EM Clerkship

Zack Olson, MD and Michael Estephan, MD
  • 5.0 (47)
  • MEDICINE
  • UPDATED TWICE MONTHLY
EM Clerkship Podcast

The purpose of this podcast is to help medical students crush their emergency medicine clerkship and get top 1/3 on their SLOE. The content is organized in an approach to format and covers different chief complaints, critical diagnoses, and skills important for your clerkship.

  1. 3 DAYS AGO

    Necrotizing Infections (Deep Dive MW R24)

    Transcript coming soon!

    12 min

  2. 2 SEPT

    Round 24 (MW) Nursing Home Transfer

    You are working at Clerkship General when the nurse comes up to you and says, “Hey doc, EMS dropped off this guy named Randy from the memory care unit at the nursing home down the street. He’s in the hall bed outside of room 7. EMS says he’s here for confusion, we will get him in a room once we can get one clean. Initial Vitals: HR: 118 BP: 109/55 Temp: 102.5 F RR: 22 O2: 99% Room Air Critical Actions: * Check a blood glucose * Obtain a full set of vitals * Diagnose necrotizing soft tissue infection * Consult surgery before a CT scan * Correct antibiotic coverage

    39 min

  3. 17 AUG

    Salicylate OD (Deep Dive MW R23)

    Episode summary coming soon!

    13 min

  4. 1 AUG

    Round 23 (MW) Pediatric Altered Mental Status

    You are working at Clerkship General when you hear an EMS call on the radio. “Clerkship General, we are bringing you a 3 year old female with complaints of altered mental status. We are pulling in now.” Initial Vitals: HR: 129 BP: 98/66 Temp: 99.7F RR: 35 O2: 99% Room Air Critical Actions: * Check blood glucose * Check ingestion labs * Start bicarbonate drip * Call nephrology * Check venous blood gas

    29 min

  5. 16 JULY

    Guillain-Barre Syndrome (Deep Dive MW R22)

    Guillain-Barre Syndrome (GBS) – Autoimmune polyneuropathy that results in widespread demylination of peripheral nerves Typically occur 1 week after a triggering infection Paresthesias/Neuropathic Pain -> Ascending symmetric paralysis -> Respiratory Failure Major Diagnostic Criteria * Progressive limb weakness in multiple limbs that is relatively symmetric * Diminished/Absent deep tendon reflexes in affected limbs * No alternative diagnosis * CSF studies have false-negatives – May see albuminocytologic dissociation (Elevated protein with normal cell counts) Treatment – IVIG and monitor respiratory status

    14 min

  6. 3 JULY

    Round 22 (MW) Fall with Weakness

    Critical Actions: * Treat the Patient’s Pain * Perform a detailed neurologic exam (including reflexes) * Perform LP * Administer IVIG * Check NIF or FVC and intubate prior to transfer

    32 min

  7. 16 JUNE

    Orbital Compartment Syndrome (Deep Dive MW R21)

    Orbital Compartment Syndrome – needs to be diagnosed CLINICALLY On exam, LOOK for: Proptosis, Ophthalmoplegia, Afferent Pupillary Defect, Vision Loss On exam, FEEL for: Rock hard globe, tense eyelids, resistance to retropulsion IOP > 40 means immediate canthotomy is indicated! Don’t perform if open globe is present Lateral Canthotomy Procedure: Anesthetize, Devascularize, Canthotomy, Cantholysis (inferior crus first) Paperclip Eyelid Retractors

    13 min

  8. 1 JUNE

    Round 21 (MW) Geriatric Fall

    You are working at Clerkship General when the next chart is put into your rack. It’s a 76 year-old male who has fallen. Initial Vitals: HR: 101 BP: 138/85 Temp: 98.0F RR: 20 O2: 99% (Room Air) Critical Actions: * Diagnose Retrobulbar Hematoma * Diagnose Subdural Hematoma * Reverse Anticoagulation * Perform a Lateral Canthotomy Procedure * Administer Tetanus Shot * Elevate the Head of Bed

    32 min
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Hosts & Guests

5
out of 5
47 Ratings

About

The purpose of this podcast is to help medical students crush their emergency medicine clerkship and get top 1/3 on their SLOE. The content is organized in an approach to format and covers different chief complaints, critical diagnoses, and skills important for your clerkship.

Information

  • Creator
    Zack Olson, MD and Michael Estephan, MD
  • Years Active
    2016 - 2024
  • Episodes
    241
  • Rating
    Explicit
  • Show Website
    EM Clerkship

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