A complete EDIC Part II station on Type 1 Respiratory Failure progressing to Severe ARDS. approach it exactly as an EDIC examiner would. Topics include: Progressive CCS vignette discussion CBS interpretation Chest X-ray ABG analysis Ventilator graphics ARDS diagnosis Lung-protective ventilation PEEP optimisation Prone ventilation Common examiner traps Examiner commentary on every question. kindly make my CCS based on this real EDIC 2 exam . seperate Q and A sheet same as Real Edic , add Logo, same font , same style,, based on latest guideline of all including ESICM ARDS, Sepsis 2026 etc,,
ESICM ARDS definition guidelines 2023 2024 Berlin criteria update lung protective ventilation PEEP
cd /home/daytona/workspace/attachments/3f5c04ee-ee1b-4efe-87f8-974bd1164660/ && β¦
cd /home/daytona/workspace/attachments/3f5c04ee-ee1b-4efe-87f8-974bd1164660/ && β¦
ls /home/daytona/workspace/ && python3 -c "import reportlab; print('reportlab OKβ¦
mkdir -p /home/daytona/workspace/edic-ards-ccs cat << 'PYEOF' > /home/daytona/woβ¦
cat << 'PYEOF' > /home/daytona/workspace/edic-ards-ccs/build_answer_sheet.py """β¦
cd /home/daytona/workspace/edic-ards-ccs/ && ls -lh *.pdf && python3 -c " from pβ¦
are you done writing ?
EDIC Part II β CCS 2: Type 1 Respiratory Failure β Severe ARDS
π Question Sheet (8 pages)
CCS2 Question Sheet
PDF Document Β· PDF
π Examiner Answer Sheet (18 pages)
CCS2 Answer Sheet Examiner
PDF Document Β· PDF
What's Inside
Question Sheet
- ESICM branding β navy/teal header, same font/layout as real EDIC Nov 2025 papers
- Background Case A β 58F, smoker, COPD, community pneumonia β intubated, P/F 72.5, severe ARDS, auto-PEEP on ventilator graphics, bilateral CXR opacities, full ABG + labs
- Vignette 1A β repeat ABG, echo with D-sign (ACP), driving pressure 24, compliance 17.5
- Vignette 2A β post-recruitment manoeuvre, PEEP titration, NMB, prone positioning question
- Background Case B β 44M, alcohol, bacteraemic pneumococcal pneumonia, failed NIV, P/F 50, RSI, PCV, full labs including PiCCO data
- Vignette 1B β PiCCO: EVLWI 18, PVPI 3.8, SvOβ 58%, distributive shock
- Vignette 2B β post-prone, iNO + steroids, microbiology back, ECMO team consulted
- 5-minute break slide between Case A and B (matching exact real exam format)
Examiner Answer Sheet (17 Tasks with full commentary)
- β Checkbox scoring with individual point allocations
- β Accepted answers in green boxes
- π¬ Examiner commentary β physiological rationale, trial references, what to probe
- β Common traps in red β the classic errors that cause candidates to fail
- π Guideline references β ESICM ARDS 2023, ATS 2024, SSC 2021, PROSEVA, ARMA, ACURASYS, ROSE, EOLIA, DEXA-ARDS, FACTT, Amato DP paper
Key Topics Covered Across All 17 Tasks
| Topic | Task |
|---|---|
| ABG interpretation (P/F, AGMA, permissive hypercapnia) | 2, 12 |
| ARDS diagnosis β ESICM 2023 criteria (SpOβ/FiOβ, lung USS) | 3 |
| IBW calculation + lung-protective ventilation targets | 4, 13 |
| Ventilator graphics β auto-PEEP on flow-time curve | 5 |
| PEEP optimisation (PEEP/FiOβ table, decremental trial, EIT, oesophageal Ptp) | 6 |
| Acute cor pulmonale + RV management in ARDS | 7 |
| NMB β ACURASYS vs ROSE, current ESICM 2023 position | 8 |
| Driving pressure + mechanical power calculation | 9, 11 |
| Prone positioning β PROSEVA, indications, duration, contraindications | 10 |
| PiCCO interpretation β EVLWI, PVPI, conservative fluid strategy | 14 |
| Global Oβ balance, SvOβ, v-a COβ gap | 15 |
| iNO, corticosteroids, VV-ECMO evidence (EOLIA, DEXA-ARDS) | 16 |
| Antibiotic de-escalation + PCT-guided therapy | 17 |
Generate a study guide highlighting the 12 most common EDIC examiner traps
cat << 'PYEOF' > /home/daytona/workspace/edic-ards-ccs/build_study_guide.py """ β¦
python3 -c " from pypdf import PdfReader r = PdfReader('/home/daytona/workspace/β¦
EDIC Part II β Study Guide: 12 Most Common Examiner Traps
EDIC Study Guide 12 Traps
PDF Document Β· PDF
What's in the Guide
| Panel | Colour | Content |
|---|---|---|
| β What Candidates Say | Red | The wrong answer verbatim |
| β Correct Answer | Green | Exact phrasing to use |
| βΆ Why This Matters | Amber | Clinical / trial rationale |
| π Examiner Will Ask | Teal | The follow-up probe question |
The 12 Traps
| # | Trap | Category | The Fatal Error |
|---|---|---|---|
| 1 | IBW vs Actual Weight | Ventilation | Using 92 kg instead of IBW 70 kg for Vt |
| 2 | Obsolete ARDS Definitions | Diagnosis | Saying "ALI" or quoting AECC 1994 |
| 3 | Chasing Normal PaCOβ | Ventilation | Increasing RR β auto-PEEP + VILI |
| 4 | Fluids in High EVLWI | Haemodynamics | Bolusing a patient with EVLWI 18 mL/kg |
| 5 | Staircase Recruitment | Ventilation | Recommending ART-protocol RM (kills patients) |
| 6 | iNO/Steroids "Reduce Mortality" | Pharmacology | iNO improves P/F β it does NOT reduce mortality |
| 7 | Ignoring Auto-PEEP | Ventilation | Set PEEP β Total PEEP on the flow-time curve |
| 8 | D-sign = PE | Physiology | Ordering CTPA for ACP in established ARDS |
| 9 | CVP as Fluid Guide | Haemodynamics | CVP AUC 0.56 β no better than a coin flip |
| 10 | Routine NMB for All ARDS | Ventilation | Ignoring ROSE trial; ESICM 2023 says selective only |
| 11 | Ignoring Driving Pressure | Physiology | Pplat 28 "safe" but DP 22 = injurious (Amato 2015) |
| 12 | EOLIA "Proved ECMO" | Prognosis | Primary endpoint NOT met (p=0.09) β conditional rec only |
Also Included (Last 2 Pages)
- Quick Reference Summary Table β all 12 traps in one scannable grid with exact phrases to use and avoid
- Essential Formulae & Thresholds β 20 rows covering IBW, P/F thresholds, DP target, mechanical power formula, EVLWI normals, VV-ECMO criteria, steroid timing, transfusion thresholds, and more
Make a ventilator graphics flashcard deck (ABG curves, pressure/flow/volume loops) with ARDS examples
python3 -c "import matplotlib; import numpy; import reportlab; print('all OK')" β¦
cat << 'PYEOF' > /home/daytona/workspace/edic-ards-ccs/build_flashcards.py """ Eβ¦
sed -i "s/MGREY.hexval() if hasattr(MGREY,'hexval') else 'grey'/'#D0D0D0'/g" /hoβ¦
python3 -c " content = open('/home/daytona/workspace/edic-ards-ccs/build_flashcaβ¦
python3 -c " from pypdf import PdfReader import os r = PdfReader('/home/daytona/β¦
EDIC Part II β Ventilator Graphics Flashcard Deck
EDIC Ventilator Graphics Flashcards
PDF Document Β· PDF
What's in Each Card
| Front | Back |
|---|---|
| Real matplotlib-plotted waveform | Labelled interpretation |
| Examiner-style question | Colour-coded answer rows (green) |
| Annotated axes with clinical values | Clinical Pearls (amber) |
| Examiner Trap (red) + Reference |
The 12 Cards
| Card | Topic | What's Shown |
|---|---|---|
| 01 | Normal VCV | Pressure-time, flow-time (square wave), volume-time with PEEP and Pplat labelled |
| 02 | Normal PCV | Decelerating inspiratory flow curve vs VCV square wave |
| 03 | Auto-PEEP | Flow-time: expiratory non-return to zero + progressive gas trapping on volume-time |
| 04 | ARDS Pressure-Time | Side-by-side normal vs ARDS: same Vt β Pplat 21 vs 36, DP 16 vs 22 β visual impact |
| 05 | P-V Loop | Three-panel: normal ellipse, ARDS with LIP/UIP, overdistension "beaking" |
| 06 | F-V Loop | Three-panel: normal rectangle, obstructive scalloping, narrow ARDS loop |
| 07 | Severe ARDS Full | Complete 3-waveform stack: Pplat 36 β , DP 22 β , Crs 19, mechanical power > 17 J/min |
| 08 | Inspiratory Hold | Ppeak 38 β hold β Pplat 28 drop; resistive vs elastic component; DP brace annotated |
| 09 | Expiratory Hold | Auto-PEEP measurement: flow zeroed during hold, pressure rises to total PEEP 13 (set 8 + auto 5) |
| 10 | Asynchrony | Four-panel grid: double triggering, flow starvation, reverse triggering, premature cycling |
| 11 | PEEP Titration | Compliance vs PEEP curves for recruitable vs non-recruitable lung β optimal PEEP identification |
| 12 | ARDS P-V Loop | Fully annotated: LIP, UIP, atelectasis zone (red), safe window (green), overdistension zone (red) |
All 3 files for your complete ARDS station prep:
- β candidate paper
CCS2 Question Sheet
PDF Document Β· PDF
- β examiner scoring sheet
CCS2 Answer Sheet Examiner
PDF Document Β· PDF
- β examiner trap study guide
EDIC Study Guide 12 Traps
PDF Document Β· PDF
- β this flashcard deck
EDIC Ventilator Graphics Flashcards
PDF Document Β· PDF
Generate a comprehensive EDIC Part II mock exam with timed scenarios and scoring