27-year-old female, day 3 ICU with multi-trauma following motor vehicle crash. Her injuries included traumatic brain injury and raised ICP with bilateral SAH and basal ganglia and intra-parenchymal haemorrhage, blunt chest trauma with right-sided contusion, rib fractures and pneumothorax, liver laceration and multiple facial and limb abrasions. Findings on examination included Codman catheter, right ICC, sandbags supporting C-spine, large scalp abrasion with degloving and extensive skin abrasions.
Candidates were asked to perform a secondary survey, describe the findings and outline the likely clinical problems.