Violence mitigation in the ED

A 25-year-old female has been brought to your ED by ambulance and police escort. She is agitated and physically aggressive, …

2025 Term 1 Wk 10 Archived
Agitated patient

A 37-year-old male is BIBA due to agitation. He is disheveled, pacing and talking to himself. Vitals : <ul><li>Temp 37.8</li><li>HR …

2025 Term 1 Wk 10 Archived
Button battery nasal foreign body

A 3-year-old boy has been brought into your Emergency Department with a button battery in his left nostril.

2025 Term 1 Wk 8 Archived
Red painful eye

A 30-year-old male presents to ED with 3-day history of red and painful left eye associated with blurred vision.

2025 Term 1 Wk 8 Archived
Swollen ear

You are the sole FACEM working in a small rural emergency department without surgical cover. A 13-year-old male presents with …

2025 Term 1 Wk 8 Archived
Orbital cellulitis

A 9 yo girl presents a week of with progressive right eye swelling despite taking amoxicillin with clavulanic acid for …

2025 Term 1 Wk 8 Archived
Acute otitis media

A 12-month-old, otherwise well, boy is brought to your emergency department with a 1-day history of fever and is a …

2025 Term 1 Wk 8 Archived
Seizure with ring-enhancing brain lesions

You receive a BAT call of a 34-year-old male from a local shopping centre. When the ambulance arrived, he was …

2025 Term 1 Wk 7 Archived
Back pain, falls and urinary retention

You are the consultant on duty on Saturday evening in a busy major referral Emergency Department. You are approached by …

2025 Term 1 Wk 7 Archived
Intermittent diplopia

A 32-year-old female presents with intermittent diplopia. She describes no other symptoms. She has no past medical history. Your abnormal …

2025 Term 1 Wk 7 Archived
PNES and status epilepticus management

A 39-year-old woman has been brought into your tertiary ED with 2 x “seizure-like” episodes, each lasting approximately 1 minute. …

2025 Term 1 Wk 7 Archived
Ischaemic stroke thrombolysis complications

A 78-year-old woman presents to ED with acute onset dysphasia and right upper limb weakness. CT imaging is consistent with …

2025 Term 1 Wk 7 Archived
Perianal abscess

A 45-year-old male presents to your emergency department with a three-day history of worsening perianal pain. He describes a dull, …

2025 Term 1 Wk 6 Archived
Pruritis

A 70-year-old woman presents with a one-week history of pruritus. She is normally well and does not take any regular …

2025 Term 1 Wk 6 Archived
Decompensated alcoholic liver disease

A 42-year-old male with known alcoholic liver disease who is still drinking alcohol is brought in by relatives with a …

2025 Term 1 Wk 6 Archived
Paediatric intussusception

A 12-month-old boy presents to the ED with abdominal pain. You suspect intussusception.

2025 Term 1 Wk 6 Archived
Obesity hypoventilation syndrome

A 44-year-old Polynesian woman presents with a 4-day history of progressive dyspnoea and somnolence. She has a BMI greater than …

2025 Term 1 Wk 5 Archived
Pleural effusion and pleurocentesis

A 60-year-old man presents with shortness of breath. You intend to perform pleurocentesis as part of your management.

2025 Term 1 Wk 5 Archived
Massive haemoptysis

A 69-year-old woman presents with a 1-hour history of haemoptysis, coughing up approximately two cups of bright red blood. She …

2025 Term 1 Wk 5 Archived
Spontaneous pneumothorax

A 24-year-old male presents to the ED 10 hours after developing sudden onset pleuritic chest pain on deep breathing. He …

2025 Term 1 Wk 5 Archived
Mycoplasma pneumonia in child

You are the supervising consultant in a metropolitan tertiary ED. Your junior registrar has come to you asking for advice …

2025 Term 1 Wk 5 Archived
Resolved chest pain

You are the morning consultant in a rural hospital reviewing a 50-year-old male who self-presented overnight with recently resolved chest …

2025 Term 1 Wk 4 Archived
Acute aortic dissection

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

2025 Term 1 Wk 4 Archived
Syncope

A 45-year-old man presents following a collapse while sitting down having lunch with friends. He is now alert and asymptomatic.

2025 Term 1 Wk 4 Archived