Viva 1

You have been called to assist at the resuscitation of a 27-year-old patient in cardiac arrest on the general ward of your hospital. The patient is on the floor, with the surgical junior medical officer attempting ventilation with a bag and mask, and a nurse performing chest compressions. The patient has super morbid obesity with a BMI >60 kg/m2.

What is your approach and what are the issues that you would consider in performing resuscitation in these circumstances?

(This viva dealt with issues in cardiopulmonary resuscitation and subsequent management in severe

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.