Resuscitation and life support

A 3-year-old boy weighing 15 kg has had two days of profuse vomiting and diarrhoea. On arrival he was drowsy with cold mottled legs, capillary refill of five se…

Pre-internship · middle twist

An 11-month-old boy weighing 10 kg has had 36 hours of watery diarrhoea and vomiting. He lies quietly in his mother's arms and opens his eyes when spoken to. Hi…

Clinical rotations · common

A 19-year-old man is thrown from his motorcycle at highway speed. On arrival he is alert and complains only of neck pain. His blood pressure is 78/44 mmHg and h…

Clinical rotations · common

A medical student is bag-mask ventilating a 62-year-old woman who is apnoeic after a benzodiazepine overdose. She has a palpable pulse and a correctly sized ora…

Clinical rotations · common

A 71-year-old man collapses in the radiology department and is apnoeic with a palpable carotid pulse. You are first to arrive with a self-inflating bag, mask an…

Pre-internship · middle twist

A 24-year-old man is brought to the emergency department after falling four metres from scaffolding onto concrete. He opens his eyes to voice, is confused and l…

Pre-internship · middle twist

A 47-year-old man chokes on a piece of bread roll while talking at a workplace lunch. He coughs hard for a few seconds, then the coughing becomes silent and his…

Clinical rotations · middle twist

You are the first doctor to reach a 68-year-old man found slumped in a chair in the day therapy unit. He does not respond to voice or to a firm shake, he makes…

Pre-internship · middle twist

A 63-year-old man collapses in an emergency department waiting room. He is shocked once for ventricular fibrillation and a palpable pulse returns after four min…

Pre-internship · middle twist

A 71-year-old man at a restaurant suddenly stands and clutches at his throat during the main course. He cannot speak or make any sound. He is conscious and is s…

Clinical rotations · common

A 58-year-old man had a witnessed collapse at a shopping centre. Bystanders started compressions, ambulance officers delivered one shock, and spontaneous circul…

Pre-internship · middle twist

A 62-year-old man collapses in the emergency department waiting room. He is pulseless and the monitor shows ventricular fibrillation. Chest compressions are in…

Clinical rotations · common

A 74-year-old man is reviewed on the ward because he has become drowsy. He is cold and mottled to the mid-forearms. Pulse 108 beats per minute and regular; bloo…

Foundations · common

A 24-year-old man is brought to the emergency department 40 minutes after he came off his motorcycle. He has a closed fracture of the right femur and a tense, s…

Foundations · common

A 29-year-old woman is admitted with nausea, jaundice and right upper-quadrant discomfort. Her alanine aminotransferase is 9200 U/L (5–40), aspartate aminotrans…

Clinical rotations · middle twist