237 episodes

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.

EM Clerkship Zack Olson, MD and Michael Estephan, MD

    • Health & Fitness
    • 5.0 • 1 Rating

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.

    Guillain-Barre Syndrome (Deep Dive MW R22)

    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

    • 13 min
    Round 22 (MW) Fall with Weakness

    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

    • 31 min
    Orbital Compartment Syndrome (Deep Dive MW R21)

    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

    • 12 min
    Round 21 (MW) Geriatric Fall

    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
    Ischemic Stroke (Deep Dive MW R20)

    Ischemic Stroke (Deep Dive MW R20)

    Symptoms of stroke – weakness, facial droop, slurred speech. vision loss, vertigo, ataxia, confusion or changes to mental status.  







    The “typical” stroke workup – blood glucose level, CTH non-con, CTA head/neck, CT Perfusion, CBC BMP Troponin EKG CXR and Coags. 







    Common stroke mimics – hypoglycemia, drug/alcohol intoxication, Bell’s palsy, aortic dissection, complex migraines, and seizure with Todd’s paralysis.  







    Management/treatment – thrombolytics (within 4.5 hrs), thrombectomy (within 24 hrs) , and blood pressure control (185/110 if treating, 220/120 if no treatment). 







    Remember that time is brain, so move fast! 







    AAEM tPA Infographic







    AHA Stroke – “Getting the Gist Across Is Enough for Informed Consent for Acute Stroke Thrombolytics”

    • 17 min
    Round 20 (MW) Stroke Symptoms

    Round 20 (MW) Stroke Symptoms

    You are working at Clerkship General when one of the nurses comes and grabs you. “Hey doc, we need you in bed 10. I think this patient is having a stroke.”







    Initial Vitals:







    HR: 51







    BP: 201/98







    Temp: 98.0F







    RR: 18







    O2: 99% (Room Air)







    Critical Actions:









    * Check a Blood Glucose







    * Activate a Stroke Alert







    * Assess Contraindications to tPA







    * Consent for tPA







    * Transfer via Air for Thrombectomy

    • 32 min

Customer Reviews

5.0 out of 5
1 Rating

1 Rating

Top Podcasts In Health & Fitness

Exhibit A with Abbey Clancy
Marvellous
The Laura Dowling Experience
Laura Dowling
Huberman Lab
Scicomm Media
Feel Better, Live More with Dr Rangan Chatterjee
Dr Rangan Chatterjee: GP & Author
The Mid•Point with Gabby Logan
Spiritland Creative
On Purpose with Jay Shetty
iHeartPodcasts

You Might Also Like

Core EM - Emergency Medicine Podcast
Core EM
Emergency Medicine Cases
Dr. Anton Helman
Emergency Medical Minute
Emergency Medical Minute
EMCrit FOAM Feed
Scott D. Weingart, MD FCCM
Critical Care Scenarios
Brandon Oto, PA-C, FCCM and Bryan Boling, DNP, ACNP, FCCM
The Internet Book of Critical Care Podcast
Adam Thomas & Josh Farkas