ExAC study plan

Map the difficult-airway algorithm from memory, then compare against a current source and annotate every gap

List and justify the pre-oxygenation targets, positioning choices, and apneic oxygenation rationale for a physiologically difficult airway

Rank supraglottic, infraglottic, and surgical rescue options by indication, contraindication, and failure mode

Draft a one-page airway decision tree that a colleague could follow without your explanation

Perform and document a structured airway exam on a manikin or volunteer, recording predictors of difficulty

Explain the interaction between bag-mask ventilation quality and laryngoscopy success, including the two-person technique

Calculate and interpret oxygen delivery, oxygen content, and the effect of shunt on arterial oxygenation in two worked examples

Identify which airway maneuvers change functional residual capacity and explain why that matters during induction

Interpret capnography waveforms and arterial blood gases for the six classic patterns: bronchospasm, obstruction, hypoventilation, hyperventilation, leak, and esophageal intubation

Derive the alveolar gas equation and apply it to a high-altitude and a shunt scenario

Explain lung-protective ventilation targets and how to adjust tidal volume for predicted body weight

Describe how to titrate PEEP using oxygenation, compliance, and hemodynamic response together

Draw and explain the cardiac pressure-volume loop and mark where preload, afterload, contractility, and inotropy act

Interpret a full hemodynamic profile: blood pressure, heart rate, central venous pressure, and stroke volume variation, in three written cases

Explain how positive-pressure ventilation and PEEP alter venous return and right ventricular afterload

List the vasoactive and inotropic agents used in periprocedural care with receptor targets, typical dosing ranges, and key adverse effects

Match four shock states to their expected hemodynamic signatures

Classify the sedative and analgesic agents by mechanism, onset, offset, and hemodynamic effect

Explain context-sensitive half-time and apply it to a multi-hour infusion scenario

Build a reversal plan for opioids, benzodiazepines, and neuromuscular blockade, including dose, route, onset, duration, and re-sedation risk

Explain the pharmacology of a neuromuscular blocker used for intubation, including dosing, duration, and contraindications

Describe how to modify drug selection for renal or hepatic impairment and for obesity

Explain how to select and titrate sedation depth using validated scales, and describe the risks of both under- and over-sedation

Interpret processed EEG or bispectral index values in the context of confounders such as neuromuscular blockade and hypothermia

Differentiate delirium, agitation, and inadequate analgesia using a structured assessment and write a management sequence for each

Explain how to assess and document neurologic status changes during and after sedation

Predict which drugs accumulate in prolonged infusions and propose a weaning strategy

Build a pre-procedure risk assessment checklist covering airway, respiratory, cardiovascular, and neurologic domains

Apply a validated risk stratification tool to three written patient vignettes and justify each score component

Identify modifiable risk factors and write a specific mitigation plan for each in two cases

Explain how aspiration risk, obstructive sleep apnea, and obesity change the procedural plan

Complete two timed, full-length mixed-domain practice sets and log every missed item by domain and error type

Re-teach your three weakest concepts from memory in writing, then verify against a reference

Rehearse the airway decision tree and the sedation weaning protocol aloud without notes

Review your error log and confirm each entry has a corrected rule you can state in one sentence