A 42-year-old male is admitted to ICU following a cadaveric orthotopic liver transplant for end-stage liver disease secondary to alcohol-induced cirrhosis.

With respect to thromboelastography and haemostasis:

You have been called to the Emergency Room to review a previously well adult male who has sustained a penetrating injury to the root of the neck.

You are called to review a 55-year-old female following difficult, prolonged surgery for clipping of a left middle cerebral artery aneurysm. She returned to the ICU intubated, ventilated and with an external ventricular drain (EVD) in situ three hours earlier.

A 42-year-old male is admitted to your intensive care day 4 post induction chemotherapy for acute promyelocytic leukemia (AML-M3). The patient was initially treated with idarubicin and all-trans retinoic acid (ATRA).

List four assessments of the RIGHT ventricle that can be made on transthoracic echocardiography; List four clinical signs of right heart failure

A 35-year-old female with no known previous medical history presents to the emergency department with a decreased conscious level.

Critically evaluate the role of non-invasive ventilation (NIV) in critically ill patients.

Critically evaluate the role of monitoring blood lactate levels in the critically ill.

A 76-year-old female is admitted to the ICU following elective aortic and mitral valve replacement. Trans- oesophageal echo assessment at the end of surgery showed an ejection fraction of 20%. Her preoperative creatinine was 340 μmol/L. Total bypass time was 240 minutes.

Critically evaluate the role of corticosteroids in the management of severe community-acquired pneumonia.

Question With regards to high-voltage electrical injuries: a) List the factors determining the severity of electrical burn injuries. (30% Marks) b) List the potential causes of poor lung compliance in a patient who is receiving invasive mechanical ventilation post high-voltage…