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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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Airway Part 2- Bag Valve Mask Adjuncts

Airway Part 2- Bag Valve Mask Adjuncts



How do you oxygenate a patient (while you are preparing for RSI) if suction, moving the tongue, and basic BVM ventilation are unsuccessful?







Pharyngeal Airways







* These tools bypass the posterio…
Sun 20 Jan 2019
Common Fungal Infections

Common Fungal Infections



Most Life Threatening Fungal Infection







* Mucormycosis* Black facial discharge* Cranial nerve dysfunction* Facial swelling* Eschar formation







When to Suspect a Fungal Infection







* Immunocompro…
Sun 13 Jan 2019
Psychiatric Complaints

Psychiatric Complaints



The Two Objectives During Every Psychiatric-Type Complaint







* Medical Clearance* Psychiatric Risk Assessment







Medical Clearance







* Required by EMTALA to perform a “screening exam” regardless o…
Sun 23 Dec 2018
NBME Shelf Review (Part 11) – OBGYN

NBME Shelf Review (Part 11) – OBGYN



Think A-B-C-P (Airway, Breathing, Circulation, Pregnancy Test) in ALL Women of Child-Bearing Age!







* It changes the differential diagnosis* It changes the medications you can give* It changes the …
Sun 09 Dec 2018
NBME Shelf Review (Part 10) – Miscellaneous

NBME Shelf Review (Part 10) – Miscellaneous



Stroke







* Most appropriate initial tests * Blood Glucose* Hypoglycemia is a common stroke mimic* CT Head without contrast* Rules out HEMORRHAGIC strokes







Subarachnoid Hemorrhage







* Classic des…
Sun 02 Dec 2018
NBME Shelf Review (Part 9) – Cardiopulmonary

NBME Shelf Review (Part 9) – Cardiopulmonary



Pulmonary Embolism







* Three types of pulmonary embolism* “Massive”* Hypotension or severe bradycardia* Treat with tPA or thrombectomy* “Submassive”* Normotensive but with Right Heart Strain* S1Q3T…
Sun 25 Nov 2018
NBME Shelf Review (Part 8) – Abdominal Pain

NBME Shelf Review (Part 8) – Abdominal Pain



Acute Mesenteric Ischemia







* History of atrial fibrillation* “Pain out of proportion to exam”







Bowel Obstruction







* History* Abdominal pain* Bloating/Distention* Vomiting* Decrease stool/flatu…
Sun 18 Nov 2018
NBME Shelf Review (Part 7) – Abdominal Pain

NBME Shelf Review (Part 7) – Abdominal Pain



Hernia







* 3 classifications for hernia* Reducible* Able to be reduced (placed back into the abdomen) at bedside* Incarcerated* Cannot be reduced but not severely tender or erythematous* Can occasi…
Sun 11 Nov 2018
NBME Shelf Review (Part 6) – Common Arrhythmias

NBME Shelf Review (Part 6) – Common Arrhythmias



“Unstable” Arrhythmias







* Arrhythmias that cause* Hypotension* Pulmonary Edema* Chest Pain* Altered Mental Status







Supraventricular Tachycardia (SVT)







* Stable* Vagal maneuver* Adenosine* Beta…
Sun 04 Nov 2018
NBME Shelf Review (Part 5) – Ophthalmology and Toxicology

NBME Shelf Review (Part 5) – Ophthalmology and Toxicology



Corneal Abrasion







* Stain the eye with fluorescein and use woods lamp* Look for fixed staining (“uptake”) on the cornea







Acute Angle Closure Glaucoma







* Symptoms* Eye Pain* Headache* Check for…
Sun 28 Oct 2018
NBME Shelf Review (Part 4) – Environmental

NBME Shelf Review (Part 4) – Environmental



General Bite Wound Management







* Irrigate thoroughly* Update tetanus* LOW RISK bites get sutured* High risk bites to cosmetic areas (face) get sutured AND antibiotics* High risk bites to non-cosme…
Sun 21 Oct 2018
NBME Shelf Review (Part 3) – Pediatrics

NBME Shelf Review (Part 3) – Pediatrics



Febrile Seizures







* Simple (All features must be present)* Age 6 months – 5 years* Febrile* Lasts less than 15 minutes* Only one seizure in 24 hour period* No focal neuro deficits on exam* General…
Sun 14 Oct 2018
NBME Shelf Review (Part 2) – Trauma

NBME Shelf Review (Part 2) – Trauma



Penetrating Abdominal Trauma







* Anything below the 4th intercostal space (nipple) is potentially an abdominal injury* Gunshot wounds to the abdomen* Needs immediate exploratory laparotomy* Stab wo…
Sun 07 Oct 2018
NBME Shelf Review (Part 1) – General Concepts

NBME Shelf Review (Part 1) – General Concepts



General Approach to a Test Question







* Read the last sentence of the question* Read the answer choices* THEN read the vignette







Common Scenarios with Quick Answers







* Hypotensive patients* Gi…
Sun 30 Sep 2018
When to Stop CPR

When to Stop CPR



Why is this Important?







* It is a poor stewardship of resources to continue a resuscitation when the prognosis is clearly dismal. * Hospitals need to steward their resources to distribute equitabl…
Sun 09 Sep 2018
Abdominal Aortic Aneurysm

Abdominal Aortic Aneurysm



Kidney Stones are a Diagnosis of Exclusion!!!







History







* Risk factors* Age >60* Tobacco use* Classic presentations* Stable with sudden flank/back/abdominal pain or syncope* Unstable with pallor…
Sun 02 Sep 2018
Testicular Torsion

Testicular Torsion



Kidney Stones are a Diagnosis of Exclusion!!!







Introduction







* Testicular torsion is a time sensitive diagnosis (risk of infertility, etc)* Commonly mimics kidney stones







History







* Sudden o…
Sun 26 Aug 2018
Flank Pain and Kidney Stones

Flank Pain and Kidney Stones



Kidney Stones are a Diagnosis of Exclusion!!!







Step 1: Consider the Differential Diagnosis for Flank Pain







* Appendicitis* Abdominal Aortic Aneurysm* Ectopic Pregnancy* Testicular/Ovarian Torsio…
Sun 19 Aug 2018
Ventilator Basics

Ventilator Basics



Step 1: Start Patient on Volume Assist-Control Ventilation







* The most basic mode of ventilation* Provides a FIXED VOLUME at a FIXED RATE* If the patient over-breaths…* The ventilator will give an…
Sun 08 Jul 2018
Rabies Prophylaxis

Rabies Prophylaxis



Introduction







* What is rabies?* A very rare and aggressive encephalitis* Global impact with exception of UK/Australia* Animals whose bites/scratches may require prophylaxis* Bats* Dogs, Cats, Fer…
Sun 24 Jun 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.