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Paeds Vivasacute-care-resuscitation-and-toxicology

Paeds Vivas · acute-care-resuscitation-and-toxicology

Retrieval, transport and interfacility stabilisation — branching viva

A branching viva following one critically ill child through a rural retrieval: bringing intensive care to the child, completing pre-transport stabilisation, managing the physics of altitude vibration and cold, choosing the right mode and escort, running a structured referral and handover, and rehearsing the contingency for deterioration in transit.

branching clinical structured oral5 min readVerification in progress

Target exams

RACP General PaediatricsRACP DCERCPCH Progress+MRCPCH ClinicalABP General PediatricsACGME PediatricsRCPSC Pediatrics
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Target exams

RACP General PaediatricsRACP DCERCPCH Progress+MRCPCH ClinicalABP General PediatricsACGME PediatricsRCPSC Pediatrics
Prompt
A six-year-old in a rural hospital, three hours by road from the paediatric intensive care unit, is deteriorating with pneumonia, septic shock and a developing metabolic acidosis. The examiner releases information in stages. The candidate must call retrieval in parallel with resuscitation, complete pre-transport stabilisation before departure, manage the physics of the flight, choose the mode and escort, rehearse the contingency, and hand over safely.

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 problem, the immediate action and the stabilisation endpoint. [1] [4]

Candidate brief

You are the senior paediatric clinician in a rural hospital. Speak as you would during a real retrieval. Call retrieval in parallel with resuscitation, complete pre-transport stabilisation before departure, manage the physics of the flight, choose the mode and escort, rehearse the contingency, and hand over safely. This is one continuous case. Each escalation branch leads to the next update. [12] [1]

Paediatrics Fellowship Pro

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You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship library.

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References6ShowHide
  1. [1]Stroud MH, Trautman MS, Meyer K, et al. Pediatric and neonatal interfacility transport: results from a national consensus conference Pediatrics, 2013.PMID 23821698
  2. [2]Haydar B, Baetzel A, Elliott A, et al. Adverse Events During Intrahospital Transport of Critically Ill Children: A Systematic Review Anesthesia and analgesia, 2020.PMID 32925334
  3. [4]Wilcox SR, Wax RS, Meyer MT, et al. Interfacility Transport of Critically Ill Patients Critical care medicine, 2022.PMID 36106970
  4. [6]Thirnbeck CK, Espinoza ET, Beaman EA, et al. Interfacility Referral Communication for PICU Transfer Pediatric critical care medicine, 2024.PMID 38483193
  5. [8]Noje C, Rozenfeld R, Holcomb RG, et al. Consensus on Neonatal and Pediatric Interfacility Transport Air medical journal, 2026.PMID 42331499
  6. [12]Gleich SJ, Myers LA, Montgomery MD, et al. Low Utilization of Synchronous Telemedicine in Pediatric Critical Care Interfacility Transport: Barriers and Lessons Air medical journal, 2022.PMID 35750446
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