Emergency Medicine for Students | The EM Clerkship Podcast
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My name is Zack Olson, and I’m a huge nerd. I like making podcasts, and I LOVE Emergency Medicine. Last year, I started to develop The EM Clerkship Podcast. It has been time consuming, detail oriented, and technical process
Emergency Medicine for Students | The EM Clerkship Podcast
1w ago
* Common during the first year of life as well as during puberty
* Presents with nausea/vomiting, abdominal pain, and/or testicular pain
* ALWAYS examine a child for signs of torsion who presents with abdominal pain (especially lower abdominal pain)
* Look for tenderness, firmness, high riding testicle or testicle with unequal lie, swelling, and the absence of a cremasteric reflex
* Consult Urology IMMEDIATELY if you have high suspicion, otherwise proceed to ultrasound
* Ultrasound is only 85% sensitive, so clinical gestalt can trump even a negative US
* Attempt manual detorsi ..read more
Emergency Medicine for Students | The EM Clerkship Podcast
3w ago
You are working at Clerkship General when the next patient is put into your rack. It is an 8 year-old male with vomiting Initial Vitals: HR: 119 BP: 104/63 Temp: 98.0F RR: 20 O2: 99% (Room Air) Critical Actions: References: Mellick LB, Sinex JE, Gibson RW, Mears K. A Systematic Review of Testicle Survival Time ..read more
Emergency Medicine for Students | The EM Clerkship Podcast
2M ago
Hypertensive Emergencies of Pregnancy PreEclampsia, Eclampsia, HELLP syndrome Diagnosis: BP >140/90 plus end organ dysfunction Treatment ..read more
Emergency Medicine for Students | The EM Clerkship Podcast
3M ago
You are working at Clerkship General when the next chart is put in your rack. It’s a 41-year-old female with a chief complaint of headache. Initial Vitals: HR: 56 BP: 172/93 Temp: 98.8F RR: 18 O2: 97% Critical Actions ..read more
Emergency Medicine for Students | The EM Clerkship Podcast
3M ago
Diagnosing PE: Step 1: Consciously consider the diagnosis Step 2: Risk Stratify into low, intermediate, and high risk Step 3: Choose appropriate testing based on pre-test probability Classification of PE Treatment of PE ..read more
Emergency Medicine for Students | The EM Clerkship Podcast
4M ago
You are working at Clerkship General when you overhear the base command radio. “Clerkship General. We have a 57 year-old female coming in for leg pain. She just had surgery at your hospital. Her blood pressure is 85/50. We’ll be there in 5 minutes.” Initial Vitals: HR: 122 BP: 75/40 Temp: 100.1 RR: 24 O2 ..read more
Emergency Medicine for Students | The EM Clerkship Podcast
4M ago
Shock – A state of deranged physiology characterized by systemic, widespread hypoperfusion ..read more
Emergency Medicine for Students | The EM Clerkship Podcast
5M ago
You are working at Clerkship General when you hear and EMS call on the radio. “Clerkship General, we are activating a trauma alert. We are bringing you a 33 year old male from a high-speed single vehicle collision” Initial Vitals: HR: 65 BP: 88/50 Temp: 97.0F RR: 20 O2: 96% Room Air Critical Actions ..read more
Emergency Medicine for Students | The EM Clerkship Podcast
5M ago
* Differential
* Traumatic causes: non-accidental trauma, fracture, dislocation, sprain, strain, tendonitis, osgood schlatter
* Non-traumatic causes: septic arthritis, transient synovitis, osteomyelitis, SCFE, LCP disease, rheumatologic disease, bony tumors
* Work-up
* XRay
* Labs to evaluate for septic arthritis – CBC BMP ESR CRP
* Kocher Criteria
* Non-weight bearing
* Fever >38.5C
* ESR >40
* WBC >12
* Kocher Criteria Statistics
* 0 points: 0.2% (or 2% in prospective studies)
* 1 point: 3% (or 9% in prospective studies)
* 2 p ..read more
Emergency Medicine for Students | The EM Clerkship Podcast
6M ago
You are working a beautiful sunny day in Pennsylvania when the next chart gets put in your rack. It is a 2 year-old male with a leg injury. Initial Vitals: HR: 112 BP: 97/67 Temp: 99.2F RR: 20 O2: 97% Room Air Critical Actions ..read more