Viva 2

A 27-year-old male (80 kg) is found after an explosion in his home garage. On arrival in the Emergency Department he has a Glasgow Coma Scale (GCS) 8 (E2 V2 M4), SpO2 88% on 15 L.min-1 oxygen, respiratory rate 40 min-1 , heart rate 123 beats/min and blood pressure 88/45 mmHg. The diagram below demonstrates the surface area burnt. Red areas reflect partial or full-thickness burns and the blue areas are superficial burns.

Describe your assessment and management priorities specific to the burn injury.

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.