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
Salicylate Overdose
Salicylate toxicity is the great toxicologic mimicker!!!
Step 1: When to Suspect Salicylate Overdose
* Signs of CNS stimulation* Tachypnea* Hyperthermia* Altered mental status* Signs of GI ir…
Sun 11 Jun 2017
Acetaminophen Overdose
Acetaminophen is the most important overdose in toxicology
Step 1: Check a Serum Acetaminophen Level
* Common situations where testing is ordered* Suicidal ideation* Severe depression* Overdos…
Sun 04 Jun 2017
Non-Pregnant Vaginal Bleeding
Common Causes
* Structural* Cancer* Post-menopausal bleeding is cancer until proven otherwise* Fibroids* Adenomyosis* Polyps* Coagulopathy* Present in approximately 20% of non-pregnant vaginal bl…
Sun 14 May 2017
1st Trimester Vaginal Bleeding
The pregnancy test is the most important test in females of reproductive age!
Five Important Tests in 1st Trimester Vaginal Bleeding
* CBC* Hemoglobin/Hematocrit* Mild anemia in pregnancy is p…
Sun 30 Apr 2017
Constipation
Common Causes of Constipation
* Lifestyle* Low fiber diet* Minimal water intake* Poor exercise* Medications* Especially opiates* Endocrine/electrolytes* Hypothyroidism* Hypercalcemia* Bowel obstr…
Sun 23 Apr 2017
Diabetic Ketoacidosis (DKA)
The blood sugar is NOT the emergency- Acidosis, Hypokalemia, and Dehydration are!!!
Signs and Symptoms
* Vomiting* Abdominal pain* Polydipsia* Polyuria
Step 1: Test for DIABETIC-KETO-ACIDO…
Sun 02 Apr 2017
Laceration Repair
Step 1: Pain Control
* Local anesthesia* Most common agent is lidocaine (frequently already in laceration repair kits)* Inject through wound edges (not through epidermis)* This decreases pain* Al…
Sun 12 Mar 2017
Laceration Evaluation
Lacerations are the single best opportunity to demonstrate your procedural skills during your clerkship!!!
To Close or Not To Close?
* Closing a wound with sutures, etc = Healing by “primary i…
Sun 05 Mar 2017
Sore Throat
You must know the FOUR emergent causes of sore throat!
Step 1: Apply the Centor Criteria
* Determines if patients is at risk for Group A strep (“strep throat”)* 4 Criteria* Fever* No cough* To…
Sun 26 Feb 2017
Procedural Sedation
Procedural sedation is one of the core procedures in Emergency Medicine. You WILL see this during your clerkship
Common Scenarios
* Cardioversion* Orthopedic reductions* Painful procedures
…
Sun 19 Feb 2017
Back Pain
Step 1: Identify Classic Red Flags for Can’t Miss Diagnoses
* Aortic Dissection and Abdominal Aortic Aneurysm (AAA)* Age >50* Hypertension* “Ripping” or “Tearing” pain* Absent pulses in lower ext…
Sun 05 Feb 2017
Dental Pain
Minor complaint. Huge SLOE points!
Step 1: Identify Which Tooth is Causing Pain
* Bonus points if you number teeth correctly!* Number 1-32* Tooth #1 is top right* Tooth #32 is bottom right* Re…
Sun 15 Jan 2017
Vertigo
Does the patient have CENTRAL vertigo (bad) or PERIPHERAL vertigo?
Step 1: How Does Patient Describe the Vertigo?
* Asking the patient to describe their dizziness has since been disproven… (Ho…
Sun 08 Jan 2017
Hyperkalemia
Hyperkalemia = EKG… EKG changes = Calcium…
Step 1: Recheck the Potassium
* Most common cause of hyperkalemia is PSEUDOhyperkalemia* Caused by too aggressive/fast of a blood draw* Causes RBCs t…
Sun 01 Jan 2017
How to Interpret a Chest X-Ray
A-B-C-D-E-F-G
Two Types of X-Rays
* Anterior-Posterior (“AP”)* Classic “portable” xray* The beam shoots from in front of the patient (anterior)* TO* The plate sitting behind the patient (poste…
Sun 11 Dec 2016
Trauma in Pregnancy
Mom is Scared. You are Scared. Don’t Be Scared.
General Principles
* Evaluate for intimate partner violence in all poorly explained traumas during pregnancy* Get the scans you would order in a…
Tue 06 Dec 2016
Genitourinary Trauma
Four important injuries. Four different imaging studies to obtain.
Step 1: Obtain Pelvic X-Ray
* Commonly performed at bedside as part of initial trauma evaluation* A pelvic injury significant…
Sun 13 Nov 2016
Abdominal Trauma
Step 1: Does This Patient Need Surgery NOW?
* Obvious penetrating injury to abdomen* Peritonitis* Hypotensive
Step 2: FAST Scan
* Performed with bedside ultrasound machine* Blood/intra-per…
Sun 06 Nov 2016
Cardiac Trauma
Cardiac tamponade. Aortic Dissection. Blunt cardiac injury.
Cardiac Tamponade
* Blood fills pericardial sac* Increasing pressure on myocardium -> Decreased preload* Decreased preload -> Hypote…
Sun 30 Oct 2016
Thoracic Trauma
Step 1: Perform ATLS Primary Survey (B- Breathing)
* Signs of respiratory distress/injury* Shortness of breath* Hypoxemia* Tracheal deviation* Diminished breath sounds
Step 2: Consider Perform…
Sun 16 Oct 2016
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