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A 23-year-old primi-gravida Vietnamese woman was admitted to the Maternity unit with per vaginal (PV) bleeding, nausea, vomiting and malaise at 35+5 weeks of pregnancy.

Author: Dr Deepak Sharma

End of Life and Palliative Care in ICU

A 30-year-old female presents to the Emergency Department after a collapse at work. She had been feeling unwell for a few days, with a low-grade fever and increasing shortness of breath. 

On further questioning she reports some dyspnoea on exertion and excessive tiredness, both of which started during a pregnancy 18 months ago...

Authors: Dr Tom Casson, Dr Kris Bauchmuller and Prof Robin Condliffe

An 82-year-old man is admitted to hospital on a hot summer evening following concern from his carers. He was found in an armchair confused, drowsy and unable to stand unaided. He was last seen in the morning. On initial assessment he was tachypnoeic, tachycardic with hypotension...

Authors: Dr Jamie Gibson, Dr Oliver R. Gibson

A 61-year-old gentleman presents to the Emergency Department with increased urinary frequency, thirst, nausea and is drowsy. The patient has recently been discharged from the hospital following an admission for a bilateral pneumonia...

Author: Dr Rhiannon Kirk

A 52 year old Gentleman was admitted to ITU following an in-hospital PEA cardiac arrest. He is known case of multiple myeloma; post autologous stem cell transplant with subsequent neutropenic sepsis. He has a background of Hypertension and Bipolar Depression on Lithium...

Author: Ahmed Elsayed

CCOT Assessing Patient for Discharge

Hyperinflammatory State in the Intensive Care Unit .

A 45-year-old woman presented via ambulance to A+E complaining of shortness of breath, cough, malaise and headache that had been ongoing for the last 3 days. Her past medical history consisted of HIV which she was diagnosed with 20 years ago; she stopped highly active anti-retroviral therapy (HAART) 10 years ago...

Author: Dr Iain Fraser