Perilunate wrist dislocation

An 88-year-old man is brought in by ambulance to your emergency department atier a fall down 3 steps onto his …

2024 Term 1 Wk 2 Archived
Supracondylar humerus fracture

A 5-year-old girl presents after falling from monkey bars and injuring her right elbow. A lateral X-ray of the elbow …

2024 Term 1 Wk 2 Archived
Non-accidental injury – metaphyseal fracture

A 3-month-old boy presents as unsettled. On examination he appears to have a painful leg and an X-ray is performed.

2024 Term 1 Wk 2 Archived
Head injury

You are the consultant in charge of an urban district emergency department. You have just assessed a 42-year-old male who …

2023 Term 4 Wk 13 Archived
Post-thyroidectomy airway compromise

A previously well, 37-year-old female presents to your rural ED with a history of acute shortness of breath. She underwent …

2023 Term 4 Wk 13 Archived
Eye injury

A 21-year-old male presents after sustaining an eye injury while hammering metal at work. An image of the eye is …

2023 Term 4 Wk 13 Archived
Cervical spine injury with neurogenic shock

A 32-year-old man is involved in an amateur mixed martial arts bout and is slammed onto the ground. He complains …

2023 Term 4 Wk 13 Archived
Subarachnoid haemorrhage

A 43-year-old woman arrives via ambulance to your regional ED at 8pm. She had a sudden worsening of a 2-day …

2023 Term 4 Wk 12 Archived
Priapism

A 40-year-old man presents at 11:30 pm with severe pain and distress with an erection present for 3 hours. He …

2023 Term 4 Wk 12 Archived
Acute limb ischaemia

An 85-year-old man presents with a painful and pulseless right lower leg. You suspect an ischaemic limb.

2023 Term 4 Wk 12 Archived
Cauda equina syndrome

A 65-year-old man presents with acute atraumatic lower back pain.

2023 Term 4 Wk 12 Archived
Orbital cellulitis

A 5-year-old boy presents with progressive left eye swelling, pain and nausea.

2023 Term 4 Wk 11 Archived
Aortic dissection

A 50-year-old man presents distressed and diaphoretic with severe chest pain radiating to the back. You are concerned about aortic …

2023 Term 4 Wk 11 Archived
Guillain-Barré syndrome

A previously well 26-year-old woman has presented after developing ptosis this morning which was preceded by a 24-hour history of …

2023 Term 4 Wk 7 Archived
Paediatric cardiac arrest from box jellyfish envenomation

You are working at a regional hospital in a coastal city in northern Australia. You are pre-alerted that the ambulance …

2023 Term 4 Wk 7 Archived
Older persons

Your Emergency Department Director has noted your previous clinical acumen in caring for older people. They have asked you to …

2023 Term 4 Wk 7 Archived
Shocked neonate

An 8-day-old infant presents hypotonic, centrally cyanotic and cool peripherally. Peripheral oxygen saturation reads 70% with poor trace. The infant …

2023 Term 4 Wk 7 Archived
Chest pain

You are the ED consultant in a small rural hospital 2 hours from the nearest tertiary centre. A 60-year-old female …

2023 Term 4 Wk 6 Archived
Spontaneous pneumothorax

A 20-year-old male smoker presents with right-sided pleuritic chest pain. No past medical history. Hobbies include scuba diving. Exam: absent …

2023 Term 4 Wk 6 Archived
Severe asthma and NIV

A 28-year-old man is brought in by ambulance with acute respiratory distress. History of poorly controlled asthma with repeated ICU …

2023 Term 4 Wk 6 Archived
Syncope

A 49-year-old man presents with syncope. He collapsed without warning or prodrome and recovered within a few minutes. No injuries …

2023 Term 4 Wk 6 Archived
Syncope

An 84-year-old man is brought in from a nursing home following syncope. His ECG is shown. The monitor later alarms …

2023 Term 4 Wk 5 Archived
Shortness of breath

A 65-year-old man presents with shortness of breath and fever. A chest X-ray is provided.

2023 Term 4 Wk 5 Archived
ARDS

A 74-year-old man is brought in by ambulance with profound respiratory distress and hypoxia. A chest X-ray is performed.

2023 Term 4 Wk 5 Archived