Emergency medicine performance program (EmPP)

Emergency Physician Performance. Department-Level Impact.

A three-day resuscitation intensive for emergency physicians combining high-acuity simulation, deliberate practice, and structured performance standards to strengthen execution in critical care.

the OVERVIEW

The Emergency Medicine Performance Program (EMPP) is a three-day, on-site resuscitation intensive designed for emergency physicians.

EMPP strengthens how physicians prepare, decide, and execute during the most critical moments in emergency medicine. This program is built around high-acuity performance.

It sharpens execution in areas such as:

• Hemodynamic optimization in the unstable patient

• Structured airway management

• Deliberate vasopressor strategy

• Logical oxygen and ventilation escalation

• Integrated point-of-care ultrasound decision-making

• High-risk core emergency procedures (intubation, central line insertion, chest tube insertion, and more)

• Clear, structured leadership under pressure

These capabilities translate across shock, respiratory failure, trauma, cardiac arrest, and pediatric resuscitation.

Hospitals sponsor EMPP to elevate the performance standard of their emergency physician group and reinforce a culture of deliberate, high-level resuscitation care.

Duration: 3 Days (consecutively or over 6 months)

Location: Delivered in your hospital

Accreditation: Up to 24 Mainpro+ Certified Assessment Credits and 24 Mainpro+ Certified Activity Credits

Participants: Up to 12 Emergency Physicians

Cost: Contact us for pricing

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Curriculum overview

Day 1: Foundation and Standardization

Day 1 establishes the resuscitation performance standard within your emergency department.

The day begins by defining what structured, high-level resuscitation execution should look like across your physician group. Faculty demonstrate a modeled resuscitation to highlight airway preparation, hemodynamic optimization, vasopressor readiness, ultrasound integration, and leadership clarity.

Participants then move into high-repetition rapid cycle deliberate practice focused on early stabilization decisions, oxygen and ventilation escalation, induction sequencing, and clear role assignment. Technical skill stations reinforce airway mechanics, oxygenation strategy, and core POCUS applications in unstable patients.

By the end of Day 1, participants share a defined approach to airway preparation, shock management, oxygen escalation, and leadership under pressure.

  • Opening Session — Defining the Performance Standard

    • What structured resuscitation execution looks like

    • What makes an effective team and leader

    • Hemodynamic preparation before airway intervention

    • Induction sequencing and first-pass optimization

    • Vasopressor readiness and early initiation

    • Oxygen escalation logic (HFNC → NIV → Intubation)

    Faculty demonstrate a modeled resuscitation to set expectations.

    Rapid Cycle Deliberate Practice

    High-repetition scenarios focused on core execution standards:

    • Septic shock with airway decision-making

    • Peri-intubation hemodynamic instability

    • Trauma resuscitation structure

    • Cardiac arrest micro-skills and leadership discipline

    • Oxygen escalation in acute respiratory failure

    Emphasis:

    • Clear airway plan and backup strategy

    • Resuscitate before intubate

    • Early vasopressor strategy

    • Shared mental model

    Skills Stations

    Airway & Oxygenation

    • BVM mastery and troubleshooting

    • Positioning and pre-oxygenation strategy

    • Direct and video laryngoscopy technique

    • Bougie use and first-pass optimization

    • NIV and HFNC setup and troubleshooting

    POCUS Integration

    • RUSH exam in undifferentiated hypotension

    • Lung ultrasound in respiratory failure

    • FAST in trauma

Day 2- Escalation and clinical precision

Day 2 increases physiologic complexity and decision nuance.

Participants manage evolving cases where timing, escalation, and diagnostic clarity determine outcomes. The focus shifts from foundational structure to disciplined adaptation: recognizing early failure, adjusting strategy, integrating ultrasound findings, and maintaining leadership clarity during deterioration.

Procedural skill stations strengthen execution in unstable patients, including vascular access and thoracic procedures.

The day also includes a dedicated pediatric resuscitation focus. Participants review key physiologic differences, airway strategy in children, and team leadership in pediatric crises. Pediatric deliberate practice and skills stations reinforce confidence and execution in critically ill children.

By the end of Day 2, physicians demonstrate greater precision in escalation decisions and improved confidence across both adult and pediatric resuscitations.

  • Morning — Adult Escalation

    Rapid Cycle Deliberate Practice Examples

    • Severe respiratory distress with escalation decisions

    • Undifferentiated shock and shock phenotyping

    • Status epilepticus and airway timing

    • Pressor selection and titration

    • Recognition of early deterioration and pivoting

    Skills Stations

    • Ultrasound-guided central venous access

    • Chest tube insertion

    • Intraosseous access

    Afternoon — Pediatric Resuscitation

    Focused Teaching Session

    • Pediatric physiology differences

    • Early recognition of deterioration

    • Pediatric airway escalation strategy

    • Leadership in pediatric crisis

    Pediatric Rapid Cycle Deliberate Practice

    • Pediatric septic shock

    • Pediatric respiratory failure

    • Pediatric arrest leadership

    Pediatric Skills Stations

    • Pediatric BVM technique

    • Airway sizing and equipment selection

    • Intubation nuances in children

Day 3- INtegrated performance

Day 3 integrates all performance domains into immersive, start-to-finish resuscitations.

Participants lead complex cases requiring coordinated airway management, hemodynamic strategy, vasopressor discipline, ultrasound-driven decision-making, and decisive escalation. Scenarios reflect real emergency department dynamics and encourage interprofessional participation when possible.

Structured debriefing reinforces defined execution standards and leadership behaviors that translate directly into clinical practice.

  • Immersive Resuscitations

    Complex start-to-finish scenarios integrating all domains, including cases such as:

    • Septic shock with peri-intubation instability

    • Massive pulmonary embolism

    • Hemorrhagic shock

    • Refractory respiratory failure

    • Cardiac arrest with evolving physiology

    • Pediatric deterioration

    Performance Domains Observed

    • Hemodynamic optimization

    • Structured airway execution

    • Vasopressor strategy

    • Oxygen and ventilation escalation

    • POCUS-driven decisions

    • Leadership and communication under pressure

    Structured Debriefing

    • Leadership clarity and role discipline

    • Escalation timing

    • Team communication under stress

    • Nuanced resuscitation knolwedge and techniques

EMPP CERTIFICATION

EMPP is a performance-recognized intensive. Upon successful completion, participants earn the designation of:

EMPP Certified Emergency Physician

Certification is awarded upon demonstrated proficiency in defined resuscitation performance standards observed during all three days of the program.

Participants must demonstrate competence in:

• Airway preparation and execution

• Hemodynamic optimization

• Vasopressor initiation and titration

• Oxygen and ventilation escalation

• Effective POCUS integration

• Structured leadership under pressure

Certification reflects demonstrated performance.

EMPP certification signals that your emergency physicians have demonstrated structured, high-acuity resuscitation performance under pressure.

Department & Physician Impact

Hospitals that implement EMPP demonstrate:

• Investment in advanced resuscitation training

• Defined high-acuity execution standards

• Commitment to physician performance

• A culture of deliberate clinical excellence

For emergency physicians, EMPP builds demonstrated capability in:

• Structured leadership during high-acuity resuscitations

• Hemodynamic preparation prior to critical interventions

• Disciplined vasopressor initiation and titration

• Logical oxygen and ventilation escalation

• Real-time integration of POCUS into unstable patient management

• Competent execution of high-risk core emergency procedures

Core procedural competencies reinforced during EMPP include:

• Endotracheal intubation

• Chest tube insertion

• Ultrasound-guided central venous access

• Pediatric airway management

• Point-of-care ultrasound in shock, trauma, and respiratory failure

EMPP strengthens both the cognitive and technical execution required to lead resuscitations with confidence and precision.

That drives lasting cultural impact across your hospital.

Ready to elevated resuscitation performance in your department?

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