Prebuilt Mini-Order Sets for High-Yield Step 3 Scenarios
🚀 Key Strategy: These bundles save you time and guarantee you don't miss points on common CCS scenarios.
Common Bundles
9
Cases Covered
80%+
Score Impact
High
Time Saved
Significant
O2 if hypoxic, IV access, monitor, pulse ox
EKG, troponin × serial, CXR
Aspirin + nitrates + heparin + statin + beta-blocker (unless contraindicated)
Cardiology consult, admit to CCU/telemetry
O2, IV fluids (30 mL/kg bolus), monitor, pulse ox
Blood cultures, UA/culture, CXR, lactate
Broad-spectrum IV antibiotics within 1 hour
Admit ICU if unstable, add vasopressors if MAP <65
O2, IV access, monitor
IV fluids (NS → switch to D5½NS when glucose <200)
Insulin infusion, potassium protocol (replace if <5.3)
BMP q2–4h, check phosphorus, admit ICU if AMS or severe
O2 (target 88–92% for COPD)
Nebulized albuterol/ipratropium, systemic steroids
CXR, ABG
+/- antibiotics if fever/sputum
O2, IV access, monitor
CT head without contrast STAT
If ischemic within window → tPA or thrombectomy
Neuro checks q1h, admit ICU/stroke unit, aspirin if not a candidate for tPA
2 large-bore IVs, monitor, pulse ox, IV fluids
Type & cross, CBC, CMP, coags
IV PPI, NPO, octreotide + ceftriaxone if variceal suspected
GI consult for urgent EGD
IV access, monitor, type & cross, OB consult, β-hCG, TVUS, laparotomy if ruptured
Magnesium sulfate, IV labetalol/hydralazine, OB consult, delivery if ≥34wks or unstable
Tocolytics (if no contraindication), betamethasone, GBS prophylaxis
Admit, blood/urine/CSF cultures, empiric IV antibiotics
O2, nebulized epi if severe, steroids, cool mist
Albuterol, steroids, O2, peak flow
Step 3 has ~10–12 classic CCS scenarios that repeat across exams.
If you can recall these bundles instantly, you won't waste time thinking "what did I forget?"
These guarantee you hit diagnosis + stabilization + treatment + consult + disposition all at once.
Prebuilt mini-order sets save you time and guarantee you don't miss points.