Case presented regarding severely ill patient with meningitis and discussion of intubation, and drug concentration time curves.
Introductory material provided was:
“An 18 year old girl is brought into the emergency department critically ill with headache, photophobia, fever, hypotension (70 systolic), a widespread petechial rash, rhabdomyolysis, acute renal failure and hypoxia. Due to a deteriorating mental state, a decision is made to intubate her. (She ‘looks’ a straight forward intubation.)”
Twenty-seven out of twenty-seven candidates passed this station.
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.