Viva 5

A 65 year old female is admitted  to the Intensive  Care Unit with generalised abdominal pain, tachycardia, hypotension  and tachypnoea.  She has a past medical history of Type I diabetes  mellitus,  ischaemic  heart disease,  atrial fibrillation  and  peripheral vascular disease.

Describe your initial approach to the resuscitation of the patient.

Focus of discussion: Resuscitation of patient, evaluation and management of gut ischemia

Disclaimer: the viva stem above may be an original CICM stem, acquired from their publicly available past papers. Or, perhaps it is a slightly altered version of the original CICM stem. Or, it is a completely original viva stem, concocted by the monstrously amoral author of Deranged Physiology for nothing more than his own personal amusement. In either case, because the college do not make the main viva text or marking criteria available, almost everything here has been confabulated. It might sound like a plausible viva and it could be used for the purpose of practice, but all should be aware that it does not represent the "true" canonical CICM viva station.