30-year-old male, day 5 ICU, admitted with 55% scald burn from the shower. Background of epilepsy. He had just returned from debridement. Clinical findings included sedated and ventilated, oliguric on CVVHDF, abdominal distension and the presence of a scalp haematoma.
Candidates were directed to assess him and make a management plan.
Discussion points included weaning of sedation and ventilation and the use of renal replacement therapy.