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
    • 4.9 • 783 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.

    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

4.9 out of 5
783 Ratings

783 Ratings

EmilyfromCleveland ,

What a great podcast

Thank you for this content. I am an RN with 10+ years in the ED, and I listen to deepen my knowledge and brush up. This podcast checks so many boxes. Very educational and relatable. Love the way each episode is topic focused. Thanks!!!

WNCJeep ,

I love you guys

I love your podcasts they have helped me so much in my work and are perfect for commuting to hospital. High yield is an understatement.

TC5656 ,

Awesome podcast

These episodes are short, sweet, to the point and valuable. I listen to these podcasts on my way to work, on my way home from work, and they are always useful. The facts are demonstrated, easy ways to remember things are demonstrated, and the delivery is good as well. Would recommend will continue.

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