CCS Masterclass

CCS rewards safe, timely, complete management. Think like an attending, not like a test taker.

Universal First 60 Seconds

1. Check stability: airway, breathing, circulation, mental status, vitals.
2. Choose location: office, ER, ward, ICU, operating room.
3. Place monitoring: cardiac monitor, pulse oximetry, BP cycling if unstable.
4. Order diagnostics and treatment together when the patient is unstable.

Core CCS Habits

• Do not wait for lab results before treating shock, sepsis, STEMI, anaphylaxis, status epilepticus, or severe hyperkalemia.
• Do not forget counseling, preventive care, and follow-up once the acute problem is controlled.
• Advance the clock only after key orders are placed.
• Use consults appropriately, but do not rely on consults to do your initial stabilization.

Discharge Checklist

Clinical improvement documented
Medication reconciliation
Diet/activity instructions
Return precautions
Follow-up appointment
Patient education/counseling
Vaccines/screening when appropriate