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EM Clerkship - Podcast

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.

Medicine Science Health & Fitness Life Sciences Education
Update frequency
every 13 days
Average duration
27 minutes
Episodes
262
Years Active
2016 - 2025
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Should I go into EM? Pt 2

Should I go into EM? Pt 2



The future of emergency medicine seems bleak. Listen to Zack’s perspective on the future of our beloved specialty in part TWO of this two-part series.
Mon 15 Aug 2022
Round 1 (MW) – Shortness of Breath

Round 1 (MW) – Shortness of Breath



You are working your FIRST SHIFT EVER at Clerkship General hospital when a 60 year old female presents with shortness of breath.







Initial Vitals:







* HR: 92* RR: 28* BP: 120/80* O2%: 89%* Temp: 1…
Mon 01 Aug 2022
Should I go into EM? – Part 1

Should I go into EM? – Part 1



The future of emergency medicine seems bleak. Listen to Zack’s perspective on the future of our beloved specialty in part one of this two-part series.
Tue 19 Jul 2022
Round 35 (Pediatric Trauma)

Round 35 (Pediatric Trauma)



You are working at *rural* Clerkship General when you receive a radio call from EMS – 7yo male from a severe bus accident with a large scalp laceration, unable to control the hemorrhage.







Initia…
Fri 01 Jul 2022
Bradycardia (Deep Dive R34)

Bradycardia (Deep Dive R34)



Asymptomatic Bradycardia – usually don’t treat







Symptomatic Stable Bradycardia – atropine, further workup







Symptomatic Unstable Bradycardia – SIMULTANEOUS treatment with medications and electric…
Wed 15 Jun 2022
ERAS 2 of 2 – How to fill out the CV section

ERAS 2 of 2 – How to fill out the CV section



What is most important to programs from ERAS? SLOEs, clinical grades on EM rotations and residency interviews.







How do you look good on interviews? Have a thorough ERAS application that gives inte…
Thu 09 Jun 2022
ERAS 1 of 2 – The 8 parts of the application

ERAS 1 of 2 – The 8 parts of the application



ERAS Pt 1: The 8 Parts of the ApplicationThere are 8 parts to the application:







* Personal and Biographic Information – mostly self-explanatory* Curriculum Vitae (Resume) – keep an updated CV thro…
Fri 03 Jun 2022
Round 34 (Shortness of Breath / Bradycardia)

Round 34 (Shortness of Breath / Bradycardia)



You are working at Clerkship General when you are called to see a 70 yo male who is presenting with shortness of breath.







Initial Vitals







* Temp 98.0* HR 36* RR 28* BP 80/35* O2 82%







Critical…
Wed 01 Jun 2022
Ventilator Alarms (Deep Dive R33)

Ventilator Alarms (Deep Dive R33)



DOPES







D-Displacement – endotracheal tube dislodges from trachea, or falls into right mainstem bronchus







O-Obstruction – Mucous plugging, bronchospasm, patient biting tube







P –Pneumothorax – …
Sun 15 May 2022
Personal Statement Pt 2 – Brainstorming Ideas

Personal Statement Pt 2 – Brainstorming Ideas



Brainstorming ideas – how to make it personal







* What makes me unique?







2. What are some specific experiences I’ve had in my life that have either made me want to do EM or given me the ski…
Mon 02 May 2022
Personal Statement Pt 1 – Dos and Donts

Personal Statement Pt 1 – Dos and Donts



Welcome to EM Clerkship Maddie Watts!







The personal statement should be *personal* and should *make a statement*.







* Start early* Use solid organizational structure* Address the big three ques…
Mon 02 May 2022
Round 33 (Respiratory Distress)

Round 33 (Respiratory Distress)



You are working at Clerkship General when you are called to the resuscitation bay for a 55yo M presenting in respiratory distress.







Initial Vitals







* Temp 99.9* HR 110* RR 22* BP 122/82* O2 82% …
Sun 01 May 2022
Toxic Plants (Deep Dive R32)

Toxic Plants (Deep Dive R32)



Cardiac Glycoside containing plants : Foxglove, Lilly of the Valley, Oleander, Squill







* Contain cardiac glycosides, which act as a negative chronotrope as well as a positive inotrope.* Patients p…
Fri 15 Apr 2022
Round 32 (Pediatric Vomiting)

Round 32 (Pediatric Vomiting)



You are working at Clerkship General when you see your next patient : a 3 year old male accompanied by his father with chief complaint of vomiting. 







Initial Vitals







* Temp 98.6* HR 50* RR 20* B…
Fri 01 Apr 2022
Opioid Use Disorder (Deep Dive R31)

Opioid Use Disorder (Deep Dive R31)



* Opioid overdose is the number one leading cause of death in adults under the age of 50. * Many ED Physicians fail to recognize that offering MAT (medication assisted therapy) to victims of opiate …
Tue 15 Mar 2022
Round 31 (Altered Mental Status)

Round 31 (Altered Mental Status)



Critical Actions:







* Administer Naloxone* Minimize Unnecessary Testing* Discuss options for Rehab* Offer opioid replacement therapy* Provide Social Support







Further Reading:







Buprenorphine – E…
Tue 01 Mar 2022
Atrial Fibrillation (Deep Dive R30)

Atrial Fibrillation (Deep Dive R30)



AFib with Rapid Ventricular Rate (RVR) – Rate >110







Primary AFib – Patients symptoms or their hemodynamic instability is due to the AFib itself. Treatment is by rate or rhythm control.







Seconda…
Tue 15 Feb 2022
Round 30 (Chest Pain)

Round 30 (Chest Pain)



You are working a shift at Clerkship General Hospital when you go see your next patient, a 70 year old male presenting with chest pain.







Initial Vitals







* Temp 98.7* HR 140* RR 20* BP 125/85* O…
Tue 01 Feb 2022
tPA (Deep Dive R29)

tPA (Deep Dive R29)



tPA usage is controversial. Listen to find out why. Read more to form your own opinions.







Episode Sources:







After Re-Analysis, No Trials Show Efficacy of tPA in Acute Ischemic Stroke







Clin…
Sat 15 Jan 2022
Round 29 (Weakness)

Round 29 (Weakness)



Initial Assessment:







* Obtain Vitals and blood glucose level* Time of onset (important for tPA/TNK vs thrombectomy)* Neurologic and Cardiac Examination / NIHSS* do not delay head CT to complete N…
Sat 01 Jan 2022
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.