Royal Brisbane Hospital

  • 47 year old man, brought in after an MVA. Has a T11 fracture, tear drop fracture C2 and an aortic injury. Candidates were asked to assess general examination, neurological state and outline plan of management.
    • Cause of weakness
    • Noscomial pneumonia
    • Criteria for extubation
    • DVT prophylaxis in acute phase

Areas of weakness identified by examiners: 

  • Poor general neurological examination
  • Could not clearly articulate criteria for extubation
  • Missed the presence of a pneumonia
  • Failure to have a DVT prophylaxis plan