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 shock grade, the phenotype, the immediate action and the reassessment endpoint. ^{[1] [6]}

Candidate brief

You are the senior paediatric clinician in the emergency department. Speak as you would during resuscitation. Recognise shock from the whole child and the trend, never from a single blood pressure. State the change you expect from each action, and say what you will reassess. This is one continuous case. Each escalation branch leads to the next update. ^[9]