You are working as an ICU specialist in a small regional hospital. You are called to give urgent assistance with a 65 year old male who has presented to the Emergency Department with increasing shortness of breath one week after discharge from a Metropolitan hospital following an apparently uncomplicated cardiac surgery. He has rapidly deteriorated. A junior registrar and nurse are in attendance.
How will you respond to this crisis?
The rest of the question focused on the differential diagnosis of a cardiac arrest post cardiac surgery, approach to BLS and pericardiocentesis.
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.