Viva 5

You have been called to review a 66-year-old male in the Emergency Department. He fell from a height and was admitted complaining of neck pain and weakness in all four limbs.
He was intubated shortly after admission for rapid shallow breathing and hypoxia. His current BP is 75/40 mmHg.

Describe your management.

(This viva dealt with spinal injury.)

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.