It is a Friday evening in your regional ED. Your patient is Mrs Thelma Brown, a 72 yo woman brought in by her daughter with a one week history of respiratory tract infection. Her daughter states that she can no longer look after her mother at home.

Scenario You are the consultant on duty at a regional ED. There is no Intensive Care Unit in your hospital. The closest tertiary Paediatric service is 40 km away. A previously well 6 month-old girl is brought by her parents at 0100hrs, with a two-day history of runny nose, and fever. Shortly before arriving, they [...]

Scenario You are the consultant in the Emergency Department of a regional hospital one hot summer day. A 50 yo man is brought in by ambulance after he completed a long distance bicycle race, which finishes near your hospital. Since the race his friends report he acted strangely and fainted twice. They rode with him [...]

Scenario A 75 yo woman presents to your tertiary ED following a collapse and loss of consciousness for about 2 minutes. A witness reports she has complained of dizziness prior to the event. She regained full consciousness by the time of ambulance arrival. On arrival, she had a GCS of 15, HR 100/min, BP 134/86, [...]

You are asked by a junior medical officer to assist in the care of a 20 year old female university student who stated she ingested a large dose of Paracetamol.

An 8 year old boy is brought to your tertiary Emergency Department by ambulance. He had been playing on a building site and was hit by a construction vehicle.
On arrival he is crying and complaining of chest and abdominal pain.

Scenario A 53 yo man is brought to your tertiary level ED by his wife with 90 minutes of dull chest pain. During the trip in he felt weak and lightheaded.  His wife reports he looked pale and clammy. He is triaged to an appropriate area in your ED. He looks unwell; pale and diaphoretic. [...]

Scenario The nurse shows you an x-ray of a 9 year old boy with a right elbow injury. He fell from playground equipment at school, and was brought by his teacher. There are no other injuries and the child is otherwise well. Question 1 Describe and interpret the x-ray. Outline of Answer Question 2 Show [...]

Scenario You assess a 28 year old woman who collapsed two hours ago. She complained of dysuria for one week; there is a history of recurrent urinary tract infections. She has a past history of recurrent urinary tract infections and bipolar affective disorder. On examination: confused and tremulous Vital signs: Temp 37.4°C BP 100/65 mmHg. [...]