A 26 year old woman presents to the Emergency department having been found at home confused and jaundiced by her GP. Her GCS is E3V5M5 She has a Temp of 38 ˚C, BP 90/60, HR 90 and SpO2 94% on 4litres/min O2

She has a past history of alcoholism and intravenous drug abuse. Outline your initial assessment and management:

The rest of the viva focussed on fulminant hepatic failure and its assessment and management

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.