Viva 7

You are asked to speak to the parent of a 21-year-old male, Kevin Smith, who was readmitted to your ICU last night. He was originally admitted to your ICU with a severe traumatic brain injury 4 months ago. He had aggressive treatment including a decompressive craniectomy. He was discharged from your ICU with severe neurological deficits.

He has been on a rehabilitation ward for the last 2 months, making a slow recovery. His treating team believe that he still has the potential to make a reasonable neurological recovery, although he currently remains severely neurologically impaired. He was readmitted to ICU last night with pneumonia requiring invasive mechanical ventilation.

The nursing staff informs you that his parent wants to speak to you.

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.