International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. There have been numerous reports documenting the differences in outcomes after carbon monoxide poisoning between men and women. There are also several reports mentioning the differences in presentation and outcome of poisoning in adults and children. Case Series: We report two construction workers who had carbon monoxide poisoning while watching television. They used a petrol generator to power their television during a power outage, and the generator was placed in the same confined room. All windows were closed due to heavy rain and strong winds outside. Both patients were found motionless the next morning in front of the television. The two patients aged 16 and 22 years old presented to emergency department with almost similar complaints but had a very differing hospital course. The 16-year-old had status epilepticus needing intubation and ICU admission while the other was well throughout his stay. Both patients underwent two courses of hyperbaric oxygen therapy using the Royal Malaysian Navy treatment table 18-60-30. The 16-year-old was placed in the multi-place hyperbaric chamber while still intubated. Both patients were discharged without any neurological deficits. Conclusion:The clinical course of patients with carbon monoxide poisoning may differ due to factors other than gas concentration and duration of exposure.

The Obstetric and Gynaecological Retrieval Service in West Coast Sabah has been well-established since year 2015, parallel to the global advancement of Emergency Retrieval Service. The decision to transfer a patient or to deploy team to the patient lies in the hands of Retrieval Unit. Additionally the mode of transportation, surgeon availability, weather and travel time have to be taken into account. Even though the structure of the program is steadfast in diversifying retrieval services, there are still insufficient studies available to decide its worth. We report a case of a 19-year old primigravida at 27 weeks; involved in a high-impact motor vehicle accident and sustained class 4 hemorrhagic shock. Evaluated in a district hospital, uterine rupture was diagnosed. Hence, the dilemma was either to deploy a team to perform the surgery in district hospital, or to put the patient through a perilous journey back. We would discuss on how we had organised and coordinated a team of obstetrician and anaesthesiologist, along with the Retrieval Team, to perform an Emergency Exploratory Laparotomy in district hospital. Nevertheless, the best method of care is still debatable as astute judgement is crucial and this approach has to be taken on a case to case basis. Ultimately, the patients well-being is the utmost priority.