A 28-year-old male has been involved in a high-speed motor vehicle crash and admitted to your hospital. His initial GCS at the scene was 5 (E2, V2, M1). He has been intubated and has a hard collar in place.
When the preconditions for the clinical determination of brain death cannot be met, what imaging modalities are recommended to determine absence of intracranial blood flow? What findings in each test confirm brain death?
Questions a) List the clinical features that indicate a poor prognosis in a patient with community-acquired pneumonia? b) List 5 common organisms causing severe community acquired pneumonia in immunocompetent adults. c) What are the possible reasons for non-response to empiric…
A 45-year-old man is admitted to the Emergency Department after ingesting an unknown quantity of “headache tablets”. His initial complaints are nausea, vomiting, shortness of breath and tinnitus. Fluid resuscitation has been commenced. You are asked to assess him as he is getting more dyspnoeic.
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