Unwell neonate

An 8-day-old neonate is brought to the ED by concerned parents. Over the last 48 hours she has become increasingly …

2025 Term 4 Wk 6 Archived
Collapse after vomiting

A 21-year-old female presents after collapse following a 3-day history of vomiting. ABG: pH 7.65 pCO2 55 PO2 80 HCO3 …

2025 Term 3 Wk 9 Archived
Opioid overdose

A 25-year-old man arrives by ambulance to your ED following a suspected overdose. He wasfound at home, unconscious, with pinpoint …

2025 Term 3 Wk 7 Archived
Chest pain and syncope

A 35-year-old woman presents to the ED with central chest pain and two syncopal episodes.

2025 Term 3 Wk 6 Archived
Collapsed neonate

A 14 day old term baby is brought to your suburban mixed ED at 6am. Parents reported the breathing rate …

2025 Term 3 Wk 1 Archived
Syncope

A 70 year old man has collapsed at the shops with chest pain. The ambulance service found him to be …

2025 Term 3 Wk 1 Archived
Paediatric tachycardia

An 18-month-old girl presents to your urban district ED with lethargy and poor feeding over the last 24 hours. She …

2025 Term 2 Wk 13 Archived
SOB and chest pain

A 74-year-old man has presented via ambulance to your tertiary ED with shortness of breath and chest pain for the …

2025 Term 2 Wk 13 Archived
Cardiac POCUS

A 40-year-old man presents with chest pain and SOB. A focused point of care ultrasound is undertaken by your registrar …

2025 Term 2 Wk 13 Archived
Pacemaker malfunction with ventricular arrhythmia

An 85-year-old woman with a past history of IHD and DDD pacemaker presents with palpitations and syncope.

2025 Term 2 Wk 13 Archived
Digoxin and propranolol overdose

A 19-year-old female presents 2 hours post an intentional drug overdose. She admits to taking 250 tablets of digoxin 62.5mcg …

2025 Term 1 Wk 11 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
Broad complex tachycardia

A 55-year-old male is brought in by ambulance with palpitations. He is placed into a resus bay and has intravenous …

2025 Term 1 Wk 4 Archived
Open disclosure following adverse outcome

A 58-year-old man was discharged from the ED after presenting with chest pain and died at home three days later. …

2024 Term 4 Wk 13 Archived
Unwell neonate

A 6-day-old girl presents lethargic and tachypnoeic with hypotension, hypoxia and a loud cardiac murmur. You are concerned about congenital …

2024 Term 4 Wk 7 Archived
Anaphylactic shock with allergic myocardial infarction

A 59-year-old woman is brought to the resus room by paramedics after becoming weak, dizzy and nauseated while getting her …

2024 Term 4 Wk 3 Archived
Infective endocarditis

A 36-year-old man with intravenous drug use presents with fever and malaise for three days. His observations are as follows: …

2024 Term 3 Wk 4 Archived
Syncope during basketball

A 19-year-old man presents following a syncopal episode while playing basketball. He is now haemodynamically stable.

2024 Term 3 Wk 4 Archived
Chest pain

A 69-year-old female presents to the ED with 12 hours of chest pain and shortness of breath.

2024 Term 3 Wk 4 Archived
Syncope at work

A 60-year-old man presents with a syncopal episode whilst at work. He is unable to describe any preceding symptoms and …

2024 Term 3 Wk 4 Archived
Acute respiratory distress and chest pain

A 75-year-old man is brought into the resus room of your tertiary ED with acute respiratory distress. Family members report …

2024 Term 3 Wk 4 Archived
Refractory cardiac arrest and ECMO

A 59-year-old man has a witnessed collapse at the airport. CPR was immediately commenced. The ambulance will arrive to your …

2024 Term 3 Wk 2 Archived