Princess Alexandra Hospital

  • 81 year old lady, presented after a fall, => GCS dropped to 7 in ED with dilated left pupil and haemoserous fluid R ear. 
    °  Slow respiratory wean
    °  Focal neurology
    °  Failed NG feeds – plan for nutritional supplementation
    Areas of weakness identified by examiners: 
    °  Poor neurological examination
    °  No clear plan for nutritional management
    °  Few candidates mentioned post pyloric feeding
    °  Candidates commented on tracheostomy decannulation without establishing clearly the presence of a cough reflex.