EMERGENCY MEDICINE

35

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CASE 35 Incident A 49-year-old man with chronic renal failure requires transfer to a tertiary centre for renal dialysis. He has missed his last two dialysis appointments. He has a…

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30

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CASE 30 Incident A 49-year-old man has been admitted to a general hospital ICU without cardiothoracic surgical expertise 2800 km (1740 miles) away. He has a past history of bicuspid…

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32

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CASE 32 Incident An 11-year-old boy has been camping with his parents and now presents to a small nurse-led rural clinic with a history of 6 hours of increasing respiratory…

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23

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CASE 23 Incident A 56-year-old woman has collapsed and presented by ambulance to a general hospital without on-site neurosurgical support. On admission, she was deeply unconscious and required intubation and…

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31

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CASE 31 Incident A 39-year-old woman with a history of hypertension, non-insulin dependent diabetes and chronic renal impairment has presented to an isolated 110-bed rural general hospital 1100 km (690…

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48

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CASE 48 Incident During a regular pre-hospital and retrieval service staff meeting, a number of recent incidents and events were discussed. Included were: • The death soon after arrival at…

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29

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CASE 29 Incident A 48-year-old woman known to mental health services has re-presented to a rural general hospital. She had been assessed in the hospital’s Emergency Department 24 hours earlier…

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44

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CASE 44 Incident A The PHR team is asked to provide support to the local Police service for a firearm incident. 44.1 Briefly discuss how you would plan for this….

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43

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CASE 43 The following questions relate to crew resource management (CRM) and the implications for the PHR team. Question A As an experienced PHR doctor, you are attached at short…

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18

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CASE 18 Incident A cyclist has been hit by a car and has sustained an isolated open fracture dislocation of the ankle. Clinical information: • P 110. • BP 150/90…

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