CICO Decision Drill
The clock runs at three times real speed while you think, and every airway move costs time. Run Call 1 once with the triggers hidden, then again with Show my triggers on, and compare your decision lag.
Your moves
Each move costs call time. Optimized moves are what count as a best effort. Repeat anything as often as you like.
Your tripwire
Decided before the call: a lifeline fails after an optimized attempt fails, or after 3 attempts. When all three fail, you cut. No debate.
- Can't intubate0/3
- Can't oxygenate by mask0/3
- Can't oxygenate by SGA0/3
Obvious airway destruction: many protocols support going straight to a surgical airway here.
Debrief
The drill is a teaching simulation for decision making, not a skills trainer. Times and vital sign trends are simplified estimates. Follow your agency's protocols and medical direction. Cricothyrotomy scope of practice varies by state and agency.

