EM Clerkship

Deep Dive R31 MW 31.05.2025 15:45 ↓

Deep Dive – Decompensated Hypothyroidism

New Zealand 03.03.2025 ↓

Learn about Maddie’s experience in New Zealand as well as unique aspects of New Zealand medical practice. Disclaimer: This is based on personal experience. If you’d like to learn more, some resources are listed below. https://www.mcnz.org.nz/about-us/glossary https://pharmac.govt.nz/about/what-we-do/how-pharmac-works https://www.acc.co.nz https://www.luc.edu/media/lucedu/law/centers/healthlaw/pdfs...

Round 29 (MW) Pediatric Respiratory Distress 01.02.2025 ↓

You are working at Clerkship General when the triage nurse walks back and gets you. “Hey doc, we just put a hypoxic infant in bed 7”. Initial Vitals: HR: 168 RR: 44 BP: 81/40 O2: 81% (Room Air) Critical Actions: * Administer oxygen * Obtain chest xray * Correctly perform tube thoracostomy * Initiate non-accidental trauma workup * Complete mandated reporting

Round 28 (MW) – Hypothermia 02.01.2025 ↓

You are working at Clerkship General on New Year’s Day when you see a nurse running from triage. He is carrying an unresponsive child to the resuscitation bay. Initial Vitals: HR: 43 BP: 47/20 Temp: 66F RR: 4 O2: 95% (BVM) Critical Actions: * Obtain Core Temperature * Use the Broslow Tape * Follow PALS * Begin Invasive Warming * Transfer for ECMO

Round 27 (MW) Geriatric Fever 06.12.2024 ↓

You are working at Clerkship General when you hear an EMS call on the base command radio. “Clerkship General. We are bringing you a minimally responsive 79 year-old female found lying on the floor inside her apartment. ETA 5 minutes” Initial Vitals: HR: 143 BP: 160/105 Temp: 106.3F RR: 22 O2: 99% Room Air Critical Actions: * Blood glucose * Obtain core temperature * Rapidly cool the patient * Diag...

Round 26 (MW) Dizziness and Fatigue 01.11.2024 ↓

Introduction: You are working at Clerkship General when the next chart is handed to you. It’s a 35-year-old female with a chief complaint of dizziness and fatigue. She is here accompanied by her husband. Initial Vitals: HR: 118 BP: 150/91 Temp: 100.4F RR: 20 O2: 99% Room Air Critical Actions: * Check pregnancy test * Check hemolysis labs * Diagnose TTP * Consult hematology * Initiate treatment for...