Choose the session you want to run and track progress across all ten scenarios.
The dashboard checklist shows which sessions you have finished and what is next in your plan.
Session 01
Session 02
Session 03
Session 04
Orient with the patient summary, labs, and risks before the examiner begins.
Pre-case brief
Seated posterior fossa mass
Examiner delivers this 10 minutes before you enter the room.
Patient snapshot
Labs & imaging
Access & monitoring
Immediate priorities
Answer every question out loud while the examiner moves through pre-op, intra-op, and follow-up topics.
Examiner
Walk me through your initial setup as this posterior fossa patient rolls in.
Open the saved conversation to review what you said and plan your next session.
Examiner
Walk me through your initial setup as this posterior fossa patient rolls in.
You
Confirm monitors, check blood products, brief the team on sitting-position risks, and review airway contingencies.
Examiner
Outline your airway plan and backups.
You
Video laryngoscopy with prepared fiberoptic scope and LMA rescue if the view is lost.
Examiner
The surgeon wants the central line before positioning. What do you do?
You
Place a multi-lumen catheter while supine, confirm waveform, and coordinate with neuromonitoring before moving.
Examiner
Venous air is detected. Give me your sequence right now.
You
Alert the field, flood with saline, flatten the table, aspirate through the catheter, switch to 100% oxygen, and assess hemodynamics.
Examiner
Blood pressure continues to drop. How are you managing it?
You
Titrate phenylephrine to restore MAP above 70 while checking TEE for right-sided obstruction.
Examiner
What labs do you send after the event?
You
ABG, lactate, hemoglobin, and coagulation panel to evaluate perfusion and bleeding.
Examiner
We are moving to closure. What is on your checklist?
You
Verify neuromonitoring baseline, ensure normothermia, secure lines for transport, and confirm analgesia plan.
Examiner
Will you extubate in the OR?
You
No, I will transport intubated for airway protection and neurologic monitoring given the air embolism.
Examiner
What are your ICU orders?
You
Head elevation, arterial line monitoring, frequent neuro checks, and a low threshold for emergent CT.
Examiner
If the surgeon requests early anticoagulation, how do you respond?
You
Coordinate timing after imaging confirms stability, typically 24 hours if neurologic status allows.
Ready to start? The complete 10-session practice set is $19.
Start Practicing ($19 for 10 sessions)