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
Neck Trauma
The hardest question… Should you get a CTA?
Blunt Trauma of Neck
* Obtain CTA if…* Patient has neurologic deficit* Numbness* Weakness* Visual changes* Patient sustained forceful impact to the …
Sun 09 Oct 2016
C-Spine Trauma
Step 1: Protect the Spine
* Apply cervical collar
Step 2: Apply NEXUS Criteria
* Use the “SPINE” mnemonic* Spinal midline tenderness* Painful distracting injury* Intoxication* Neurologic de…
Sun 02 Oct 2016
Facial Trauma
There are 6 major areas/injuries to the face.
Basic Approach to Facial Injury
* Step 1: Airway* Indications for intubation after trauma* Burns to the airway* Rapidly expanding hematoma* GCS <8…
Sun 25 Sep 2016
Head Trauma
CT scan without contrast is your test of choice.
Step 1: Consider Your Differential Diagnoses
* Five high-yield head trauma diagnoses* Skull fracture* External skull fracture* Basilar skull fr…
Sun 11 Sep 2016
Stroke
Get your attending!
Step 1: Obtain Last Known Well
* Stroke treatments including tPA and thrombectomy both require last known well* <3-4.5 hours for tPA* <24 hours mechanical thrombectomy
…
Sun 21 Aug 2016
Syncope
6 EKG Findings. 6 Risk Factors. 6 Mimics.
Step 1: Get an EKG
* This is the only “required” test for a patient with syncope* Other common tests* CBC* Evaluate for anemia* hCG* If patient might …
Sun 07 Aug 2016
Common Pain Medications
Acetaminophen. Ibuprofen. Hydrocodone. Ketorolac. Morphine. Hydromorphone.
Oral Acetaminophen (Tylenol)
* Give every 4-6 hours* Regular strength – 325mg* Extra strength – 500mg* Maximum Daily …
Sun 24 Jul 2016
STEMI
You have 90 minutes to restore blood flow.
Step 1: Obtain EKG and Call STEMI Alert
* This activates ED resources as well as cath lab, interventional cardiology, etc
Step 2: Stop the Platel…
Sun 17 Jul 2016
Toxicology
Poison Control Hotline: 1-800-222-1222
Step 1: Evaluate the Airway
* General principles* “If they can’t speak, they can’t control their airway”* “If GCS is <8, intubate”* In the real world, it…
Mon 04 Jul 2016
BRUE (Pediatrics)
3 Categories: High Risk BRUE. Low Risk BRUE. Not a BRUE.
Step 1: Is This a BRUE?
* Brief* <60 seconds* Resolved* Exam and vitals back to baseline in the ED* Unexplained* No symptoms other than…
Mon 20 Jun 2016
Trauma
Airway/C-spine. Breathing. Circulation. Disability. Exposure. Secondary Survey.
Airway and C-Spine
* General airway principles* “If they can’t speak, they can’t control their airway”* “If GCS …
Mon 06 Jun 2016
Priapism
The nerve, artery, and vein are at 12 o’clock. The urethra is at 6 o’clock.
Two Types of Priapism
* High flow (non-ischemic)* Common causes* Trauma* AV malformations* Tumors* Priapism from too…
Mon 30 May 2016
Preeclampsia (Critical Diagnosis)
Never ignore a pregnant woman’s blood pressure.
Introduction
* Pre-Eclampsia* Pathophysiology unknown* Pregnancy induced multi-organ dysfunction* Definition* Pregnancy* PLUS* BP 135/85* PLUS* …
Mon 23 May 2016
Headache
With this complaint, it’s ALL about doing a good history and exam.
Step 1: Write Out Your Differential Diagnosis
* The KING* Subarachnoid hemorrhage* The QUEEN* Meningitis* 3 Killers in the B…
Mon 16 May 2016
Tummy Ache
Don’t forget to do a thorough GU exam!
Step 1: Write Out Your Differential Diagnosis
* Remember 2-4-2-4* (2) In the upper abdomen* Pyloric stenosis* Pneumonia* (4) In the lower abdomen* Hirsch…
Tue 03 May 2016
Circulation (Shock)
Tank. Clogged Pipes. Broken Pipes. Pump.
Introduction
* “Tank”* Hypovolemic shock* Hemorrhagic shock* “Clogged Pipes”* Cardiac tamponade* Tension pneumothorax* Pulmonary embolism* “Broken Pipe…
Tue 26 Apr 2016
Breathing
Hypoxemia fixed by only TWO things: FiO2 and PEEP
Step 1: Add FiO2
* If the patient is breathing…* Nasal cannula* Non-rebreather mask* If the patient is NOT breathing…* Bag-valve mask
Step …
Tue 19 Apr 2016
Airway
“Airway” does not necessarily mean “Intubation”
Introduction
* In emergency medicine we are taught “A-B-Cs”* These are actions that can be accomplished in first 60 seconds of patient encounter…
Mon 11 Apr 2016
Epistaxis
Don’t forget to wear protective gear. Gown up!
Initial Encounter
* History* Anticoagulants* Easy bleeding/bruising* Lightheadedness* Exam* Pallor* Tachycardia/Hypotension
Step 1: Put on Per…
Sun 03 Apr 2016
Chest Pain
There are six cardiopulmonary causes of chest pain that you need to know.
The SIX Causes
* Cardiac* Acute coronary syndrome (ACS)* Pericarditis with tamponade* Pulmonary* Pneumonia* Pneumothor…
Sun 27 Mar 2016
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.