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Short Answer Questions for ED Fellowship Study

Case: Neuroprotective intubation

A 75-year-old female is brought in by ambulance obtunded following collapse at home. She has a past history of anticoagulated atrial fibrillation and hypertension. Vitals on arrival:

  • GCS E1 V2 M2
  • HR 68
  • BP 190/90
  • RR 22
SpO₂ 93% on room air You are concerned about an intracranial bleed and decide to intubate prior to CT transfer.

1. Complete the table below stating (6) strategies you would employ during neuroprotective intubation. 6 marks

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2. List (6) important elements of post-intubation care which help minimise secondary brain injury. 6 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

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