Unspecified hospital in Adelaide

66-year-old male, day 15 ICU, admitted following a 2m fall from a truck. Clinical findings included a patient who was febrile, delirious, oedematous with rapid shallow breathing, no movement in his legs and hyper-reflexia.

Candidates were directed to examine with a view to identifying his major management issues. Discussion points included his neurological findings, fever, ventilatory status and fluid balance.