Iran Specialty Board - Emergency Medicine study plan

Derive and recite the shock-type decision algorithm (hypovolemic, distributive, cardiogenic, obstructive) from first principles, writing each branch on a blank sheet without notes

Calculate and interpret the key resuscitation endpoints (lactate clearance, ScvO2, PPV, capillary refill, urine output) for 10 constructed shock vignettes

Reconstruct adult and pediatric cardiac arrest rhythms with reversible-cause checklists (4H/4T, Hs and Ts) and state the drug-dose sequence for each

Explain the rationale behind balanced crystalloid vs. colloid choice, vasopressor timing, and permissive hypotension in hemorrhagic shock

Solve 40 mixed resuscitation/shock questions and log every miss with the underlying concept, not just the answer

Map acute coronary syndrome pathways: ECG localization, reperfusion timing windows, and contraindications to fibrinolysis, then apply them to 15 ECGs described in text

Differentiate the major wide-complex and narrow-complex tachycardias by mechanism and state first-line and escalation therapy for each

Classify acute heart failure phenotypes (wet/dry, warm/cold) and match diuretic, vasodilator, and inotrope choices to each

Build a differential for dyspnea and respiratory failure, then justify NIV vs. invasive ventilation thresholds in obstructive, restrictive, and parenchymal disease

Interpret a set of arterial blood gases covering mixed acid-base disorders and explain the compensation logic for each

Apply the primary and secondary survey in order to 10 polytrauma vignettes, stating the intervention triggered by each positive finding

Justify massive transfusion activation, tranexamic acid timing, and damage-control priorities in hemorrhagic shock

Distinguish the indications for trauma CT vs. focused assessment and state when to forego imaging for immediate operative or angiographic control

Outline management of traumatic brain injury, including ICP targets, hyperosmolar therapy, and reversal of anticoagulation

Explain compartment syndrome, abdominal compartment syndrome, and burn resuscitation formulas with worked calculations

Build a toxidrome table (anticholinergic, cholinergic, sympathomimetic, opioid, sedative-hypnotic, serotonin, neuroleptic malignant) and match each to at least three agents

State antidote, dose, and endpoint for the high-yield poisonings (acetaminophen, salicylate, organophosphate, methanol/ethylene glycol, opioid, benzodiazepine, iron, cyanide, carbon monoxide)

Apply the anion gap and osmolar gap to poisoned-patient cases and explain when each is misleading

Describe decontamination and enhanced elimination decisions (activated charcoal, urinary alkalinization, hemodialysis) with their indications and contraindications

Explain heat illness, hypothermia, drowning, and high-altitude illness pathophysiology and field management

Differentiate stroke subtypes and apply thrombolysis and thrombectomy eligibility criteria, including time windows and contraindications, to 12 vignettes

Outline status epilepticus management in timed steps and identify when to escalate to continuous infusion and EEG monitoring

Distinguish meningitis vs. encephalitis and justify empiric antimicrobial and dexamethasone decisions, including in immunocompromised patients

Apply pediatric weight-based dosing and age-specific vital-sign norms to 10 pediatric resuscitation and sepsis scenarios

Explain pediatric respiratory distress patterns (croup, bronchiolitis, asthma, foreign body) and the escalating therapy for each

Manage obstetric emergencies with a time-critical approach: postpartum hemorrhage, preeclampsia/eclampsia, ectopic pregnancy, and shoulder dystocia

Explain the physiologic changes of pregnancy that alter resuscitation, drug dosing, and imaging decisions, and apply them to 8 cases

Describe the standard emergency ultrasound views (FAST, cardiac, lung, aorta, obstetric, vascular access) with the findings that change management

State the indications, contraindications, and complication-avoidance steps for core procedures: airway, thoracostomy, central and IO access, lumbar puncture, and arthrocentesis

Interpret 15 text-described ultrasound findings and state the immediate next action for each

Apply triage and mass-casualty principles, including START-style sorting and surge capacity, to two simulated incident scenarios

Explain EMS dispatch, transport, and handover standards, and describe prehospital scope-of-practice boundaries

Describe hospital incident command roles and the emergency department's role in disaster and outbreak response

Apply consent, capacity, confidentiality, and duty-to-treat principles to 10 ethically ambiguous emergency cases

Explain documentation, restraint use, and reporting obligations (mandatory reporting, impaired colleague, medical error disclosure) in medicolegal terms

Critique five study designs and identify bias, confounding, and effect-measure interpretation in each

Calculate and interpret sensitivity, specificity, likelihood ratios, number needed to treat, and confidence intervals from supplied data

Explain quality-improvement frameworks and how to design a measurable PDSA cycle for an emergency department problem

Re-test the highest-error topics from weeks 1-7 and close each gap with a written correction

Complete two full-length timed mock exams under exam conditions and analyze errors by domain