The structured oral examination (SOE) and viva are age-old integral components of examination pathways in the specialty training of intensive care medicine (ICM). The viva can present a complex interaction between the examiner and delegate, which can often be challenging — even hostile! Organisation and structure are integral to success. This core text is tailored to provide a systematic structure covering a broad set of core topics that could legitimately be presented in an ICM exam. The style and discipline have been repeated throughout the answers to provide essential rehearsal as preparation for any viva-based exam. The book is presented as 7 sets of 6 viva examination cycles. This allows for timed practice sessions in the final few weeks leading up to the SOE and viva. The topics covered are pertinent for the British Fellowship of the Faculty of Intensive Care Medicine (FFICM), the European Diploma of Intensive Care Medicine (EDIC) exam, the Australia and New Zealand Fellowship of the College of Intensive Care Medicine (FCICM), the Indian Diploma in Critical Care Medicine (IDCCM), the American Board exams and any other viva-based intensive care medicine exams. This book is a critical companion in the final few weeks of preparation for ICM viva exams.