Scenario A 5 yo boy has been allocated a triage category 4 after falling from playground equipment on a busy Saturday afternoon. He presents with his mother. After a 1-hour wait he is wheeled into ED treatment area crying. Question 1 Outline the key features of your history and examination Outline of Answer Question 2 [...]

Scenario You are the emergency physician on duty on a Saturday evening when the duress alarm at triage is activated. A 32 year-old man on an ambulance trolley is aggressive and swearing. He is kicking at the ambulance officers and trying to get off the trolley. The ambulance was called by his family, who were [...]

Scenario A 67 year-old woman who lives independently has been brought in after being found by her daughter on the floor of her shower. It appears that she has been there all night. She was well the day before. Initial observations: GCS 7/15 (E-1 V-2 M-4); PR 70 irregular; BP 70/40; RR 6/min; SaO2 95%. [...]

Scenario A 4 year old boy presents with a 2-day history of increasing nausea, vomiting and epigastric pain. Some of his preliminary results are depicted below: Question 1 Describe and interpret the results (included in stem). Outline of Answer Question 2 Show Question 2 The serum glucose result is 40 mmol/l. Outline the key management [...]

Scenario You are asked to see a 61 year-old man on holiday from the United Kingdom. He presents with recent onset of sharp left-sided chest pain, worse with breathing. He is a smoker. There is no history of trauma. Sent to x-ray from triage, he has returned with the films. FILMS Question 1 Describe and [...]

A 4 month-old girl is referred to your urban district ED by a GP, after a fall. She is accompanied by her mother, but details of the fall are not clear. The baby appears normal except for a left parietal scalp haematoma.

A 58 year old man is brought to your Emergency Department by the ambulance service after spontaneous epistaxis for the last 3 hours. The ambulance officers report that he vomited at
least 500ml of fresh blood at the scene. They also report that there were a number of empty alcohol bottles at his house, which was in a dilapidated state. They have been maintaining pressure to his anterior nose.

The aero-medical retrieval service has brought in a 23 yo male from the bush, who was probably bitten on the lower leg by a snake 4 hours ago. He walked out of the bush to a local first-aid station where a nurse applied a pressure immobilisation bandage.

A 28 year old female is brought by ambulance to your tertiary ED. She was the front seat passenger in a medium speed motor vehicle accident less than one hour ago. She is 32 weeks pregnant. The patient is in your resuscitation room, with full cardio-respiratory monitoring and spinal immobilisation. The trauma team is assembled