Recombinant Factor VIIa to the rescue!?
The trauma room has turned into a blood bath. You're going to have to buy new shoes. What should you throw at the patient - the kitchen sink or Factor VII?
Category Clinical Cases
LITFL Clinical Case Collection. Over 250 Q&A style clinical cases to assist Just in Time Learning and Life Long Learning. Cases are categorised by specialty and can be searched by keyword from the database table
Managing the Critical Bleeder!!
What are the definitions used to define "Critical Bleeding" and "Massive Transfusion"?
Dealing with D-dimer debacles
An intern in the emergency department has been nervously standing behind you for the past ten minutes while you've dealt with a barrage of phone calls. He wants to discuss the positive d-dimer result of the patient he is working up. Y
Gut under pressure
A patient is day 1 post-laparotomy. his abdomen feels tight and his urine output has dropped off... Can you save the day in this gastrointestinal gutwrencher?
Snookered
You are assessing a 37 year old male in the emergency department. He appears to be in discomfort and states that he fell asleep at a party and thinks ‘someone put something up his back passage while he was out of it’.
A Lesson in History
A man, originally from Somalia, is jaundiced and has abnormal LFTs. Can you work out the cause?
Gut ache or Gordian knot?
A 29 year-old man has recurrent abdominal pain. Can you make the diagnosis where others have failed? Is this a Gordian knot?
Appendagitis
A 50 year-old man presented to the ED with sharp abdominal pain localised to his left lower quadrant.
A Mortal Battle with Four Hour Medicine II
The unexpected collides with 4 hour rule in the natural laboratory for error that is the emergency department… Act II and epilogue
Are you Satisficed?
Review these chest radiographs of an ICU patient with respiratory deterioration. What has been missed? What cognitive bias contributed to the error?
A Mortal Battle with Four Hour Medicine
The unexpected collides with 4 hour rule in the natural laboratory for error that is the emergency department... Act 1: The Existential Installment and Act 2: The Clinical Section...WITH a cliffhanger.
Entrapped
You are handed over a patient by a colleague (that's a 'handoff' to you Yanks)... He says he would usually send a patient like this home, but as the d-dimer is pending he suggests the patient should wait for the result.