A 65 year old female is admitted  to the Intensive  Care Unit with generalised abdominal pain, tachycardia, hypotension  and tachypnoea.  She has a past medical history of Type I diabetes  mellitus,  ischaemic  heart disease,  atrial fibrillation  and  peripheral vascular disease.

Describe your initial approach to the resuscitation of the patient.

Focus of discussion: Resuscitation of patient, evaluation and management of gut ischemia

Disclaimer: the viva stem above is the original CICM stem, acquired from their publicly available past papers. However, because the college do not make the rest of the viva text or marking criteria available, the rest has been confabulated. It sounds like a plausible viva and it can be used for the purpose of practice, but all should be aware that it does not represent the "true" canonical CICM viva station.