Viva 1

A 65-year-old male has just been admitted to your ICU following an out of hospital cardiac arrest. He is currently receiving 6 mcg/min of adrenaline with a blood pressure of 100/70 mmHg, and has been anuric for the last two hours. He has a Glasgow Coma Score of 6. His current temperature is 37.6ºC.

What factors would you take into consideration in managing this patient’s temperature?

(This viva focussed on issues relating to temperature control and therapeutic hypothermia.)

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.