Viva 3

 58-year-old morbidly obese woman is admitted to your ICU following an out of hospital cardiac arrest. The arrest was witnessed and bystander CPR was provided immediately and continued for 20 minutes until Ambulance arrival. The initial rhythm was VT and she had a single DC shock with return of spontaneous circulation.

She was making non-purposeful movements in the ED prior to being anaesthetised, intubated and sent to cardiac cath lab. She returns to the ICU with vitals; HR 90 bpm SR, BP 95/55, temperature 37.8.

Outline your initial assessment.

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.