A 34 year-old man is brought to your tertiary ED after a motorbike crash. Your junior registrar assesses the patient and reports to you a diagnosis of dislocated left patella. He asks you to review x-rays of the patient’s knee.

You are on duty at 1800hrs in your ED. Ambulance brings in a 48 year-old man who suffered 2 episodes of large-volume haematemesis, estimated at 500ml each time. He had one episode of melaena. On presentation, the patient is clammy, with a HR of 120/min and a systolic BP of 85 mmHg

The ambulance has brought in a 65 year-old man with severe dyspnoea. The patient has a history of Chronic Obstructive Airway Disease (COAD), with regular use of bronchodilators. He is still a heavy smoker, but has no other relevant past history. On arrival, he is sweaty, distressed and peripherally cyanosed.

Scenario It is 2100hrs in your urban district ED. An 18 y old man presents with right shoulder pain, sustained in an accidental fall less than 1 hour ago. He has no other injuries, but you suspect a shoulder dislocation. Question 1 Discuss the Role of pre-reduction x-rays in this setting. Outline of answer Question [...]

A 70 year-old lady is referred by her GP with a 2-day history of apparent confusion, with episodes of agitation. She complains of a dry mouth and blurred vision. Her son states she took some over-the-counter medications from the chemist recently

You are the consultant in charge of an urban district Emergency Department at 2300hrs. You overhear the junior medical officer – who recently commenced night shift – asking nursing staff to arrange the discharge of a 72 year-old man, diagnosed with renal colic. Nursing staff express their concerns with you, as they state that the patient has persistent right sided loin pain.

It is 2000hrs in your tertiary level ED in Sydney. You are managing Mrs Margaret Lee, a 65 year-old woman who has just been diagnosed with a massive intra-cerebral haemorrhage.

You are working in a regional hospital ED. You receive a call from ambulance that a 4 year-old boy is en route after an apparent near-drowning accident in a family swimming pool.
CPR is in progress. Estimated time of arrival is 10 minutes

You are the consultant in charge of a regional base hospital ED. A rapid assessment nurse has organised investigations on a 17 year-old girl who was brought in by her parents with a 6-month history of weight loss. She is complaining of weakness and intermittent palpitations

Scenario It is 2100hrs in your tertiary Emergency Department. Ambulance bring in a 74 year old lady with a probable acute stroke. Initial findings: She has a history of hypertension, but otherwise has no significant past medical history. She was last seen to be well approximately 2 hours ago, but was found by relatives in [...]