“A 27 year old man is admitted to hospital following a multiple vehicle crash on the freeway. He is
awake and complaining of abdominal pain. There is an obvious open femoral fracture. Outline your initial assessment and management.”
Follow up question: “He develops hypotension that responds to fluid therapy (4 litres of normal saline). How will you determine the source of this bleeding?”
Twenty-five out of twenty-seven candidates passes 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.