ABEM ACCM study plan

Classify the acute coronary syndrome phenotypes by ECG and troponin pattern and state reperfusion time targets from memory.

Build a rhythm decision tree for narrow-complex tachycardia, wide-complex tachycardia, and symptomatic bradycardia, including when to move to electrical therapy.

Distinguish hypovolemic, cardiogenic, distributive, and obstructive shock by bedside preload, output, and vascular resistance findings, then name the first-line vasoactive agent for each.

Separate aortic dissection, cardiac tamponade, and pulmonary embolism from ordinary chest pain using history, vital-sign discordance, and bedside ultrasound signs.

Sequence the management of acute decompensated heart failure and pulmonary edema from noninvasive support through diuresis and escalation.

Grade asthma and COPD exacerbations into severity tiers and write the medication escalation ladder with doses for each tier.

Compare the ARDS diagnostic criteria, common triggers, and lung-protective ventilation targets, and identify the threshold for prone positioning or extracorporeal referral.

Interpret arterial blood gases and distinguish shunt from ventilation-perfusion mismatch physiology across ten worked cases without references.

Select rapid-sequence induction agents and doses for the patient in shock, the patient with elevated intracranial pressure, and the patient in status asthmaticus.

Apply pneumonia severity scoring to justify admission versus intensive care versus discharge decisions.

Execute the primary and secondary survey in order and pair each step with the immediately lethal injuries it is designed to catch.

Compare massive transfusion activation triggers, tranexamic acid timing, and permissive hypotension indications across blunt and penetrating trauma.

Distinguish compartment syndrome, necrotizing soft-tissue infection, and open fracture by examination findings and state the time-critical intervention for each.

Calculate burn surface area and depth and derive the fluid resuscitation plan and endpoints for the first 24 hours.

Identify the injury patterns and disposition decisions for geriatric trauma, anticoagulated head injury, and the pregnant trauma patient.

Match each classic toxidrome to its physical findings, expected confirmatory studies, and antidote with dose.

Build a closed-book antidote grid covering at least fifteen common poisonings, including when dialysis or enhanced elimination is indicated.

Apply the anion gap, osmolar gap, and acetaminophen nomogram timing rules to six constructed overdose cases.

Separate serotonin syndrome, neuroleptic malignant syndrome, and anticholinergic toxicity using onset, clonus, rigidity, and reflex findings.

Sort heat illness, accidental hypothermia, and dysbaric injury into field stabilization steps and emergency department rewarming or recompression decisions.

Localize stroke by vascular territory and apply thrombolysis and thrombectomy eligibility windows and contraindications to four cases.

Distinguish seizure from syncope and from psychogenic nonepileptic events, then write the status epilepticus medication ladder with doses and sequencing.

Triage headache red flags and differentiate subarachnoid hemorrhage, meningitis, temporal arteritis, and carbon monoxide exposure by presentation and first test.

Apply sepsis diagnostic criteria and the initial resuscitation bundle elements, and separate septic shock from other distributive shock states.

Recognize the emergency rashes that require immediate intervention and administer weight-based epinephrine for anaphylaxis with observation rationale.

Differentiate the acute abdomen by pain migration, peritoneal findings, and imaging choice, and state operative indications for six surgical emergencies.

Sequence the management of upper and lower gastrointestinal bleeding, including transfusion thresholds, anticoagulation reversal, and endoscopy timing.

Separate obstructive uropathy, testicular torsion, and ectopic pregnancy by bedside ultrasound findings and the time-critical window for each.

Match diabetic ketoacidosis, hyperosmolar hyperglycemic state, thyroid storm, and adrenal crisis to diagnostic criteria and initial fluid, insulin, and steroid orders.

Order the evaluation and disposition for the agitated patient, distinguishing delirium from primary psychiatric illness and from occult medical causes.

Compare thrombotic thrombocytopenic purpura, heparin-induced thrombocytopenia, disseminated intravascular coagulation, and sickle cell vaso-occlusive crisis by laboratory pattern and first-line therapy.

Interpret coagulation studies, platelet trends, and smear urgency to identify the patient who needs urgent plasma exchange rather than platelet transfusion.

Revisit the two lowest-scoring domains from weeks one through six and rebuild every missed concept into a spaced-repetition card.

Integrate multisystem cases by working ten mixed-domain vignettes and articulating the single highest-yield next action for each.

Complete two full-length timed simulated examinations under closed-book conditions and log every miss by domain and error type.

Convert each missed item into one actionable learning point and review the accumulated error log from all prior weeks.

Recite the one-page algorithm and time-target cards for all ten domains from memory without prompts.

Rehearse the highest-frequency critical actions across all domains in a single rapid-fire review to consolidate retrieval under time pressure.