The main Accident and Emergency patient area

 The nurses station

 The asthma station where people just stop in for breathing treatments - often times without ever being assessed by a physician- which has led to some very acute bounceback patients.

 Dr. Joe with one of the patients clinically diagnosed with a small bowel obstruction that was still pending imaging, until the ultrasound diagnosed it immediately!  NG tube was placed..

 ...and this feculent material was suctioned out.

 Interestingly, he had attempted a home remedy of local herbs prior to arrival.  He seemed to have swallowed the leaves whole!

 This was another gentleman - mid 80's who was complaining of lower extremity weakness for several days. Tenderness in his abdomen was noted - with slight pulsation (I have a video clip which hopefully turned out).  Ultrasound then showed a AAA.  CT was ordered, and he was admitted to medicine.

His family asked to have a photo taken with him - it is not very common in Fiji to reach the age of 80...or even your 70's.

 This man came in with altered mental status - his wife stated he fell at home, was acting altered and aggressive with a history of an MI in the past.  Patient was diaphoretic, vomiting.

 His EKG...absolutley got our attention.  Streptokinase order was attempted - which needs approval by the medicine team to give - it was not given - medicine wanted to monitor patient longer.

 So, we monitored.  He was eventually admitted to the ICU - where he died.

 The ambulance bay.

 The front of the Accident and Emergency building.

 Dr. Miller has captured the attention of the residents and attendings - they are sold on the fact that they need an ultrasound!

 Impressive CXR of the following gentleman.

 If you look closely - you can appreciate slight tracheal deviation.

 A young female came in after ingesting pariquot - similar to a weed killer, in doses larger than 5mL it is often fatal, without antidote.  The only treatment here, other than supportive care, is Fuller's Earth which they likened to a "mud" for lavage.

 The view from the resuscitation bay.

 A very tough young boy I met at the end of one of my days - I would have otherwise never known he was hurting if his mother hadn't lifted his t-shirt!

His mother accidentally spilled boiling water down his chest - luckily the burns weren't too bad, and he was able to go home soon after!

**Permission was asked and granted from every photographed individual/guardian for the use of the images for teaching purposes.