CCS Runner Quickstart (Step 3)

CCS Runner Quickstart (Step 3)

Learn the core flow for timed CCS cases: stabilize first, order early, advance time wisely, and reassess.

Core Flow

1. ABCs first: airway, breathing, circulation; O?/monitor/IV access.
2. Initial orders: vitals freq, labs, ECG/CXR if indicated, symptom control.
3. Advance time to results or effect (15–30 min) → Reassess.
4. Disposition: admit/observe/discharge with instructions.

Starter Bundles

• Chest pain: ECG, troponins, CXR, ASA (if appropriate), monitor.
• Sepsis: cultures → antibiotics, fluids, lactate, monitor.
• DKA: BMP, β-hydroxybutyrate, VBG, IV fluids → insulin protocol, K?.

Timing & Pacing

• Order → Advance 15–30 min → Reassess → Escalate/Refine.
• Shorter increments if unstable; don’t over-advance while waiting on critical results.

At-a-Glance

ABCs → early orders → advance time → reassess → disposition
Practice strict timers; review feedback after each case