A 69-year-old man has been ventilated for an infective exacerbation of chronic obstructive pulmonary disease (COPD). His ICU course has been complicated by septic shock and acute kidney injury that required renal replacement therapy.
A 55 year old lady presents to the Emergency Department irritable, confused and complaining of a severe headache. Her husband reports that she had been very drowsy since earlier that day when she was heard to suddenly cry out.
You are asked to review a 23-year old female in the Emergency Department who has presented via ambulance with her first seizure. She was still fitting after being given 5mg of diazepam IV by the ambulance officers and a further 20mg of midazolam by the staff in the Emergency Department.
A 54 year old man was brought into the Accident and Emergency Department after having been found unconscious on the floor of his hostel accommodation. He was lying in vomitus and was noted to be incontinent of urine. His GCS was E2V2M4 at the hostel.
A 72 year old man is having a generalized tonic clonic seizure whilst in·the Emergency Department Numerous attempts at intravenous access have been unsuccessful. You are called to assist Your initial attempt at peripheral aecess is unsuccessful.
You are asked to assess a 54 year old man scheduled for an urgent laparotomy for a suspected perforated duodenal ulcer. He has recently developed symptoms of double vision, ptosis, dysarthria and generalised muscle weakness. He was due to be reviewed by a neurologist next week.
Scenario: A forty-three (43) year old man, previously fit and well is brought into the Emergency Department having been found at home unconscious by his wife. He had last been seen six (6) hours previously. Pupils are reactive, GCS 8, breathing spontaneously, no focal signs.