Viva 3

A previously well 17 year old male is admitted to your intensive care with severe respiratory distress. He had influenza diagnosed 1 week ago and now presents pyrexial 39.5°C, hypotensive with bilateral patchy infiltrates on the Chest X-Ray. You suspect a secondary bacterial infection.

What are the most likely causative organisms in this patient?

The rest of the questions focussed on the management of severe respiratory failure including the management of bronchopleural fistula and the role of ECMO.

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.