ABA Critical Care study plan
ABA Critical Care · Give each week a clear focus.
8 weeks · About 6 hours per week
Respiratory disorders and mechanical ventilation
Construct initial ventilator settings (mode, tidal volume, PEEP, FiO2, rate) for ARDS, obstructive lung disease, and routine post-operative respiratory failure from stated blood gases and compliance data
Calculate static compliance, airway resistance, and driving pressure from given peak, plateau, and flow values, and state the specific ventilator adjustment each abnormal value dictates
Classify a given blood gas as type 1 or type 2 respiratory failure and justify the next escalation step (high-flow nasal oxygen, noninvasive ventilation, or intubation) using stated clinical parameters
State lung-protective ventilation targets and the criteria that trigger prone positioning, neuromuscular blockade, or recruitment maneuvers, explaining the physiologic rationale for each
Your checkpoint
Complete a 25-question domain-1 quiz under timed conditions with a score of 80% or higher, and log every missed item with a corrected one-paragraph explanation
Cardiovascular disorders and hemodynamic monitoring
Calculate cardiac output, cardiac index, systemic vascular resistance, and oxygen delivery from stated hemodynamic and blood gas values, then assign the patient to a shock category
Interpret a described pulmonary artery catheter or noninvasive hemodynamic tracing and defend the chosen vasopressor or inotrope, including starting dose and titration endpoint
Distinguish fluid-responsive from fluid-intolerant physiology using stated dynamic indices, and state the specific threshold that argues against further boluses
Identify life-threatening arrhythmias from written rhythm descriptions and select the guideline-consistent pharmacologic or electrical intervention
Your checkpoint
Build a from-memory shock-state decision table (four shock categories with hemodynamic signature, first-line drug, and pitfall) and pass a 25-question domain-2 quiz at 80% or higher
Neurologic critical care & Renal, fluid, electrolyte, and acid-base disorders
Localize a lesion from a written neurologic examination and sequence the first-hour management of raised intracranial pressure, showing the intracranial pressure and cerebral perfusion pressure arithmetic explicitly
Outline the time-critical management of status epilepticus and acute ischemic stroke, naming drug, dose, and time window for each step
Stage acute kidney injury by stated creatinine and urine output criteria, list the indications for renal replacement therapy, and set safe correction rates for sodium and potassium derangements
Solve mixed acid-base problems stepwise using the anion gap, the delta ratio, and Winter's formula, and state the expected compensation for each primary disorder
Your checkpoint
Solve 10 mixed acid-base and electrolyte problems showing full stepwise arithmetic, scoring at least 8 of 10 correctly with all compensations identified
Sepsis, infection, and immunocompromise
Apply sepsis diagnostic criteria to written vignettes and sequence the first-hour and first-three-hour bundle elements with correct timing
Select empiric antimicrobial regimens for stated suspected sources, adjusting for stated resistance risk, allergy, and renal function
Sequence fluid resuscitation and vasopressor initiation in septic shock, naming the endpoints and the trigger for adding a second agent
Manage fever in a stated neutropenic or otherwise immunocompromised host, including immediate empiric coverage and the cultures required before antibiotics
Your checkpoint
Sit a 50-question cumulative examination covering weeks 1 through 4 with a score of 75% or higher, and produce an error log grouping misses by domain
Hematologic and coagulation disorders & Endocrine and metabolic disorders
Interpret abnormal coagulation panels to distinguish consumptive, dilutional, and heparin-induced coagulopathies, and select the correct reversal product with dose for each stated anticoagulant
Apply restrictive transfusion thresholds to stated scenarios and justify massive transfusion activation with the ratio-based strategy
Write the fluid, insulin, potassium, and monitoring sequence for diabetic ketoacidosis and hyperosmolar hyperglycemic state, naming the trigger for adding dextrose
Recognize thyroid storm and adrenal crisis from stated vital signs and laboratory values and initiate the correct drug sequence
Your checkpoint
Reproduce from memory two one-page protocols (diabetic ketoacidosis management and anticoagulant reversal) without reference material, then verify each line against a primary source and correct discrepancies
Trauma, surgical, and transplant critical care
Order the primary and secondary survey for a stated trauma presentation and identify the immediate life threat at each step
Apply damage-control resuscitation principles to a stated hemorrhaging patient, including permissive hypotension targets and the trigger for operative or angiographic control
Diagnose and stage abdominal compartment syndrome from a stated bladder pressure and organ dysfunction profile, and state the medical and surgical decompression steps
Manage the early post-operative and post-transplant ICU course, naming the complications of stated immunosuppression regimens and the infection patterns they produce
Your checkpoint
Complete a 25-question domain-8 quiz at 80% or higher plus a written five-step damage-control resuscitation checklist derived without prompts
Gastrointestinal, nutritional, and toxicologic disorders
Calculate caloric and protein requirements for a stated critically ill patient and choose enteral versus parenteral route with justification
Identify refeeding syndrome risk from stated electrolytes and prescribe the monitoring and replacement schedule
Manage acute upper gastrointestinal bleeding and acute hepatic failure, naming pharmacologic agents, transfusion targets, and the trigger for airway protection
Match common toxidromes to their causative agents and antidotes, and state the indications for dialysis or charcoal in a stated overdose
Your checkpoint
Produce a from-memory toxidrome and antidote table covering at least 20 agents, scoring your own recall before study and again afterward, with the second attempt at 85% or higher
Ethics, palliative care, patient safety, and ICU administration & Respiratory disorders and mechanical ventilation & Cardiovascular disorders and hemodynamic monitoring & Neurologic critical care & Renal, fluid, electrolyte, and acid-base disorders & Sepsis, infection, and immunocompromise & Hematologic and coagulation disorders & Endocrine and metabolic disorders & Trauma, surgical, and transplant critical care & Gastrointestinal, nutritional, and toxicologic disorders
Apply a structured capacity assessment to a stated refusing patient and construct a goals-of-care conversation outline that names prognosis, values, and the recommendation step
Explain the clinical criteria and procedural steps for brain death determination and the process of organ donation discussion
Identify patient-safety and ICU-administration levers (bundles, delirium prevention, handoff structure, staffing models) and match each to a measurable outcome
Integrate all ten domains by working cumulative vignettes under time pressure and correcting every residual knowledge gap
Your checkpoint
Sit a 100-question cumulative mock examination at 75% or higher, and submit a one-page capacity and goals-of-care framework written from memory with no omissions on review
Milestones
Week 2: Both the domain-1 and domain-2 quizzes are at 80% or higher and the shock-state table is reproduced from memory without notes
Week 3: At least 8 of 10 mixed acid-base and electrolyte problems solved correctly with full stepwise arithmetic shown
Week 4: Cumulative 50-question examination at 75% or higher with an error log showing every miss assigned to a domain and a scheduled re-test date
Week 6: Domain-8 quiz at 80% or higher and both week-5 protocols have been verified line by line against a primary source with all discrepancies corrected
Week 8: Cumulative 100-question mock examination at 75% or higher and the from-memory capacity and goals-of-care framework completed with no omissions