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.
- Update frequency
- every 13 days
- Average duration
- 27 minutes
- Episodes
- 262
- Years Active
- 2016 - 2025
MUST LISTEN (re ABEM)
ABEM-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 details with anybody, in…
Sun 25 Aug 2019
ACS, Acidosis, AAA and Other Miscellaneous Causes of Abdominal Pain
There are HUNDREDS of other non-GI/GU causes of abdominal pain…
Acute coronary syndrome (ACS)
* Test with EKG and troponin
* Treat with aspirin and heparin
Acidosis
* Diabetic Ketoaci…
Sun 11 Aug 2019
Testicular Torsion and Prostatitis
Testicular Torsion
History
* Pain in the testicles * Referred pain in the flank or lower abdomen* Usually sudden and severe* Usually WITHOUT urinary symptoms
Exam
* Asymmetric testicular…
Sun 04 Aug 2019
PID and Ovarian Torsion
Women 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-Ovarian Abscess)
De…
Sun 28 Jul 2019
Urinary Tract Infections
How to Read a Urinalysis
* Signs of Inflammation* Leukocyte Esterace* WBCs
Multiple conditions cause inflammation on a urinalysis. Anything that causes nearby inflammation (appendicitis, pelvi…
Sun 21 Jul 2019
Ectopic Pregnancy
All women of childbearing age who present with abdominal pain need a pregnancy testa core teaching of EMergency medicine
Ectopic pregnancy is the leading cause of maternal death in the first trim…
Sun 14 Jul 2019
Bowel Perforation and Volvulus
Bowel Perforations
History
Perforation takes time, frequently symptoms were either ignored or not noticed as can occurring in…
* Elderly, diabetic, or immunosuppressed patients (frequentl…
Sun 30 Jun 2019
Mesenteric Ischemia and Small Bowel Obstruction
Mesenteric Ischemia
* Celiac truck supplies blood to the stomach and duodenum* SMA supplies blood to the rest of the small bowel and proximal colon* IMA supplies blood to the distal colon and rec…
Sun 23 Jun 2019
Biliary Diseases and Pancreatitis
Biliary Diseases
* Biliary Colic- A gallstone DOES NOT GET STUCK, but it slowly rolls out of the gallbladder, through the cystic duct, then the common bile duct and pancreatic duct. This results …
Sun 09 Jun 2019
Appendicitis and Diverticulitis
Appendicitis
History
Vague nonspecific abdominal cramping and nausea (Nonspecific Phase) gradually progresses to localized pain (Localized Phase). The pain most commonly localizes in the RIGHT…
Sun 02 Jun 2019
Abdominal Pain Presentations (Exam, Plan, and Disposition)
EM Clerkship’s 10 Step Patient Presentation
* Demographics (Age, Gender, Pertinent Medical/Surgical History, Chief Complaint)* At Least 4 Descriptors (Location, Quality, Severity, Duration, Timin…
Sun 26 May 2019
Abdominal Pain Presentations (History)
EM Clerkship’s 10 Step Patient Presentation
* Demographics (Age, Gender, Pertinent Medical/Surgical History, Chief Complaint)* At Least 4 Descriptors (Location, Quality, Severity, Duration, Timin…
Sun 19 May 2019
How to Crush Your SLOE (Tips 26-30)
Tip #26
Update your attending when the nurse is having difficulty with your patient’s IV or drawing blood.
Tip #27
Get the urine sample from your patient (there is no greater delay in pati…
Sun 14 Apr 2019
How to Crush Your SLOE (Tips 21-25)
Tip #21
Review and note if the patient has any IMPORTANT old records.
* Any ED visit within the last month for a similar complaint (aka “Bouncebacks” and frequent fliers)* Any echocardiogram o…
Sun 07 Apr 2019
How to Crush Your SLOE (Tips 16-20)
Tip #16
Recheck the patient’s heart rate and respiratory rate (and put in your presentation that you did so)
* Heart rate frequently falsely elevated when being triaged* Respiratory rate frequ…
Sun 31 Mar 2019
How to Crush Your SLOE (Tips 11-15)
Tip #11
Give 4 descriptors/adjectives for each complaint
* Location* Quality* Duration* Modifying Factors* Severity* Context* Timing* Associated Symptoms
Tip #12
Get the ACTUAL story. Wh…
Sun 24 Mar 2019
How to Crush Your SLOE (Tips 6-10)
Tip #6
Make your patient remember your name.
* Introduce yourself clearly* Show the patient your badge* Use a nickname if your name is difficult for people to remember/understand* Repeat your …
Sun 10 Mar 2019
How to Crush Your SLOE (Tips 1-5)
Tip #1
Introduce 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…
Sun 03 Mar 2019
Airway Part 4- What to Do If Intubation Fails
Verbalize the out loud prior to performing rapid sequence intubation.
The Bougie
* Ideal for situations when you’re view is suboptimal* Advance it through the cords and into the trachea BEFORE…
Sun 03 Feb 2019
Airway Part 3- Rapid Sequence Intubation
The most important thing to do when preparing for RSI is to PREOXYGENATE the patient.
Step 1: Choose Your Equipment
* Miller or Mac blade? * Miller blade is straight (like the ‘L’ in miller)*…
Sun 27 Jan 2019
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.