I think it the most challenging and rewarding class I have taken, out of 4 courses and 5 specialties.
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I honestly was let down by the exam. I studied like crazy...Checked my knowledge reviews, highlights and self-study portions of the book, then took the exam. Halfway through the 50 questions I felt like it was dumbed down compared to the details discussed during the vid and in the chapters. That said I still missed two on the exam!
While the knowledge reviews are important, as others have said, it's ALL about the practical solution application to simulated emergencies that make the course soooooo worth while. Have FUN!