5 Days in Surgery — 45yo Man | General Surgery | SMLE Q#16837
SMLE Question #16837
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 45-year-old man is in the ICU after a high-speed motor vehicle collision. He has an isolated severe traumatic brain injury and has been comatose for 5 days. He is hemodynamically stable and has no abdominal, thoracic, or facial injuries that would prevent use of the gastrointestinal tract. The team expects prolonged unconsciousness for several weeks. What is the most appropriate method of nutritional support at this stage?
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