20 days · 5 algorithm cards
PACU rotation curriculum
One page per day. Each day states a claim, names the evidence mode it rests on, and cites every number to a source ledger entry with a DOI or PMID. No account, nothing saved.
- Day 01 Residual block is common, invisible, and dangerous draftconsensus only
- Day 02 Upper airway obstruction presents as a falling saturation draftconsensus only
- Day 03 Supplemental oxygen hides hypoventilation draftconsensus only also: methemoglobinemia
- Day 04 PACU discharge is a handoff into the window where respiratory depression happens draftconsensus only
- Day 05 Postoperative hypotension is a dose draftconsensus only
- Day 06 Postoperative hypertension is a sign before it is a number draftconsensus only
- Day 07 Hypothermia has trial evidence, and the trials disagree drafttrial based also: malignant hyperthermia presenting late in the PACU
- Day 08 Myocardial injury after noncardiac surgery is silent draftconsensus only
- Day 09 Two interventions for every adult, and rescue changes class drafttrial based
- Day 10 In opioid titration, sedation is not the endpoint draftconsensus only
- Day 11 The blocked limb, the contested question, and the late toxicity draftconsensus only
- Day 12 Delirium screening starts in the PACU draftconsensus only
- Day 13 Delayed emergence is worked through in order draftconsensus only
- Day 14 The OSA discharge rule is real, and its timing is undefined draftconsensus only
- Day 15 Voiding and drinking are habits, not discharge criteria draftconsensus only
- Day 16 Handover is a transfer of responsibility, and half the items still go missing drafttrial based
- Day 17 Urinary retention is common, silent, and found with a scanner draftconsensus only
- Day 18 Post-dural puncture headache has a window, a ladder, and a red flag draftconsensus only
- Day 19 Positioning injuries declare themselves after the PACU draftconsensus only
- Day 20 Anaphylaxis presents as hypotension, and the dose follows the grade draftconsensus only
Algorithm cards
Standalone bedside cards. Each step cites its source, like any day.
- Card Delayed emergence not yet authored · from Day 13
- Card Postoperative hypoxemia not yet authored · from Day 3
- Card PACU hypotension not yet authored · from Day 5
- Card PACU hypertension not yet authored · from Day 6
- Card Laryngospasm not yet authored · from Day 2