Pre-Eclampsia (Deep Dive MW R17)
EM Clerkship
by Zack Olson, MD and Michael Estephan, MD
1w ago
Hypertensive Emergencies of Pregnancy PreEclampsia, Eclampsia, HELLP syndrome Diagnosis: BP >140/90 plus end organ dysfunction Treatment ..read more
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Round 17 (MW) Headache
EM Clerkship
by Zack Olson, MD and Michael Estephan, MD
3w 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
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Pulmonary Embolism (Deep Dive MW R16)
EM Clerkship
by Zack Olson, MD and Michael Estephan, MD
1M 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
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Round 16 (MW) Leg Pain
EM Clerkship | Emergency Medicine for Students
by Zack Olson, MD and Michael Estephan, MD
2M 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
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Shock (Deep Dive R15 MW)
EM Clerkship
by Zack Olson, MD and Michael Estephan, MD
2M ago
Shock – A state of deranged physiology characterized by systemic, widespread hypoperfusion ..read more
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Round 15 (MW) MVA
EM Clerkship
by Zack Olson, MD and Michael Estephan, MD
3M 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
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Pediatric Septic Arthritis (Deep Dive R14 MW)
EM Clerkship | Emergency Medicine for Students
by Zack Olson, MD and Michael Estephan, MD
3M 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
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Round 14 (MW) Leg Pain
EM Clerkship
by Zack Olson, MD and Michael Estephan, MD
3M 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
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Asthma (Deep Dive R13 MW)
EM Clerkship | Emergency Medicine for Students
by Zack Olson, MD and Michael Estephan, MD
4M ago
* Focused Physical Exam * Tachypnea and Hypoxemia * Able to speak in complete sentences * Accessory muscle use/retractions * Moving air or quiet on auscultation * Basic Treatment Algorithm * Albuterol Inhaler * Albuterol/Ipratropium Nebulized (Duoneb) * Steroids * IV Magnesium * Non Invasive Ventilation (CPAP or BiPAP) * Decreases Work of Breathing * Epinepherine * Less Common Treatments * Benzodiazepines * Ketamine * Heliox * Intubation (Last resort) * Use a large ETT (8.0) * Increase the Expiratory Time * “Permissive Hypercapnea ..read more
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Round 13 (MW) Respiratory Distress
EM Clerkship | Emergency Medicine for Students
by Zack Olson, MD and Michael Estephan, MD
5M ago
You are working at Clerkship General when you hear an EMS call: “Clerkship General, we are bringing you a young female in respiratory distress. ETA 2 minutes” Initial Vitals: HR: 123 BP: 142/78 Temp: Unknown RR: 36 O2: 97% (NonRebreather) Critical Actions ..read more
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