Route is usually not graded but please note the scenarios where you need immediate pain relief for severe pain etc or where immediate therapeutic effect is needed, its important to choose appropriate route of administration ( For example; IV Labetalol in accelerated HTN)
So, some of my cases are starting on a Thursday or Friday in the simulation. If we have critical results that return 2-3 days after, can the patient return on the weekend or must we continue advancing( with monitoring) until the next business day?
@Jennifer- You should not advance the clock if the result is critical and needs immediate attention. If appropriate, you should choose "stop now" and go to the order sheet to place any investigation or treatment orders. If the critical result needs immediate hospital care and invasive workup, stop the clock and change the patient's location to the ER. So, you don't always bring the patient back to the office or wait until they return; you should address the critical result immediately. In real life, it just means picking up a phone, calling the patient, and putting in necessary orders. On the software, it equates to stopping the clock, going to the order sheet, placing STAT orders, and/or changing the location to ER if necessary. Please let me know if that answers your question.
The instructor brings up the case scenario and uses these six templates to explain and navigate 80 other highyield cases. Instructor demonstrates cases by putting in orders in these exact exam templates for the 80 highyield cases and when orders are placed and sequenced, you get to see how the software adapts and responds. Timing and sequencing add crucial elements people miss on the CCS. Archer CCS makes it easy to remember the sequencing and treatment algorithms by discussing evidence based guidelines for each and every case. Intense CCS has 80 plus cases where as rapid CCS has 25 cases. Thank you very much
@@ArcherReview Actually thanks to you, I passed it back in 2013 :) I'm refreshing in order to apply for residency after years in healthcare adminstration.
@Shayaan, thank you very much for your kind feedback. Archer is coming up with more extensive CCS and theory reviews and intuitive/ highyield Step3 Qbanks all at highly affordable prices. Please stay tuned! Thank you
When I am going through Uworld practise CCS cases, they always write down the dosages too, e.g. 100mg/kg/day for q8hours. Are we supposed to memorise the dosages too for the real exam?
Hi Samuel, you can use summary notes downloaded from here www.slideshare.net/usmlegalaxy/archer-step-3-ccs-workshop-2018 . Best option is to subscribe to CCS cases rapid Prep at archerreview.com/ccs-cases/
good video. if we set controls like monitor every 1 hour it becomes more like a block because when u want to know result of vital labs report like ekg or cxr and with moving clock to next available result --- hourly vitals pops up more often. I think moving clock to the next important lab result which will decide your management is a more appropriate way to move faster provided you take control of vitals initially= like low oxy sat give oxygen, high pulse and low bp give IVF and so on. once put an order it will take some time to show improvement. Any suggestions are welcome
Difference in blood pressure in upper extremities by >20 mmHg is actually part of the triad, not really hypertension. Is there anyway to order cuff BP in multiple extremities ?
Hello, I purchased your intense package and your videos are repeating information. Can you please post a list of the cases that you cover? Also how can students reach you? I’ve emailed and posted on Facebook but have gotten no response
Thank you so much for your message. We apologize if there was a delay. For any CCS queries, could you kindly specify "To Dr. Red" in the email and send it. It will be addressed by the instructor. There are unique cases in every file and a total of 80 unique presentations in all the videos together. Thank you much.
Nope.. you have to write something so the screen closes but be brief ; it’s not scored. We always maintained that words typed in to blank space are not scored - we held that for diagnosis and reason for consults. Recently, USMLE has even removed the diagnosis screen.
Hi! I sent you an email regarding availabilty in your Jan 26 live webinar. Is it still being held and can a friend and I still register? Thank you so much!
Dear Shikha, Our next live CCS workshop is on March 23rd, 2019. However, most of our users prefer to use CCS PPV video courses. These courses have all the strategies and updates that are discussed in Live review. The above clip is a sample from CCS Workshops Videos.
Yes, Doctor! NBME/PRIMUM software is the one that you will take your USMLE Step 3 exam on. UWorld software is not exact replica of this and is not intelligent/ responsive as the exam software. UW simulated time concept is misleading as the report times for several tests are erroneous. No respecting simulated time and clock advancing strategies can cause loss of scope on the exam. In addition UW software is not built to intelligently change responses based on your input - those points are demonstrated in the above video.
@Mark ; pain has to be addressed. There’s no evidence of shock - that’s the idea of looking at vitals to make sure there’s no shock - blood pressure on initial presenting screen was great. Plus the fear of shock should not make you deny adequate pain control to the patient ( this is a critical point not just for exam but for your clinical practice as well). Morphine in a case like this also helps reduce pain related pro-arrythmogenic anxiety. Not controlling pain is not acceptable, and pain release should be a priority of any medical care. Not addressing pain will negatively impact your score on exam as well. There is no analgesic alternatives to morphine in this indication at this time. Archer has be time tested and has been helpful for thousands of student to succeed by promoting evidence based thinking in case practices. We recommend that the guidelines be followed to get the best score on your exam . All the best👍👍
Thank you for the video! A question- Is the frequency or the route of administration graded on the exam? Or simply selecting the drug/test enough?
Route is usually not graded but please note the scenarios where you need immediate pain relief for severe pain etc or where immediate therapeutic effect is needed, its important to choose appropriate route of administration ( For example; IV Labetalol in accelerated HTN)
So, some of my cases are starting on a Thursday or Friday in the simulation. If we have critical results that return 2-3 days after, can the patient return on the weekend or must we continue advancing( with monitoring) until the next business day?
@Jennifer- You should not advance the clock if the result is critical and needs immediate attention. If appropriate, you should choose "stop now" and go to the order sheet to place any investigation or treatment orders. If the critical result needs immediate hospital care and invasive workup, stop the clock and change the patient's location to the ER. So, you don't always bring the patient back to the office or wait until they return; you should address the critical result immediately. In real life, it just means picking up a phone, calling the patient, and putting in necessary orders. On the software, it equates to stopping the clock, going to the order sheet, placing STAT orders, and/or changing the location to ER if necessary. Please let me know if that answers your question.
Extremely useful for USMLE step 3, Thanks for what you do.
Thank you for your kind feedback!
Hello and thank you for this great video. How do you have 80 cases using the same exam software if the sample software only has 6 cases?
The instructor brings up the case scenario and uses these six templates to explain and navigate 80 other highyield cases. Instructor demonstrates cases by putting in orders in these exact exam templates for the 80 highyield cases and when orders are placed and sequenced, you get to see how the software adapts and responds. Timing and sequencing add crucial elements people miss on the CCS. Archer CCS makes it easy to remember the sequencing and treatment algorithms by discussing evidence based guidelines for each and every case.
Intense CCS has 80 plus cases
where as rapid CCS has 25 cases. Thank you very much
@@ArcherReview Thank you for your response. So the 80 cases are using the 6 templates?
I got no shame saying I actually love this man
Thank you :) Wish you all the best with Step 3
@@ArcherReview Actually thanks to you, I passed it back in 2013 :) I'm refreshing in order to apply for residency after years in healthcare adminstration.
Thank you for updates, It has been very useful not only for the step 3 ccs but also for intern year
@Shayaan, thank you very much for your kind feedback. Archer is coming up with more extensive CCS and theory reviews and intuitive/ highyield Step3 Qbanks all at highly affordable prices. Please stay tuned! Thank you
@@ArcherReview 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
When I am going through Uworld practise CCS cases, they always write down the dosages too, e.g. 100mg/kg/day for q8hours. Are we supposed to memorise the dosages too for the real exam?
No, there is definitely no need to remember the doses for the CCS and they are not scored on your exam. All the best!
Maybe, it is the vascular surgery that should be consulted for this case
Your package advertised roughly 80 cases
Where can I find the list of abbreviations that are mentioned in the video for download?
Hi Samuel, you can use summary notes downloaded from here www.slideshare.net/usmlegalaxy/archer-step-3-ccs-workshop-2018 . Best option is to subscribe to CCS cases rapid Prep at archerreview.com/ccs-cases/
Very helpful thanks!
Thank you so much, David!
Does it matter if you order Pulse Ox prior to ordering
Finish the case please. Great for exam preparation
Thank you for your feedback. Amjad. These are samples from Archer CCS courses. Several cases and highyield strategies are discussed in full package
good video. if we set controls like monitor every 1 hour it becomes more like a block because when u want to know result of vital labs report like ekg or cxr and with moving clock to next available result --- hourly vitals pops up more often. I think moving clock to the next important lab result which will decide your management is a more appropriate way to move faster provided you take control of vitals initially= like low oxy sat give oxygen, high pulse and low bp give IVF and so on. once put an order it will take some time to show improvement. Any suggestions are welcome
Blurred cannot the written words.
This video took away all of my anxiety for ccs
Thank you Yasir. We appreciate your feedback
Difference in blood pressure in upper extremities by >20 mmHg is actually part of the triad, not really hypertension. Is there anyway to order cuff BP in multiple extremities ?
Hello, I purchased your intense package and your videos are repeating information. Can you please post a list of the cases that you cover? Also how can students reach you? I’ve emailed and posted on Facebook but have gotten no response
Thank you so much for your message. We apologize if there was a delay. For any CCS queries, could you kindly specify "To Dr. Red" in the email and send it. It will be addressed by the instructor. There are unique cases in every file and a total of 80 unique presentations in all the videos together. Thank you much.
Thank you for sharing. It was very useful.
Thank you for your feedback!
Do you explain all 25 high yield CCs cases in the rapid review prep using videos the same way as this video?
Hi Ahmed
Yes, the cases are explained the same way as in the video. Almost 25 cases in rapid prep whereas 85 cases in intense ccs prep. All the best.
So we don’t have to write anything in consult pop pup screen?
Nope.. you have to write something so the screen closes but be brief ; it’s not scored. We always maintained that words typed in to blank space are not scored - we held that for diagnosis and reason for consults. Recently, USMLE has even removed the diagnosis screen.
very helpful thank you!
Glad it was helpful! Thank you, Mary!
Hi! I sent you an email regarding availabilty in your Jan 26 live webinar. Is it still being held and can a friend and I still register? Thank you so much!
Dear Shikha, Our next live CCS workshop is on March 23rd, 2019. However, most of our users prefer to use CCS PPV video courses. These courses have all the strategies and updates that are discussed in Live review. The above clip is a sample from CCS Workshops Videos.
Thank you so much!
You are most welcome 🙏🏽
Archer is more like NBME and not Uworld ...is it true what is the difference?
Yes, Doctor! NBME/PRIMUM software is the one that you will take your USMLE Step 3 exam on.
UWorld software is not exact replica of this and is not intelligent/ responsive as the exam software. UW simulated time concept is misleading as the report times for several tests are erroneous. No respecting simulated time and clock advancing strategies can cause loss of scope on the exam. In addition UW software is not built to intelligently change responses based on your input - those points are demonstrated in the above video.
@@ArcherReview Thanks Sir
@@usama9963 Most welcome.
@@ArcherReview So there's a software if NBME for practice ccs cades?
Do you have your ccs practice software and cases that I need buy?
Morphine before looking at the EKG? Have fun with your cardiogenic shock.
@Mark ; pain has to be addressed. There’s no evidence of shock - that’s the idea of looking at vitals to make sure there’s no shock - blood pressure on initial presenting screen was great. Plus the fear of shock should not make you deny adequate pain control to the patient ( this is a critical point not just for exam but for your clinical practice as well). Morphine in a case like this also helps reduce pain related pro-arrythmogenic anxiety.
Not controlling pain is not acceptable, and pain release should be a priority of any medical care. Not addressing pain will negatively impact your score on exam as well. There is no analgesic alternatives to morphine in this indication at this time.
Archer has be time tested and has been helpful for thousands of student to succeed by promoting evidence based thinking in case practices. We recommend that the guidelines be followed to get the best score on your exam . All the best👍👍