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A 40-year-old gentleman with no past medical history of note presents to the Emergency Department with increasing shortness of breath, productive cough, fever and pleuritic right sided chest pain for 7 days.

On assessment he is noted to be tachycardic (heart rate 110 bpm), tachypnoeic (respiratory rate 30 breaths/minutes), febrile (temperature 38.0oC), SpO2 of 85% on 15L/min O2 using a non-rebreathe mask and a PaO2 of 8.0 kPa...

Author Dr Lamya Mohammed

Patient transfer to CT

Patient transfer to CT

Posterior Reversible Encephalopathy Syndrome (PRES)

A 51 year old woman is referred from the medical team. She had been admitted with new onset confusion, blurred vision and headache. She has had two tonic-clonic seizures in hospital and the medical registrar is concerned that she is in status epilepticus. She had a background of SLE...

Author Dr Helen Cole

Maternal Collapse

A 31 year old primigravida presents in spontaneous labour at 39+4 weeks gestation. The pregnancy has been uncomplicated thus far. On initial vaginal examination her cervix is 4 cm dilated and she in contracting regularly. She is in significant pain and requests an epidural...

Author Dr Tim Knowles

Dislodged ETT in a proned patient

Upper GI haemorrhage

A 22 year old female was admitted to the Acute Assessment Unit with shortness of breath. She has a past history of anxiety and depression. The history revealed that she was refusing to eat anything for over a week and was losing weight over the last few months...

Author Dr Abhay Vaidya