The EM Clerkship Podcast

Info

Zack Olson, MD

The EM Clerkship Podcast

Round 22 (MW) Fall with Weakness

3 JUL 2024 · Guillian Barre Syndrome : A progressive, autoimmune acute inflammatory demyelinating polyneuropathy leading to weakness, neuropathic pain, sensory changes, and can cause respiratory failure. Critical Actions:

Played 32m 35s
Orbital Compartment Syndrome (Deep Dive MW R21)

16 JUN 2024 · Orbital Compartment Syndrome – needs to be diagnosed CLINICALLY On exam, LOOK for: Proptosis, Ophthalmoplegia, Afferent Pupillary Defect, Vision Loss On exam, FEEL for: Rock hard globe, tense eyelids, resistance to retropulsion IOP > 40 means immediate canthotomy is indicated! Don’t perform if open globe is present Lateral Canthotomy Procedure: Anesthetize, Devascularize, Canthotomy, Cantholysis (inferior […]

Played 13m 15s
Round 21 (MW) Geriatric Fall

1 JUN 2024 · You are working at Clerkship General when the next chart is put into your rack. It’s a 76 year-old male who has fallen. Initial Vitals: HR: 101 BP: 138/85 Temp: 98.0F RR: 20 O2: 99% (Room Air) Critical Actions:

Played 32m 14s
Ischemic Stroke (Deep Dive MW R20)

16 MAY 2024 · Symptoms of stroke – weakness, facial droop, slurred speech. vision loss, vertigo, ataxia, confusion or changes to mental status. The “typical” stroke workup – blood glucose level, CTH non-con, CTA head/neck, CT Perfusion, CBC BMP Troponin EKG CXR and Coags. Common stroke mimics – hypoglycemia, drug/alcohol intoxication, Bell’s palsy, aortic dissection, complex migraines, and […]

Played 17m 50s
Round 20 (MW) Stroke Symptoms

1 MAY 2024 · You are working at Clerkship General when one of the nurses comes and grabs you. “Hey doc, we need you in bed 10. I think this patient is having a stroke.” Initial Vitals: HR: 51 BP: 201/98 Temp: 98.0F RR: 18 O2: 99% (Room Air) Critical Actions:

Played 32m 49s
Testicular Torsion (Deep Dive MW R19)

16 APR 2024

Played 9m 45s
Round 19 (MW) Tummy Ache in Child with Diabetes

2 APR 2024 · 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 […]

Played 31m 39s
Ethylene Glycol (Deep Dive MW R18)

16 MAR 2024 · Phase One: CNS Phase Two: Cardiopulmonary Phase Three: Renal Diagnosis: Treatment: Further Reading: EMCrit Toxic Alcohols

Played 18m 27s
Round 18 (MW) Drunk Man Wants Pizza

1 MAR 2024 · You are working at Clerkship General when you hear an EMS call on the radio. Clerkship General, we are bringing you Arthur. He is intoxicated… Again Initial Vitals: HR: 116 BP: 150/70 Temp: 98.8 RR: 26 O2: 85% (Room Air) Critical Actions:

Played 36m 39s
Pre-Eclampsia (Deep Dive MW R17)

16 FEB 2024 · Hypertensive Emergencies of Pregnancy PreEclampsia, Eclampsia, HELLP syndrome Diagnosis: BP >140/90 plus end organ dysfunction Treatment

Played 16m 28s