Branching cross-examination

This is a MedVellum formative viva. It is not an official RACP, MRCPCH, ABP, ACGME or RCPSC station, mark scheme, duration or pass standard. Release each update only after the candidate states the failing system, the immediate action and the reassessment endpoint. ^{[2] [4]}

Candidate brief

You are the senior paediatric clinician in a rural district emergency department. Speak as you would during resuscitation. Read the ECG and the toxidrome; give the antidote on its trigger; avoid the class Ia and Ic antiarrhythmic trap; prepare the rescue therapies for refractory poisoning; and escalate to retrieval and extracorporeal support before local support is exceeded. This is one continuous case. Each escalation branch leads to the next update. ^[4]