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.