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
Occupational Exposures
The only chief complaint that you are guaranteed to eventually have to manage in a colleague
Respiratory Exposures
* Meningococcus (meningococcemia, meningitis, etc)* Give prophylaxis (ceftri…
Sun 17 Jun 2018
Breast Complaints
All breast complaints are cancer until proven otherwise!!!
History
* Increased risk of breast cancer* Family history of breast cancer (especially 1st degree)* Delayed childbearing (no children…
Sun 10 Jun 2018
Neonatal Conjunctivitis
The 3 Worst Causes of Neonatal Conjunctivitis
* Gonorrhea* Causes corneal ulcers and sepsis* Red flags* 1st week of life* Copious purulent drainage* Diagnose with cultures* Treatment* Cefotaxime …
Sun 03 Jun 2018
Subarachnoid Hemorrhage
History
* Sudden and maximal in onset* Compared to previous headaches* Family history of aneurysm* Associated Symptoms* Photophobia* Visual Changes* Neck Stiffness
Exam
* Full neuro examina…
Sun 20 May 2018
Blood in the Diaper
The 4 Most Common Causes of Blood in Diaper
* Urinary crystals* Will be guaiac negative* Common in first few weeks of life* Vaginal bleeding* Common in newborn females as they withdraw from mater…
Sun 13 May 2018
Nutritional Emergencies
Consider In High Risk Patients
* Alcoholics* GI disorders* Eating disorders* Starvation/poor diet* Extremes of age
Thiamine (B1) deficiency
* Causes damage to neurons and cardiac myocytes* …
Sun 06 May 2018
Complications of Myocardial Infarction
Mnemonic: DARTH VADER
Death
Arrhythmia
* ACS patients need to be placed on cardiac monitor* Frequently degenerate into non-perfusing rhythms
Rupture of Ventricle
* Occur within a few …
Sun 29 Apr 2018
tPA Basics
My original source for this episode was the MDCalc tPA contraindication guidelines which are based off older recommendations (2015). Stroke guidelines and tPA contraindications have changed and are …
Sun 15 Apr 2018
Sepsis
Sepsis guidelines are constantly changing. Refer to your national guidelines or institutional protocol for most up to date treatment information.
Introduction
* Sepsis is bad and needs to be t…
Sun 01 Apr 2018
Neonatal Jaundice
Physiology
* RBC hemoglobin breakdown -> unconjugated (indirect) bilirubin* Unconjugated (indirect) bilirubin -> liver -> conjugated (direct) bilirubin* Conjugated (direct) bilirubin -> Eliminate…
Sun 25 Mar 2018
Thrombocytopenia
Clinical Presentation
* Incidental finding on routing CBC* Petechiae/purpura* Mucosal bleeding* Epistaxis* Gingival bleeding* Hematuria* Vaginal bleeding
5 Major Causes of Thrombocytopenia
…
Sun 11 Mar 2018
Nausea and Vomiting
The hardest part about this chief complaint is expanding your differential beyond gastritis!!!
Step 1: Expand Your Differential Diagnosis
* Early appendicitis* Bowel obstructions* Myocardial i…
Sun 04 Mar 2018
Complications of Cirrhosis
Organ Failure Complications
* Hepatorenal syndrome (renal failure)* Decreased urine output* Labs show elevated creatinine* Admit to hospital (high mortality)* Hepatic encephalopathy (brain failur…
Sun 25 Feb 2018
Peds T- Tummy and Non-Accidental Trauma
Non-Accidental Trauma
* Estimated 10% of pediatric patients are victims of abuse* Sexual abuse* Physical abuse* Neglect* Common red flags* Changing story* Story that doesn’t make since* Delays in…
Sun 18 Feb 2018
Peds I- Inborn Errors of Metabolism and Endocrinology
Don’t be overwhelmed knowing/memorizing each inborn error of metabolism. The basic approach is actually quite easy!!!
Inborn Errors of Metabolism (IEM)
* Almost always result in one of the fol…
Sun 11 Feb 2018
Peds H- Heart Failure and Congenital Heart Disorders
Common Chief Complaints
* Cyanosis* Difficulty feeding* Failure to thrive
Cyanotic Heart Lesions
* Truncus arteriosus* Aorta and pulmonary artery are fused* Single vessel comes from both ve…
Sun 04 Feb 2018
Peds S- Sepsis and Serious Bacterial Infections
Pediatric “Sepsis”
* Consider in any toxic appearing child/neonate* Especially with fever (or hypothermia)* Treatment* Early antibiotics* Fluid bolus
“Serious Bacterial Infections” (SBI)
*…
Sun 28 Jan 2018
Peds H- Hyperglycemia and Hypoglycemia
Introduction
* In pediatric patients, have a low threshold to check blood sugar* Undiagnosed diabetics commonly identified in ED during first episode of DKA* HYPOglycemia is very common in multip…
Sun 21 Jan 2018
Peds O- Oxygen, Airway, and Respiratory Disorders
Applying oxygen is one of the first steps in treating any crashing child!!!
Airway Emergencies
* Foreign body (FB)* Patient presentation* Stridor* Choking episode* Testing* CXR* May directly …
Sun 14 Jan 2018
How to Save a Dying Baby
When you have a critically ill child in front of you, always remember, OH SHIT, Grab the Broslow!!!
Oxygen- Apply Oxygen and Consider Airway/Respiratory Emergencies
* Foreign body* Peritonsill…
Sun 07 Jan 2018
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.