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Emergency Medicine for Students | The EM Clerkship Podcast - Health
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Round 5 (MW) – Leg Pain – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Round_5_MW-Leg_Pain.mp3Podcast:Play in new window|DownloadYou 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: 98BP: 120/80H
NBME Shelf Review (Part 6) – Common Arrhythmias – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Episode_6-11_3_18_2_51_PM.mp3Podcast:Play in new window|Download“Unstable” ArrhythmiasArrhythmias that causeHypotensionPulmonary EdemaChest PainAltered Mental StatusSupraventricular Tachycardia (SVT)StableVagal maneuverAdenosineBe
NBME Shelf Review (Part 5) – Ophthalmology and Toxicology – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Episode_5-10_27_18_4_03_PM.mp3Podcast:Play in new window|DownloadCorneal AbrasionStain the eye with fluorescein and use woods lampLook for fixed staining (“uptake”) on the corneaAcute Angle Closure GlaucomaSymptomsEye PainHeadache
Psychiatric Complaints – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Psych.mp3Podcast:Play in new window|DownloadThe Two Objectives During Every Psychiatric-Type ComplaintMedical ClearancePsychiatric Risk AssessmentMedical ClearanceRequired by EMTALA to perform a “screening exam” regardless of comp
Appendicitis and Diverticulitis – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Appendicitis_and_Diverticulitis.mp3Podcast:Play in new window|DownloadAppendicitisHistoryVague nonspecific abdominal cramping and nausea (Nonspecific Phase) gradually progresses to localized pain (Localized Phase). The pain most c
How to Crush Your SLOE (Tips 16-20) – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/T1620.mp3Podcast:Play in new window|DownloadTip #16Recheck the patient’s heart rate and respiratory rate (and put in your presentation that you did so)Heart rate frequently falsely elevated when being triagedRespiratory rate frequ
Testicular Torsion and Prostatitis – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/TesticularT_and_Prostatitis.mp3Podcast:Play in new window|DownloadTesticular TorsionHistoryPain in the testiclesReferred pain in the flank or lower abdomenUsually sudden and severeUsually WITHOUT urinary symptomsExamAsymmetric tes
Common Fungal Infections – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Fungal_Infections.mp3Podcast:Play in new window|DownloadMost Life Threatening Fungal InfectionMucormycosisBlack facial dischargeCranial nerve dysfunctionFacial swellingEschar formationWhen to Suspect a Fungal InfectionImmunocompro
Round 5 (Geriatric Fall) – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Round_5_Combined_FINAL-10_25_19_7_48_PM.mp3Podcast:Play in new window|DownloadCAUTION: THESE NOTES CONTAIN SPOILERS!!!Case IntroductionThe nurse is asking you to evaluate a 70 year old male who has been placed in a hall bed after
NBME Shelf Review (Part 9) – Cardiopulmonary – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/E9_V2B.mp3Podcast:Play in new window|DownloadPulmonary EmbolismThree types of pulmonary embolism“Massive”Hypotension or severe bradycardiaTreat with tPA or thrombectomy“Submassive”Normotensive but with Right Heart StrainS1Q3T3 on
How to Crush Your SLOE (Tips 1-5) – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Tips1-5.mp3Podcast:Play in new window|DownloadTip #1Introduce yourself.Attending? “Hello, my name is Zack, I’m one of the medical students”Resident? “Hello, my name is Zack, I’m one of the medical students”Nurse? “Hello, my name i
NBME Shelf Review (Part 8) – Abdominal Pain – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Episode_8-11_17_18_7_12_PM.mp3Podcast:Play in new window|DownloadAcute Mesenteric IschemiaHistory of atrial fibrillation“Pain out of proportion to exam”Bowel ObstructionHistoryAbdominal painBloating/DistentionVomitingDecrease stoo
Mesenteric Ischemia and Small Bowel Obstruction – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Ischemia_and_SBO.mp3Podcast:Play in new window|DownloadMesenteric IschemiaCeliac truck supplies blood to the stomach and duodenumSMA supplies blood to the rest of the small bowel and proximal colonIMA supplies blood to the distal
PID and Ovarian Torsion – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/PID_Ovarian_Torsion.mp3Podcast:Play in new window|DownloadWomen have two additional diseases that must be added to the differential diagnosis of their abdominal pain. PID and ovarian torsion.Pelvic Inflammatory Disease (and Tube-O
How to Crush Your SLOE (Tips 26-30) – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/T2630.mp3Podcast:Play in new window|DownloadTip #26Update your attending when the nurse is having difficulty with your patient’s IV or drawing blood.Tip #27Get the urine sample from your patient (there is no greater delay in pati
NBME Shelf Review (Part 7) – Abdominal Pain – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Episode_7-11_9_18_6_50_PM.mp3Podcast:Play in new window|DownloadHernia3 classifications for herniaReducibleAble to be reduced (placed back into the abdomen) at bedsideIncarceratedCannot be reduced but not severely tender or erythe
Abdominal Pain Presentations (Exam, Plan, and Disposition) – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/PBL_Abdominal_Pain_2.mp3Podcast:Play in new window|DownloadEM Clerkship’s 10 Step Patient PresentationDemographics (Age, Gender, Pertinent Medical/Surgical History, Chief Complaint)At Least 4 Descriptors (Location, Quality, Severi
Round 10 (Allergic Reaction) – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Round_10.mp3Podcast:Play in new window|DownloadCAUTION: THESE NOTES CONTAIN SPOILERS!!!Case IntroductionA 45 year old female is exposed to peanut butter and shrimp pizza and begins to have an apparent allergic reaction…Initial Vit
Round 4 (Flank Pain) – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Round_4_FINAL_post.mp3Podcast:Play in new window|DownloadCAUTION: THESE NOTES CONTAIN SPOILERS!!!Case IntroductionThe nurse tells you that you have a new patient and is requesting a verbal order for nausea medicine. She advises yo
Round 3 (Chest Pain) – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Round_3_FINAL_postmp3.mp3Podcast:Play in new window|DownloadCAUTION: THESE NOTES CONTAIN SPOILERS!!!Case IntroductionAn ill appearing patient has been rushed back from the lobby, clutching his chest, you are needed immediately at
Airway Part 2- Bag Valve Mask Adjuncts – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Airway2.mp3Podcast:Play in new window|DownloadHow do you oxygenate a patient (while you are preparing for RSI) if suction, moving the tongue, and basic BVM ventilation are unsuccessful?Pharyngeal AirwaysThese tools bypass the post
Airway Part 3- Rapid Sequence Intubation – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Airway3.mp3Podcast:Play in new window|DownloadThe most important thing to do when preparing for RSI is toPREOXYGENATEthe patient.Step 1: Choose Your EquipmentMiller or Mac blade?Miller blade is straight (like the ‘L’ in miller)Fre
Airway Part 4- What to Do If Intubation Fails – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Airway4.mp3Podcast:Play in new window|DownloadVerbalize the out loud prior to performing rapid sequence intubation.The BougieIdeal for situations when you’re view is suboptimalAdvance it through the cords and into the tracheaBEFOR
How to Crush Your SLOE (Tips 11-15) – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/T1115.mp3Podcast:Play in new window|DownloadTip #11Give 4 descriptors/adjectives for each complaintLocationQualityDurationModifying FactorsSeverityContextTimingAssociated SymptomsTip #12Get theACTUALstory. Why did the patient come
Abdominal Pain Presentations (History) – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/PBL_Abdominal_Pain_1.mp3Podcast:Play in new window|DownloadEM Clerkship’s 10 Step Patient PresentationDemographics (Age, Gender, Pertinent Medical/Surgical History, Chief Complaint)At Least 4 Descriptors (Location, Quality, Severi
Round 1 (Altered Mental Status) – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Round_1.mp3Podcast:Play in new window|DownloadCAUTION: THESE NOTES CONTAIN SPOILERS!!!Case IntroductionYou are called to the resuscitation bay for a poorly responsive patient that has been brought in by EMS.Initial VitalsTemp 98.8
NBME Shelf Review (Part 11) – OBGYN – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Episode_11_BRS.mp3Podcast:Play in new window|DownloadThink A-B-C-P (Airway, Breathing, Circulation, Pregnancy Test) in ALL Women of Child-Bearing Age!It changes the differential diagnosisIt changes the medications you can giveIt c
MUST LISTEN (re ABEM) – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Must_Listen_ABEM_1.mp3Podcast:Play in new window|DownloadABEM-style cases presented on EM Clerkship are not my actual ABEM exam cases, and they are not derived from my actual exam cases. I will never be discussing my specific exam
Round 6 (Back Pain) – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Round_6.mp3Podcast:Play in new window|DownloadCAUTION: THESE NOTES CONTAIN SPOILERS!!!Case IntroductionA notorious, disheveled frequent flyer presents to your emergency department for her back pain and is asking for more Dilaudid…
Round 2 (Seizure) – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Round_2.mp3Podcast:Play in new window|DownloadCAUTION: THESE NOTES CONTAIN SPOILERS!!!Case IntroductionEMS brings in a postictal 34 year old female after she has a seizure. She is complaining of a headache…Initial VitalsTemp 98.9H
NBME Shelf Review (Part 10) – Miscellaneous – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Episode_10-12_1_18_10_26_PM.mp3Podcast:Play in new window|DownloadStrokeMost appropriate initial testsBlood GlucoseHypoglycemia is a common stroke mimicCT Head without contrastRules outHEMORRHAGICstrokesSubarachnoid HemorrhageClas
Biliary Diseases and Pancreatitis – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Biliary_and_Pancreatitis.mp3Podcast:Play in new window|DownloadBiliary DiseasesBiliary Colic- A gallstoneDOES NOT GET STUCK, but it slowly rolls out of the gallbladder, through the cystic duct, then the common bile duct and pancre
ACS, Acidosis, AAA and Other Miscellaneous Causes of Abdominal Pain – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/ACS_Acid_AAA.mp3Podcast:Play in new window|DownloadThere areHUNDREDSof other non-GI/GU causes of abdominal pain…Acute coronary syndrome (ACS)Test with EKG and troponinTreat with aspirin and heparinAcidosisDiabetic Ketoacidosis (DK
How to Crush Your SLOE (Tips 21-25) – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/T2125.mp3Podcast:Play in new window|DownloadTip #21Review and note if the patient has anyIMPORTANTold records.Any ED visit within the last month for a similar complaint (aka “Bouncebacks” and frequent fliers)Any echocardiogram or
Ectopic Pregnancy – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Ectopic.mp3Podcast:Play in new window|DownloadAll women of childbearing age who present with abdominal pain need a pregnancy testa core teaching of EMergency medicineEctopic pregnancy is the leading cause of maternal death in the
Bowel Perforation and Volvulus – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/Perf_and_Volvulus.mp3Podcast:Play in new window|DownloadBowel PerforationsHistoryPerforation takes time, frequently symptoms were either ignored or not noticed as can occurring in…Elderly, diabetic, or immunosuppressed patients (f
How to Crush Your SLOE (Tips 6-10) – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/T6-10.mp3Podcast:Play in new window|DownloadTip #6Make your patient remember your name.Introduce yourself clearlyShow the patient your badgeUse a nickname if your name is difficult for people to remember/understandRepeat your name
Urinary Tract Infections – EM Clerkship, LLC
https://media.blubrry.com/emclerkship/content.blubrry.com/emclerkship/UTI.mp3Podcast:Play in new window|DownloadHow to Read a UrinalysisSigns of InflammationLeukocyte EsteraceWBCsMultiple conditions cause inflammation on a urinalysis. Anything that causes nearby inflammation (appendicitis, pelvic in