergency Department, he is on a spinal board, has a cervical spine collar in situ with three-point immobilisation of the head, and is conversant but agitated. He is complaining of neck pain with paraesthesia and weakness of all four limbs...

Author Dr Nick Charlesworth

A 27 year old man presents to the Emergency Department with decreased conscious level. He has a past medical history of type 1 diabetes mellitus. On examination, his airway is patent, respiratory rate is 24 breaths per minute...

Author Dr Noel Pradeep