Unspecified hospital in Adelaide

31-year-old female, day 27 ICU, having presented with a 4-week history of infective respiratory symptoms. She had an in hospital cardiac arrest with a brief period of CPR before return of spontaneous circulation. In ICU, treatment strategies included VV ECMO, dialysis and tracheostomy for weaning.

Candidates were directed to comment on her readiness for weaning and to give a further management plan.

Discussion points included interpretation of chest CT scan, the microorganisms likely to cause cavitating lung lesions, as well as criteria for readiness to wean.