Westmead Hospital

  • 33-year-old male, day 17 ICU, admitted with haemorrhagic shock from multiple stab wounds, including liver laceration and perforated bowel. Clinical findings included decreased bibasal breath sounds, moderate oedema, polyuria, open abdomen with VAC dressing and the presence of a tracheostomy. Candidates were asked to examine him, identify the current issues and formulate a management plan. Other discussion points included management of weaning and nutritional support.