OMSB Emergency Medicine (OEEM) study plan

Map the OEEM blueprint against your own practice: list every high-acuity presentation (cardiac arrest, shock, airway failure, major trauma, sepsis) and rate your confidence on each from 1 to 5.

Build a one-page resuscitation algorithm sheet covering adult cardiac arrest rhythms, post-ROSC care, and reversible causes, then recite it from memory twice.

Work through 25 cardiovascular emergencies questions (ACS, arrhythmia, dissection, tamponade, hypertensive emergency) and log every missed concept with the reason for the miss.

Set up a spaced-repetition deck limited to facts you got wrong this week, capped at 60 cards.

Drill airway management decisions: predict difficult bag-mask ventilation, choose between RSI agents, and identify when to move to a surgical airway.

Practice interpreting 20 ECGs under a 90-second timer each, then write the systematic reading sequence you will use on exam day.

Review mechanical ventilation basics for the ED: modes, initial settings for asthma, COPD, ARDS, and raised intracranial pressure.

Teach one resuscitation topic aloud to a colleague or record yourself, then note gaps revealed by the explanation.

Cover traumatic emergencies systematically: primary survey, damage-control resuscitation, massive transfusion triggers, and clearance of the cervical spine.

Work through 30 trauma and orthopedic emergency questions, tagging each miss to a specific decision point rather than a topic label.

Rehearse pediatric resuscitation differences: weight-based dosing, defibrillation energy, fluid boluses, and age-specific vital sign ranges.

Compare your local trauma activation criteria with a general published approach and note where they diverge.

Consolidate toxicology: toxidrome recognition, antidote pairings, and dialysis indications for poisoning.

Run a 40-question mixed mock covering weeks 1 to 3 content under timed conditions and score it strictly.

Analyze the mock by domain and error type (knowledge gap, misread, overthinking, time pressure) and rank the top three weaknesses.

Rewrite your resuscitation sheet from week 1 from memory and compare it with the original to expose decayed recall.

Cover environmental and metabolic emergencies: heat illness, hypothermia, drowning, acid-base disorders, and electrolyte derangements with ECG consequences.

Practice acid-base interpretation on 15 arterial blood gases, stating the primary disorder, compensation, and anion gap in under two minutes each.

Review emergency ultrasound indications and pitfalls: FAST, cardiac views, lung sliding, and the IUCD versus ectopic distinction.

Add all newly missed facts to the spaced-repetition deck and clear the review backlog.

Cover neurologic and psychiatric emergencies: stroke thrombolysis windows, status epilepticus escalation, headache red flags, and agitation management.

Review obstetric and gynecologic emergencies: ectopic pregnancy, preeclampsia, postpartum hemorrhage, and emergency delivery.

Work through 30 mixed questions from your two weakest areas identified in week 4 and require 80 percent accuracy before moving on.

Draft a one-page summary of time-critical diagnoses where a delay of minutes changes outcome.

Run a full-length 80-question timed mock under exam conditions with no interruptions and score it strictly.

Review every incorrect and guessed answer, writing the underlying principle rather than the fact alone.

Revisit the week 4 error analysis and confirm whether each weakness is resolved, partially resolved, or unchanged.

Practice administrative and systems content: triage principles, disaster response, and documentation or consent essentials.

Review only your accumulated error log and spaced-repetition cards; add no new primary material.

Recite your resuscitation, ECG, and time-critical diagnosis sheets from memory and correct any drift.

Take one final 40-question timed set drawn only from previously missed items and target 85 percent or higher.

Finalize exam-day logistics: test center or platform check, identification, timing strategy, and a plan for flagging and returning to hard items.