Unspecified hospital in Adelaide

26-year-old male, day 4 ICU following a high-speed motorcycle accident. On presentation there was no sensation below the waist. Clinical findings included the presence of a tachycardia, left below-knee amputation, right external fixator, dark urine with an IVC filter and would not obey commands.

Candidates were directed to assess him and make a management plan.

Discussion points included weaning of sedation and ventilation and the role of DVT prophylaxis.