Zack Olson, MD and Michael Estephan, MD

EM Clerkship

Health EN ↓ 281 episodes

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.

Author

Zack Olson, MD and Michael Estephan, MD

Episodes

Breathing 19.04.2016

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 2: Add PEEP * *Cannot be completed in 60 seconds, but equipment can be requested* If patient is breathing…* BiPAP* If the patient is NOT breathing…* Intubation Additional Reading * Ventilator Basics (EM Clerkshi...

Airway 11.04.2016

“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* Intubation takes several minutes to accomplish* Intubating a crashing patient might even KILL them!* Resuscitate THEN intubate Step 1: Suction * Immediately suction if patient is…* Altered and vomiting* Gur...

Epistaxis 03.04.2016

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 Personal Protective Equipment * Gown* Gloves* Mask* Eye Protection Step 2: Clear Nose and Visualize Bleeding * Have patient blow out/remove any clot and look for source of bleed* Kiesselbachs plexus* “Anterior” epi...

Chest Pain 27.03.2016

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* Pneumothorax* Vascular* Pulmonary embolism* Aortic dissection Step 1: Core Measures * Aspirin* EKG Step 2: Look for the “King” (Acute Coronary Syndrome) * Four high yield symptoms* Radiation to the RIGHT shoulder* Vomi...

Patient Presentations 27.03.2016

Patient presentations are the single most important skill to develop for your Emergency Medicine rotation. General Principles * Stay focused, thorough, and organized* Write out the basic 8-step presentation for reference The 8-Step Patient Presentation * Summary statement* Demographics* Risk factors/Past medical history* Chief complaint* History* OPQRST* Try to give at least 4 descriptors* This is...

Introduction 20.03.2016

To Do Well On WRITTEN Exam * Study the “Core 4” body systems* Neurology* Headache* Strokes* Meningitis* Cardiology* Chest pain* ACS* EKG interpretation* Pulmonary* Shortness of breath* PE* GI* Abdominal pain* Nausea/vomiting* Appendicitis To Do Well In the DEPARTMENT * Study the “other stuff”* Epistaxis* Foley catheter issues* Rectal bleeding* Laceration repair* Rashes* Geriatric falls* Suicidal i...