Poisoning

A 19-year-old woman presents six hours after taking 30 × 500 mg paracetamol tablets in a single impulsive act following an argument. She also took "a few&q…

Clinical rotations · common

A father telephones the emergency department. Twenty minutes ago he found his 20-month-old daughter with the back of the television remote prised open and one o…

Pre-internship · middle twist

Several people are brought to a metropolitan emergency department after a chemical was deliberately released in a shopping centre. A six-year-old girl weighing…

Pre-internship · niche

An 18-month-old boy is brought to a rural emergency department after being found in a farm shed beside a spilt container, with his clothing wet. He is drowsy bu…

Clinical rotations · middle twist

A 20-month-old girl is brought to a metropolitan emergency department 45 minutes after her brother saw her swallow a 20 mm lithium button battery from a remote…

Pre-internship · niche

A 15-year-old boy weighing 60 kg presents to a metropolitan emergency department six hours after swallowing forty paracetamol 500 mg tablets in one go. He has v…

Pre-internship · middle twist

A three-year-old girl weighing 14 kg is found with her grandmother's dose administration aid, which contains amitriptyline. Two hours later she is drowsy with 5…

Pre-internship · middle twist

A three-year-old boy weighing 15 kg is brought to the emergency department 90 minutes after his parents found him with an open bottle of perfume containing 60%…

Clinical rotations · common

A 14-year-old girl is brought to the emergency department by her mother three hours after being found crying in her bedroom beside an empty packet of ibuprofen…

Clinical rotations · common

In late July a 34-year-old man attends with both his housemates. All three have had headache, nausea and poor concentration that build up through each evening a…

Clinical rotations · middle twist

A 19-year-old man is brought in by friends four hours after a party. He is agitated, mumbles continuously and plucks at the bedclothes, and does not know where…

Clinical rotations · common

A 32-year-old man is rescued from a burning warehouse. He is confused, hypotensive and tachypnoeic, with soot on his face but no wheeze. His pulse oximeter read…

Pre-internship · middle twist

A laboratory technician is found unconscious in a poorly ventilated garage. Arterial blood shows pH 7.39, PaO2 13.0 kPa (reference 10.7–13.3 kPa), and PaCO2 5.1…

Mechanisms of disease · common

A 19-year-old man presents six hours after an acute ingestion of an unknown number of immediate-release paracetamol tablets in a suicide attempt. He is alert, w…

Pre-internship · middle twist

A 24-year-old woman presents to the emergency department two hours after impulsively swallowing 32 tablets of 500 mg immediate-release paracetamol (16 g) follow…

Pre-internship · middle twist