BCCCP study plan

Build a one-page dosing table for antiplatelet, anticoagulant, and fibrinolytic regimens in acute coronary syndrome, listing load, maintenance, and absolute contraindications.

Derive a hypertensive-emergency decision tree that selects an agent and target blood pressure by end-organ injury (aortic dissection, ACS, intracranial hemorrhage, acute pulmonary edema, preeclampsia).

Compare IV diuretics, vasodilators, and inotropes for acute decompensated heart failure and write explicit escalation and weaning criteria for each.

Distinguish rate-control from rhythm-control drug choices in atrial fibrillation and quantify the QT and proarrhythmia risk of each agent used in the ICU.

Rehearse ACLS antiarrhythmic sequencing for shock-refractory VF/VT and stable/unstable bradyarrhythmia, including dose, route, and maximum cumulative limits.

Reconstruct the sepsis hour-1 bundle element by element and defend each intervention with the trial or guideline that supports it.

Rank empiric antimicrobial regimens by presumed source and resistance risk, explicitly covering MRSA, Pseudomonas, ESBL, and anaerobic coverage decisions.

Calculate and adjust beta-lactam and vancomycin doses for augmented renal clearance, CRRT, ECMO, and obesity using published pharmacokinetic principles.

Contrast echinocandins, voriconazole, and amphotericin B products on spectrum, monitoring, and ICU drug-interaction burden.

Interpret procalcitonin trends, culture data, and biomarker panels to justify a written de-escalation or discontinuation decision.

Differentiate distributive, cardiogenic, hypovolemic, and obstructive shock using hemodynamic and perfusion markers, then match each to a first-line vasoactive strategy.

Construct a massive transfusion and hemorrhage-control sequence covering activation triggers, balanced component ratios, calcium repletion, and tranexamic acid timing.

Calculate burn resuscitation fluid volumes and titrate to urine output, then adjust for inhalation injury and fluid creep.

Set initial ventilator parameters for ARDS, COPD exacerbation, status asthmaticus, and elevated intracranial pressure, and justify each setting.

Sequence ventilator liberation: sedation interruption, spontaneous breathing trial criteria, extubation readiness, and post-extubation respiratory support.

Interpret arterial blood gases systematically, calculating anion gap, delta-delta, and expected compensation to classify mixed acid-base disorders.

Assemble renal dose adjustments for at least 20 high-risk ICU drugs and specify which require CRRT-specific or augmented-clearance-specific dosing.

Manage electrolyte emergencies with calculated doses and safe correction rates, including hyperkalemia, dysnatremia, and refeeding-related hypophosphatemia.

Write DKA and HHS protocols covering fluid, insulin, potassium, and transition to subcutaneous therapy, and outline thyroid storm and adrenal crisis regimens.

Build a stepwise intracranial pressure and cerebral perfusion pressure management sequence for traumatic brain injury, including hyperosmolar therapy doses and sodium targets.

Select and dose antiseizure medication for status epilepticus escalation and for short-course post-neurosurgical prophylaxis, stating when prophylaxis is not indicated.

Apply thrombolytic eligibility criteria, blood pressure targets, and anticoagulation reversal strategies to ischemic and hemorrhagic stroke.

Choose a sedation and analgesia regimen by ICU scenario, applying analgesia-first titration with RASS and CAM-ICU, and justify daily interruption.

Classify toxidromes and map each to an antidote, then outline decontamination and enhanced-elimination decisions for acetaminophen, salicylate, toxic alcohol, and opioid poisoning.

Compare anticoagulant reversal strategies for warfarin, direct oral anticoagulants, and heparin, specifying agent, dose, and monitoring endpoint.

Manage heparin-induced thrombocytopenia by applying the 4T score and selecting a non-heparin anticoagulant with appropriate renal and hepatic adjustments.

Differentiate transfusion thresholds and product selection for anemia, thrombocytopenia, and coagulopathy in the critically ill.

Manage oncologic emergencies, including tumor lysis prophylaxis, hypercalcemia, and extravasation or febrile neutropenia empiric therapy.

Design enteral and parenteral nutrition regimens that meet calculated energy and protein goals while preventing refeeding syndrome, and adjust for hepatic and renal failure.

Integrate cardiovascular, infectious, resuscitation, and renal content by solving multi-organ case vignettes that require sequential drug and dose decisions.

Re-audit your error log from weeks 1 through 6 and re-derive the underlying rule behind every missed item.

Convert recurring errors into spaced-retrieval flashcards and schedule each for three separate review passes.

Deliver a timed 40-question mixed block under exam conditions and analyze the timing pattern of your incorrect answers.

Complete a full-length timed practice examination across all ten domains and score it against a written answer key.

Recompute every calculation-based miss (dosing, fluids, acid-base, nutrition) by hand until each is correct without reference.

Recite from memory the highest-yield dose, monitoring, and reversal facts for vasoactive agents, antimicrobials, anticoagulants, and antidotes.

Write a one-page exam-day decision framework for time management and for triaging questions that require calculation.