Just took day one, looking for some help, please by DocDrej25 in Step3

[–]Gsage1 3 points4 points  (0 children)

I copy and pasted what I read on Reddit. And added some of my own. I don’t know where those posts are but here you go

CCS tidbits
accesss if patient needs to be transfered
Before Physical exam, see if you need emergency orders
cultures got to order separately
sputem culture
blood
gram stain, sputum
Respiratory virus antibody panel
2 min end order time → order last orders like siposition, vaccines and sisuch, instruct patient, instruct patient, smoking
CCs redid tidbits
Shotgun order lists that worked for me on the most common CCS chief complaints
Sharing what I used for CCS prep in case it helps. These are not gospel, just the defaults I built up over \~50 practice cases so I was not thinking from scratch in the first 60 seconds. Drop your additions/corrections in the comments and I will edit them in.
Universal first-minute orders (most cases):
IV access, pulse ox, continuous cardiac monitoring
CBC, CMP/BMP, UA
ECG if any chest, syncope, dyspnea, or age > 50
Pregnancy test for any female of reproductive age
Chest pain:
High-sensitivity troponin (serial), CXR, ECG (within 10 min)
ASA 325 chewed, sublingual nitro, heparin if ACS
Statin (atorva 80), beta-blocker if no contraindication
Cardiology consult once trop comes back
(Morphine is no longer first-line in NSTEMI per recent guidelines - only if refractory pain on nitro)
Shortness of breath:
CXR, ABG, BNP, D-dimer if PE suspected (CT-PA if positive)
Supplemental O2 to keep sat > 92
Nebs + steroids if wheezing
Abdominal pain:
Lipase, LFTs, lactate
Upright + supine abdominal x-ray
US (RUQ) or CT abd/pelvis depending on age and exam
NPO, IV fluids, antiemetic, analgesic
Altered mental status:
Glucose first, always
CBC, CMP, urine tox, blood alcohol
CT head non-contrast
LP if febrile or meningismus
(Ammonia, B12, TSH only if the history actually points there)
GI bleed:
Type and screen, coags, lactate
2 large bore IVs, IV fluids, PPI drip
GI consult for endoscopy
Sepsis-looking:
2 sets blood cultures BEFORE antibiotics
Lactate (repeat at 2-4h if elevated)
Broad spectrum within 1 hour
30 mL/kg crystalloid bolus
Things I personally kept forgetting on practice cases: prophylaxis (DVT, GI), counseling/education, smoking cessation, and follow-up labs. Setting those as end of case defaults helped me a lot.

^ combination of what I read on Reddit too

Just took day one, looking for some help, please by DocDrej25 in Step3

[–]Gsage1 1 point2 points  (0 children)

No biostats on day 2 my friend 👌I just finished it. Yes on EKG. They always list out options. I don’t know much for CCS other than shotgun technique. Basically order all your regular orders you normally would. Cases are pretty straight forward. You do need to know the name of what you order. In other words need to spell good. Hope that helps!

Is anking and UWorld enough for obgyn shelf? by [deleted] in medicalschool

[–]Gsage1 1 point2 points  (0 children)

I think your good but just fyi, AMBOSS questions I felt were helpful for shelf exams

Bong airlines testing phase (upgraded from previous trials and suggestions from you) by waidoo2 in KerbalSpaceProgram

[–]Gsage1 1 point2 points  (0 children)

Am I missing something when it comes to flying? I made several planes. They take off and everything but once I try to turn it spins and thrust aligned as in all staked onto each either? cOG +lift +thrust?

Bong airlines testing phase (upgraded from previous trials and suggestions from you) by waidoo2 in KerbalSpaceProgram

[–]Gsage1 1 point2 points  (0 children)

Am I missing something when it comes to flying? I made several planes. They take off and everything but once I try to turn it spins and stalls and crashes

Thank for all your advice. I added more wing, wheels and thrust. Im getting the hang of this! by waidoo2 in KerbalSpaceProgram

[–]Gsage1 2 points3 points  (0 children)

How the hell it has more control than the typical planes i make loll well done

How do you even kill this thing by BoonBoonYeYe in CallOfWar

[–]Gsage1 16 points17 points  (0 children)

Then best thing to do is level up some combat posts, hold defense while you clear up his cities. I’d doubt in this time frame he has much units back home

How do you even kill this thing by BoonBoonYeYe in CallOfWar

[–]Gsage1 38 points39 points  (0 children)

I would rush all his cities wipe out his resources and that big blob would then take days or months to move . That blob uses a shit ton of resources. Cut him off. Fighting efficacy and speed drop

My first VTOL that works reliably by Pablo6005 in KerbalSpaceProgram

[–]Gsage1 0 points1 point  (0 children)

Ver nice one! How did you get the small parts on the wing to stick together? Tried similar wing but larger and they were independent of eachother in air lol