Viva 3

You are working as a Locum Intensive Care Specialist in a regional hospital with no tertiary paediatric service. You are called as part of the trauma team to the Emergency Department to assist with the management of an 8 year old child with burns.

The paramedics report the child was found semi-conscious and breathing in the downstairs hallway of a home on fire less than an hour ago.

Describe your initial assessment and monitoring priorities for this child.

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.