197 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
    • 4.9 • 717 Ratings

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.

    Round 5 (MW) – Leg Pain

    Round 5 (MW) – Leg Pain

    You are working at Clerkship General Hospital when EMS calls in a female with opioid overdose, but she won’t stop complaining of leg pain…







    Initial Vitals:







    Temp: 98







    BP: 120/80







    HR: 89







    RR: 20







    O2 Sat: 100%







    Critical Actions:









    * Treat patient’s pain without NSAIDs (history of solitary kidney)







    * Assess patient’s leg pain beyond the point of just fracture vs. no fracture







    * Recognize the signs and symptoms of compartment syndrome







    * Get orthopedic surgery to bedside emergently for fasciotomy







    * Recognize and treat rhabdomyolysis

    • 31 min
    DKA (Deep Dive R4 MW)

    DKA (Deep Dive R4 MW)

    Diabetic Ketoacidosis – hyperglycemia, ketosis, and anion gap metabolic acidosis







    * Don’t forget about euglycemic DKA (especially in setting of SGLT2 inhibitor) or mimics such as alcoholic ketoacidosis







    * Treatment of the ketoacidosis * Insulin (usually a drip or bolus + drip) – only once K>3.5* Volume Resuscitation (NS initially, change to LR)* Bicarb drip (poor evidence, only as last resort for critical patients)* Treatment of electrolyte abnormalities* Correct sodium for hyperglycemia* Replete potassium if K5.0, PO and IV simultaneously* consider central line if patient hypokalemic and in extremis/critical DKA* Management of respiratory status* Avoid intubation at all costs unless altered or impending respiratory failure* APNEA KILLS* Mechanical ventilation limits your minute ventilation, leading to worsening acidosis. Breath stacking occurs if you set the RR too high.* Support work of breathing with NIPPV (high IPAP, low EPAP)* If intubation necessary, consider awake intubation or consider using bicarb pushes if performing RSI







    Further Reading:







    EMCRIT – DKA

    • 24 min
    Round 4 (MW) – Shortness of Breath

    Round 4 (MW) – Shortness of Breath

    You are working a shift at Clerkship General when the charge nurse comes and grabs you to see a 24yo male who appears to be in respiratory distress.















    Critical Actions:







    * Diagnose DKA* Replete potassium* Start insulin AFTER potassium repletion* EITHER place central line for faster K repletion OR initiate bipap to allow time for potassium repletion via existing peripheral line* Admit to ICU







    Further Reading:







    EMCrit – DKA

    • 33 min
    Interviews Part 2 – Acing your interview

    Interviews Part 2 – Acing your interview

    Before interview day, do your research on programs and interviews and reflect on the way in which you want to portray yourself.







    On interview day, have a cheat sheet with notes about your conversations, questions, and pro-cons. Remember to stay calm, take a pause if you need to, and above all be authentic to who you are.







    After interview day, be sure to capture you gut impression and write down any follow-up questions or concerns remaining.







    Here are some resources to use for interview day:







    EMRA Residency Interview Guide







    AliEM – Dos and Don’ts of residency interviewing







    EMRA – Common Interview Questions







    EMRA – Making the most out of interview day







    ALiEM – EM Match Advice Podcast Episode

    • 22 min
    Black Box Warnings (Deep Dive R3 MW)

    Black Box Warnings (Deep Dive R3 MW)

    show notes coming soon

    • 20 min
    Round 3 (MW) – MVC

    Round 3 (MW) – MVC

    Show comments to be posted shortly

    • 29 min

Customer Reviews

4.9 out of 5
717 Ratings

717 Ratings

tnualh2023 ,

My favorite!

EM Clerkship has been my go to throughout my clinical year of PA school. I started listening during my ER rotation and it was so helpful and I just couldn’t stop listening even after going to a new rotation. The information is solid and presented in a way that’s entertaining and engaging. 11/10 recommend!!

BriannaShelleen ,

AMAZING!

I am about to venture off to clinical year of PA school in 2 short months and I wish I had found this podcast sooner. I cannot say enough good things about it; it’s extremely informative in a more simple and entertaining manner than conventional materials. I love listening to the residents go through their interview/thought process of a work up so I can engrave it more into my mental memory. I love the little 10-15 minute deep dives for when that’s all my brain can handle. It’s absolutely amazing and I hope you guys keep making content. Future providers appreciate it so much.

Emmy B99 ,

GREAT

This is an awesome adjunct to my clinical training during PA school. I love the patient case episodes and the follow up episodes that go in depth about the topic. I’d recommend to anyone going through school or residency right now as an MD/DO, PA, or NP.

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