Iraqi Board Emergency Medicine study plan
Iraqi Board Emergency Medicine · Give each week a clear focus.
8 weeks · About 7 hours per week
Resuscitation and Cardiovascular Emergencies
Build a one-page ACLS-aligned algorithm sheet covering shockable and non-shockable arrest, peri-arrest bradycardia and tachycardia, and post-ROSC care
Work through 40 rhythm strips, writing a single-line interpretation and immediate action for each
Explain aloud, in under 3 minutes each, the first 10 minutes of management for STEMI, acute pulmonary oedema, and cardiogenic shock
List the vasoactive infusions used in the ED with concentration, starting dose range, and main adverse effect for each
Your checkpoint
A dated 2-page personal resuscitation and cardiovascular summary sheet plus a log of 40 completed rhythm interpretations with self-marked errors
Resuscitation and Cardiovascular Emergencies & Endocrine, Metabolic and Electrolyte Emergencies
Solve 30 mixed cardiovascular vignettes under timed conditions and record the reasoning error behind every wrong answer
Construct a table linking ECG changes to electrolyte disturbances (potassium, calcium, magnesium) and state the emergency treatment for each
Practise verbalising the management of diabetic ketoacidosis and hyperosmolar hyperglycaemic state in under 4 minutes each, including fluid, insulin, and potassium sequencing
Draft a correction algorithm for severe hyponatraemia, hyperkalaemia, and hypocalcaemia with target rates and monitoring intervals
Your checkpoint
A one-page electrolyte-to-ECG-to-treatment matrix plus a written error log of 30 timed vignettes with the corrected reasoning for each mistake
Trauma and Surgical Emergencies
Apply a primary survey to 25 trauma scenarios, stating the immediate intervention and the trigger for escalation at each step
Compare the indications, contraindications, and technique of tube thoracostomy versus needle decompression and write the comparison from memory
Describe the ED workup and disposition decision for abdominal trauma, pelvic fracture, and major vascular injury in blunt and penetrating mechanisms
Summarise the approach to the acute abdomen in the elderly and in pregnancy, naming the diagnoses most often missed
Your checkpoint
A trauma flow card covering primary survey actions, chest and pelvic interventions, and escalation triggers, self-tested against 25 cases
Respiratory and Thoracic Emergencies & Emergency Ultrasound, Procedures and Airway Management
Rank the causes of acute dyspnoea by frequency and state the single bedside test that most changes management for each
Write out a rapid sequence intubation checklist including pre-oxygenation, drug dosing adjustments, failed-airway plan, and post-intubation sedation
Explain the indications and limitations of point-of-care ultrasound for shock, dyspnoea, and cardiac arrest, and list the views used
Practise the management of status asthmaticus, COPD exacerbation, and pneumothorax as timed 5-minute verbal answers
Your checkpoint
A combined airway-and-ultrasound checklist card plus three recorded 5-minute verbal answers on obstructive lung disease and pneumothorax
Neurological and Psychiatric Emergencies & Toxicology and Environmental Emergencies
Build a stroke pathway timeline from door to thrombolysis or thrombectomy, naming the contraindications and the time targets
Differentiate the emergency management of seizures, status epilepticus, and acute behavioural disturbance in a written comparison
Create a toxidrome table matching presentation to likely agent, antidote, and supportive measure
State the decontamination and antidote decisions for organophosphate, paracetamol, opioid, and carbon monoxide poisoning, and for hypothermia and heat illness
Your checkpoint
A two-page toxidrome-and-antidote table plus a stroke and seizure timeline diagram, both recalled without notes in a self-test
Paediatric Emergencies & Obstetric and Gynaecological Emergencies
Adapt the resuscitation approach to neonates and children, stating weight-based drug and fluid calculations and the differences from adult practice
Outline the management of paediatric respiratory distress, febrile illness in the young infant, and dehydration with a written stepwise plan for each
Explain the ED approach to early pregnancy bleeding, eclampsia, and postpartum haemorrhage, naming the first three actions for each
List the physiological changes of pregnancy that alter normal ranges and drug choices in the ED
Your checkpoint
A paediatric and obstetric quick-reference card with weight-based dosing, pregnancy normal ranges, and first-line actions for the six highest-yield presentations
Musculoskeletal and Soft Tissue Emergencies & Infectious Disease and Sepsis
Apply the Ottawa rules and the approach to the swollen joint, including the arthrocentesis decision and septic arthritis workup
Describe the management of open fractures, compartment syndrome, and necrotising soft tissue infection with explicit time-critical steps
Build a sepsis bundle timeline from triage to antibiotics and source control, including fluid strategy and vasopressor timing
Summarise isolation and notification requirements for common ED infections, and the approach to the returning traveller with fever
Your checkpoint
A one-page sepsis bundle timeline plus a musculoskeletal red-flag card, both checked against current guidance and annotated with any local protocol differences
Emergency Department Administration, Ethics and Disaster Medicine & Resuscitation and Cardiovascular Emergencies & Trauma and Surgical Emergencies
Draft an answer framework for capacity assessment, consent, confidentiality, and duty to report in the ED
Outline triage and surge principles for mass casualty incidents, including START-style colour tagging and communication failure planning
Complete two full-length timed mock examinations and score them by domain
Re-drill only the three weakest domains identified by the mock results, writing a corrected one-line rule for each repeated error
Your checkpoint
Two scored mock examination results with a domain-by-domain breakdown and a final one-page list of recurring errors with corrected rules
Milestones
Week 2: Can state the first-line drug, dose, and immediate adverse effect for cardiac arrest, bradycardia, tachycardia, hyperkalaemia, and severe hyponatraemia without notes
Week 4: Can deliver a complete primary survey and an airway plan for an undifferentiated critically ill patient in under 5 minutes, aloud, without prompts
Week 6: Can calculate weight-based paediatric doses and fluid boluses correctly for three simulated weights, and name the first three actions for eclampsia and postpartum haemorrhage
Week 8: Mock scores show no domain below 60 percent and the three weakest domains from week 4 have each improved, with a written corrected rule for every repeated error