OSCE 14

The clinical scenario provided was as follows:
“Peter is a 12 year old who is severely disabled with cerebral palsy. He has poor bulbar function, is totally tube fed, and is in hospital awaiting insertion of a percutaneous feeding tube. A short while ago he was urgently transferred to your intensive care unit after a nurse accidentally placed the nasogastric tube in his right main bronchus and commenced enteral feeds. He is now profoundly hypoxic, shocked and oliguric. He has been intubated and ventilated, is requiring 100% oxygen and is receiving high dose inotropic support. There is a strong possibility that he will die. As the consultant intensivist, you are about to meet with Rebecca White (the child’s mother) for the first time to explain the situation.”
As for communication stations in general, candidates were expected to provide an empathic clear explanation of the situation, using appropriate body language, and appropriate attention to the needs of the mother.

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.