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EM Clerkship - Podcast

EM Clerkship

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.

Medicine Science Health & Fitness Life Sciences Education
Update frequency
every 13 days
Average duration
27 minutes
Episodes
262
Years Active
2016 - 2025
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Round 17 (MW) Headache

Round 17 (MW) Headache



You are working at Clerkship General when the next chart is put in your rack. It’s a 41-year-old female with a chief complaint of headache.







Initial Vitals:







HR: 56







BP: 172/93







Temp: 98.8F



Thu 01 Feb 2024
Deep Dive MW R16

Deep Dive MW R16



Diagnosing PE:







Step 1: Consciously consider the diagnosis







Step 2: Risk Stratify into low, intermediate, and high risk







Step 3: Choose appropriate testing based on pre-test probability







Cla…
Wed 17 Jan 2024
Round 16 (MW) Leg Pain

Round 16 (MW) Leg Pain



You are working at Clerkship General when you overhear the base command radio. “Clerkship General. We have a 57 year-old female coming in for leg pain. She just had surgery at your hospital. Her blo…
Mon 01 Jan 2024
Deep Dive MW R15

Deep Dive MW R15



Shock – A state of deranged physiology characterized by systemic, widespread hypoperfusion









* Hypovolemic Shock



* Hemorrhage







* Volume Loss (vomiting/diarrhea, dehydration)











* Cardiogenic …
Sun 17 Dec 2023
Round 15 (MW) MVA

Round 15 (MW) MVA



You are working at Clerkship General when you hear and EMS call on the radio. “Clerkship General, we are activating a trauma alert. We are bringing you a 33 year old male from a high-speed single ve…
Sat 02 Dec 2023
Deep Dive MW R14

Deep Dive MW R14





* Differential



* Traumatic causes: non-accidental trauma, fracture, dislocation, sprain, strain, tendonitis, osgood schlatter







* Non-traumatic causes: septic arthritis, transient synovitis, oste…
Wed 15 Nov 2023
Round 14 (MW) Leg Pain

Round 14 (MW) Leg Pain



You are working a beautiful sunny day in Pennsylvania when the next chart gets put in your rack. It is a 2 year-old male with a leg injury.







Initial Vitals:







HR: 112







BP: 97/67







Temp: 99.2F…
Wed 01 Nov 2023
Deep Dive MW R13

Deep Dive MW R13





* Focused Physical Exam



* Tachypnea and Hypoxemia







* Able to speak in complete sentences







* Accessory muscle use/retractions







* Moving air or quiet on auscultation











* Basic Treatment Alg…
Sun 15 Oct 2023
Round 13 (MW) Respiratory Distress

Round 13 (MW) Respiratory Distress



You are working at Clerkship General when you hear an EMS call: “Clerkship General, we are bringing you a young female in respiratory distress. ETA 2 minutes”







Initial Vitals:









HR: 123







BP: …
Sun 01 Oct 2023
Deep Dive MW R12

Deep Dive MW R12





Introduction









* Used as pesticides







* Used as weapons (nerve agents)



* Sarin Gas, VX Gas, Novichok











* Transdermal, Inhalation, Ingestion













Clinical Presentation









* Muscarinic Activ…
Sat 16 Sep 2023
Round 12 (MW) Respiratory Distress

Round 12 (MW) Respiratory Distress



You are working at Clerkship General when you hear an EMS call on the radio. “Clerkship General. We are bringing you an unresponsive 6-year-old female found foaming at the mouth by her babysitter. E…
Fri 01 Sep 2023
OBGYN: The Vaginal Delivery (Pt 2)

OBGYN: The Vaginal Delivery (Pt 2)



Shoulder dystocia is an OB emergency. Remember McRobert’s maneuver and suprapubic pressure. For more information, take a look at the resources below.









References







ACOG- Shoulder Dystocia







AAF…
Tue 15 Aug 2023
OBGYN: The Vaginal Delivery (Pt 1)

OBGYN: The Vaginal Delivery (Pt 1)



Maddie’s 7 Cardinal Movements of a Successful Delivery:











1. Head comes out







2. Head turns







3. Cord Assessment







4. Anterior shoulder delivered







5. Posterior shoulder delivered







6. Body …
Tue 01 Aug 2023
Deep Dive MW R11

Deep Dive MW R11



The 6 STEMI Equivalents:









* Posterior MI



* ST Depression V2/V3 (or STE in V7-V9)











* Right Ventricular MI



* STE V1 associated with inferior MI ; or STE V4R-V6R











* Wellens Syndrome …
Sat 15 Jul 2023
Round 11 (MW) Chest Pain

Round 11 (MW) Chest Pain



You are working at Clerkship Rural when the nurse hands you your next chart to see. It’s a 59 year old farmer with chest pain.







Initial Vitals:









BP: 156/97







HR: 110







RR: 22







O2: 98% (Roo…
Sun 02 Jul 2023
Deep Dive MW R10

Deep Dive MW R10





* The MILDLY agitated patient : verbal de-escalation or PO benzo/antipsychotic







* The MODERATELY agitated patient : IM benzo/antipsychotic







* The SEVERELY agitated patient : IM Ketamine 5mg/kg



Sat 17 Jun 2023
Round 10 (MW) Agitation

Round 10 (MW) Agitation



You are working at Clerkship General when you hear an EMS call on the radio…







“CLERKSHIP GENERAL – We are bringing you an agitated and combative 30 year old male, we’ll see you in 5 minutes.”







Thu 01 Jun 2023
Deep Dive MW R9

Deep Dive MW R9



Indications for LP: CNS infection, SAH, Guillian Barree, IIH







Contraindications for LP: Space occupying lesion with mass effect ; severe thrombocytopenia and coagulopathy; cellulitis over LP site …
Tue 16 May 2023
Round 9 (MW) Altered Mental Status

Round 9 (MW) Altered Mental Status



You are working at Clerkship General when the charge nurse comes and grabs you… “Hey doc, we need you in room 2, this kid looks sick…”







Initial Vitals:







BP: 68/40







HR: 128







RR: 22







O2: 99%…
Mon 01 May 2023
Deep Dive MW R8

Deep Dive MW R8













* Two Types of Priapism



* Low Flow “Ischemic” (Most Common >95% of Cases)



* Urologic Emergency



* Results in Erectile Dysfunction











* Painful







* Common Etiologies



* Idiopathic







* Erec…
Sun 16 Apr 2023
Disclaimer: The podcast and artwork embedded on this page are the property of Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD. This content is not affiliated with or endorsed by eachpod.com.