Twenty-five high-yield ICU Medicine cases designed to feel like a real ward round. Each case unfolds through immediate stabilisation, investigations, evolving round notes, escalation to NIV/mechanical ventilation when appropriate, final diagnosis, definitive management and key learning points.
A 62-year-old man is brought with 4 days of fever and cough, rapidly worsening breathlessness, confusion and a striking fall in blood pressure.
FREE SAMPLEStart ICU Round →A 68-year-old chronic smoker with long-standing exertional breathlessness arrives wheezing, exhausted and increasingly drowsy despite oxygen at home.
FREE SAMPLEStart ICU Round →A 44-year-old woman with a recent influenza-like illness develops rapidly progressive breathlessness and profound hypoxaemia with new bilateral chest infiltrates.
🔒 MEMBERSLogin / Register to Open →A 59-year-old man presents with crushing central chest pain and soon becomes cold, confused and profoundly hypotensive.
🔒 MEMBERSLogin / Register to Open →A 72-year-old woman with long-standing high blood pressure wakes suddenly with severe breathlessness, cough and an inability to lie flat.
🔒 MEMBERSLogin / Register to Open →A 24-year-old woman presents with repeated vomiting, abdominal pain, marked thirst and deep rapid breathing after missing an essential daily treatment for two days.
🔒 MEMBERSLogin / Register to Open →A 76-year-old man is brought with several days of intense thirst, polyuria, weakness and gradually progressive confusion following a urinary illness.
🔒 MEMBERSLogin / Register to Open →A 39-year-old man is brought actively convulsing; generalized tonic-clonic activity has continued for more than 7 minutes without meaningful recovery.
🔒 MEMBERSLogin / Register to Open →A 67-year-old woman suddenly loses speech and movement of the right side 90 minutes before reaching the emergency department.
🔒 MEMBERSLogin / Register to Open →A 58-year-old man with poorly treated high blood pressure develops an explosive headache, repeated vomiting and sudden weakness of the left side.
🔒 MEMBERSLogin / Register to Open →A 31-year-old woman with recurrent episodic wheeze arrives exhausted and unable to complete sentences despite repeated inhaler use at home.
🔒 MEMBERSLogin / Register to Open →A 52-year-old woman suddenly collapses with severe breathlessness and hypotension 10 days after major pelvic surgery.
🔒 MEMBERSLogin / Register to Open →A 64-year-old man with chronic liver disease presents after a large episode of vomiting blood followed by syncope and circulatory instability.
🔒 MEMBERSLogin / Register to Open →A 28-year-old woman develops rapidly progressive jaundice and confusion after an initially undisclosed episode of excessive tablet ingestion.
🔒 MEMBERSLogin / Register to Open →A 66-year-old man with known chronic kidney impairment develops marked oliguria after gastroenteritis and analgesic use, followed by weakness and severe breathlessness.
🔒 MEMBERSLogin / Register to Open →A 56-year-old woman becomes progressively confused and then has a generalized seizure several days after starting treatment for high blood pressure.
🔒 MEMBERSLogin / Register to Open →A 35-year-old woman with months of weight loss, tremulousness and heat intolerance presents with high fever, vomiting, delirium and a very rapid irregular pulse.
🔒 MEMBERSLogin / Register to Open →A 43-year-old man with a history of long-term hormone replacement presents after gastroenteritis and missed medication with profound weakness and persistent hypotension.
🔒 MEMBERSLogin / Register to Open →A 49-year-old man admitted with severe upper abdominal pain develops worsening hypoxaemia, tachycardia and oliguria over the next 36 hours.
🔒 MEMBERSLogin / Register to Open →A 32-year-old farmer is brought after suspected pesticide exposure with vomiting, profuse sweating, pinpoint pupils, copious secretions and respiratory distress.
🔒 MEMBERSLogin / Register to Open →A 29-year-old woman arrives 90 minutes after a nocturnal bite with drooping eyelids, difficulty swallowing and rapidly progressive weakness.
🔒 MEMBERSLogin / Register to Open →A 34-year-old man from a malaria-endemic area develops high fever, jaundice and progressively worsening confusion over 24 hours.
🔒 MEMBERSLogin / Register to Open →A 46-year-old man presents with high fever, severe headache, neck stiffness, confusion and a rapidly appearing petechial rash.
🔒 MEMBERSLogin / Register to Open →A 26-year-old man on day 5 of a febrile illness develops abdominal pain, restlessness, cold extremities and narrowing pulse pressure just as the fever begins to settle.
🔒 MEMBERSLogin / Register to Open →A 60-year-old man regains a pulse after a witnessed out-of-hospital collapse and 18 minutes of CPR, but remains unresponsive and critically unstable.
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