Emergency medicine

A worker with recent confusion

Gordian Fulde



Emergencies can spring up at any time and in many incarnations. Are you adequately equipped to deal with them? Each month we present a case study in emergency medicine based on real cases and events. Would you have been able to help this patient?

Article Extract

As an experienced GP who has become part of the team in your local hospital’s emergency department, hospital staff often approach you for help – it is, you think, because they believe your extra expertise may help to solve a clinical problem.

So, it is no surprise to you when, one day, the manager of the cleaning staff approaches you to ask whether you could see a cleaner that another two of his staff are bringing in to the emergency department. Apparently, the patient is a long term employee and although a bit of a recluse, he has always been an exemplary and well liked worker.