A 16-year-old Indian boy was admitted to the hospital with an acute subdural hematoma following a motor vehicle accident. He underwent a decompressive craniectomy and was referred for enteral tube feeding. A feeding regimen was developed to provide adequate calories and protein to promote recovery, consisting of incremental increases in feeding volume up to 150ml given 8 times per day via Ryle's tube. MCT oil was also prescribed to boost calories without increasing protein. The goal was to preserve lean body mass and improve healing through optimized nutrition support.