The first few minutes of this viva is a simulated environment. In the scenario, you are the ICU consultant covering the high dependency unit in a small metropolitan hospital. It is early on Saturday morning.
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.
A 45 year-old man post-attempted hanging was found 4 days ago by his family in cardiac arrest. His initial rhythm was asystole. He received 45 minutes of cardiopulmonary resuscitation before return of spontaneous circulation.
A 30-year-old man has presented to the Emergency Department with a single stab wound to the Left anterior upper chest. You have been called to see him to review him for an HDU admission, and arrive just as the Emergency department registrar has intubated him for agitation.
You have just reviewed a 40-year-old man, who was in a motor vehicle accident, in the Intensive Care Unit. He has been admitted for optimization of analgesia and non-invasive ventilation for several rib fractures.