The moment before the procedure
Procedure Decisions puts you in the chair at the moment the call gets made. Sight-saving canthotomy with no ophthal on site. CICO declaration after the third failed laryngoscopy. The trauma chest drain in the wrong intercostal space. Decisions that don't unwind — train them with branches, time pressure, and consequences before you train them on a real patient.
How it works
Each Procedure Decision is a realistic case set at a named West African ED — district, regional, or tertiary. You read the scene, see the vitals, and pick from four actions. Time elapses with each decision. Vitals change. New findings unfold. After 8–14 decisions the case ends, and you get a scorecard — outcome, time-critical metrics, lessons, and a link to the MCQ bank on that procedure. Cases are anchored to Roberts & Hedges Clinical Procedures in Emergency Medicine, the DAS difficult-airway guidelines, and RCEM Best Practice — calibrated for West African ED realities: the senior who's an hour away, the kit that may or may not be in the bay, the moment when waiting is the wrong answer.