Opioid replacement therapy

Your intern is assessing a 31-year-old man with opioid use disorder who is seeking referral to an opioid replacement therapy …

2025 Term 1 Wk 10 Archived
Medical clearance for psychiatric assessment

A 28-year-old woman with a known history of schizophrenia is brought to the ED by police after being found wandering …

2025 Term 1 Wk 10 Archived
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
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
Neuroleptic malignant syndrome

A 24-year-old female is brought in by ambulance with fever and altered mental status. Paramedics report a psychiatric history, details …

2024 Term 3 Wk 12 Archived
Reduced GCS and alcohol withdrawal seizures

A 64-year-old man with frequent alcohol-related ED presentations is brought in after a witnessed generalised tonic–clonic seizure. He has a …

2024 Term 3 Wk 10 Archived
First presentation bipolar disorder

A 28-year-old female has been brought to your emergency department by concerned work colleagues. They have noticed a significant change …

2024 Term 3 Wk 10 Archived
First presentation psychosis

A 22-year-old man is brought to ED by police due to concerning behaviour. There is no personal or family psychiatric …

2024 Term 3 Wk 10 Archived
Agitation following alcohol intoxication

A 54-year-old man admitted overnight with alcohol intoxication and suicidal ideation becomes increasingly agitated on waking. He has a long …

2024 Term 3 Wk 10 Archived
Suicidal ideation in older male

A 74-year-old man is brought in by his neighbour with malaise and abdominal pain. Medical workup is benign, but during …

2024 Term 3 Wk 10 Archived
Acute mental illness and ED systems

A 26-year-old man with schizophrenia and polysubstance use presents with severe agitation and requires involuntary psychiatric admission.

2024 Term 2 Wk 1 Archived
Postpartum psychosis with infant safety

A 23-year-old woman is brought to ED by police with bizarre behaviour four weeks postpartum, found wandering with her infant …

2024 Term 2 Wk 1 Archived
Agitated patient detention

A 40-year-old woman is brought into ED under a section 20 by paramedics with delusions and paranoia on a background …

2023 Term 3 Wk 11 Archived
Neuroleptic malignant syndrome

A 22-year-old male is brought in by ambulance after being found confused at the park. You note in his medical …

2023 Term 2 Wk 3 Archived
Suicidal

A 40-year-old man is brought to your ED after being found alone on a bridge. He was agitated with the …

2023 Term 2 Wk 1 Archived
Eating disorder

A 13-year-old female is brought in by her concerned mum with significant weight loss and altered behaviour over the past …

2023 Term 2 Wk 1 Archived
Autism and agitation

An 11-year-old boy with severe autism is brought by his parents due to agitation at home. He has been punching …

2023 Term 2 Wk 1 Archived