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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

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

A 32-year-old female presents to the emergency department with reduced conscious level and a 1-day history of vomiting, diarrhoea and abdominal pain. Her observations are as follows: SpO2 100% on 15L O2 NRB; RR 24; HR 118...

Authors Dr Eva Peck

Acute on Chronic Liver Failure