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
Bleeding Disorders
These are most important in trauma patients!!!
Platelet Disorders
* Symptoms of SUPERFICIAL bleeding* Mucosal bleeding* GI bleeding* Recurrent epistaxis* Thrombocytopenia* When the platelets A…
Sun 31 Dec 2017
How to Read an EKG
Always remember…1, 2, 3, get an old EKG!!!
Step 1: Identify the Rate and Rhythm
* Is it sinus rhythm?* P wave before every QRS* Is it one of the tachycardias? (Refer to THIS episode)* Is it on…
Sun 03 Dec 2017
Pediatrics Exam
Mnemonic: ABCDEF
Appearance
* The ‘A’ in the pediatric assessment triangle* Interactive vs distant* Good tone vs floppy* Calm and happy vs inconsolable
Breathing
* The ‘B’ in the pediatr…
Sun 26 Nov 2017
Pediatrics History
Always ask about pediatric patient’s ‘P-I-S-S’ status!!!
Core Function Questions (P-I-S-S Status)
* Peeing* Evaluates for dehydration* Number of wet diapers per day?* Same number as usual?* In…
Sun 19 Nov 2017
Fever in a Returning Traveler
If a returning traveler has a fever, think malaria malaria malaria!!!
Step 1: Ask your patient if they have traveled within the last year
* If yes… You should at least CONSIDER malaria
Step…
Sun 12 Nov 2017
Diarrhea
If the patient is completely non-toxic and doesn’t have any red flags, they can usually go home without further testing!!!
3 Big (Non-Viral) Causes of Diarrhea
* The Icky ‘I’s* Ischemia* Frequ…
Sun 05 Nov 2017
Appendicitis
Patients rarely have the “classic” presentation of appendicitis. Frequently it is misdiagnosed as GASTROENTERITIS!!!
Three Stages of Appendicitis
* Stage 1: ~12 hours of “gastroenteritis” like…
Sun 22 Oct 2017
Eye Complaints
Common Complaints
* Red Eye* Decreased Vision* Trauma to the Eye
Approach to a Vision Complaint
* Step 1: Assess visual acuity* Visual acuity is the “vital sign of the eye”* Snellen eye cha…
Sun 15 Oct 2017
Bradycardia
Differential Diagnosis
* Mnemonic: HE DIES* Hypothyroidism* Elevated intracranial pressure (ICP)* Cushings reflex* Bradycardia* Increased blood pressure* Irregular breathing* Drugs* Beta blockers…
Sun 08 Oct 2017
Anaphylaxis
Airway and Epi! Airway and Epi! Airway and Epi!
Introduction
* Anaphylaxis is caused by massive uncontrolled release of chemicals after exposure to “antigen”* The antigen causes extensive mas…
Sun 01 Oct 2017
Tachycardia
Basic Approach
* Step 1: Is this SINUS tachycardia? * P before every QRS? * Treat the underlying condition* Step 2: Is this a NARROW and REGULAR rhythm?* SVT* Treat with vagal maneuvers or adenos…
Sun 10 Sep 2017
Status Epilepticus
Introduction
* Simple seizure* Seizure ends in <5 minutes AND* Patient wakes up before next seizure* No meds required* Status epilepticus* Seizure lasts >5 minutes OR* Patient has a 2nd seizure b…
Sun 03 Sep 2017
Seizure
Basic Approach
* Step 1: Describe the seizure* Did patient have an aura? * Was there loss of consciousness?* What did the movements look like?* Did they have postictal phase? * Did they have a tr…
Sun 27 Aug 2017
Cardiac Arrest (ACLS)
Hard, fast, unrelenting chest compressions are the core of ACLS!!!
Step 1: Check the Patient’s Pulse
* If the patient does not have a pulse, start CPR* Hard, fast, unrelenting compressions* In…
Sun 20 Aug 2017
RUQ Abdominal Pain
There are 5 key diagnoses classically associated with right upper quadrant (RUQ) abdominal pain.
Cholelithiasis and Biliary Colic
* Cholelithiasis = Gallstones in the gallbladder* Frequently s…
Sun 13 Aug 2017
Gunshot Wounds (Arms and Legs)
Evaluate 5 important structures when evaluating gunshot wounds in an extremity.
Blood Vessel Injuries
* 3 Categories* Hard-Signers* Mnemonic: HARD Bruit* Hypotension* Arterial/pulsatile bleedi…
Sun 30 Jul 2017
Asthma and COPD
5 core treatments and 5 MORE treatments
5 Core Treatments
* Albuterol* Beta agonist* Bronchodilator* Core treatment for asthma* Ipratropium* Anti-muscarinic* Relax muscles around the airways* …
Sun 23 Jul 2017
GI Bleed
Basic Categories
* Upper GI Bleed* Symptoms* Coffee ground emesis* Melena* Black tarry stool* Digested blood* Common causes* Peptic ulcer disease* Varices* Lower GI Bleed* Symptoms* Bright red bl…
Sun 16 Jul 2017
Pulmonary Embolism
Introduction
Pulmonary embolism (PE) is caused when a deep venous thrombosis from somewhere else in the body “embolizes” and becomes lodged in the pulmonary arteries
Can cause pulmonary infarc…
Sun 02 Jul 2017
Hemoptysis
There are 3 main “categories” of hemoptysis…
Mild, “Streaky” Hemoptysis
* Most common diagnosis* Bronchitis* Testing plan* Chest xray* Rules out alternative causes of hemoptysis* Pneumonia* Ca…
Sun 18 Jun 2017
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