Viva 5

A 72 year old man is having a generalized tonic clonic seizure whilst in·the Emergency Department Numerous attempts at intravenous access have been unsuccessful. You are called to assist Your initial attempt at peripheral aecess is unsuccessful.

Briefly outline your approach, focusing particularly at stopping the seizure.

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.