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.