Round 11 (MW) Chest Pain

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5 • 795 Ratings

🗓️ 2 July 2023

⏱️ 28 minutes

🔗️ Recording | iTunes | RSS

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Summary

You are working at Clerkship Rural when the nurse hands you your next chart to see. It’s a 59 year old farmer with chest pain. Initial Vitals: BP: 156/97 HR: 110 RR: 22 O2: 98% (Room Air) Temp: 98.8F Critical Actions:

Transcript

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0:00.0	Hello, residents. My name is Mike Estefan. I'm joined today by Maddie Watts and thank you for downloading this month's episode of the EM Clerkship podcast.
0:12.0	This episode is sponsored by Pearson Rabbit's Insurance, my personal independent disability insurance agent. We will talk more about Pearson Rabbits later in the episode,
0:22.2	but let's get into it. Today is round number 11 of the game. Maddie's first PGY2 case.
0:30.9	How excited are you, Maddie? It still feels weird to hear that because I technically have three
0:36.5	more days of PGY1, of being a
0:39.0	little intern.
0:42.0	As of the time we're recording, but by time this is released, you will be a brand spank a new
0:47.8	PGY2.
0:48.7	Oh, that's true.
0:50.6	Yeah.
0:51.3	All right.
0:51.9	So Maddie will need to perform today's case in real ABEM oral boards format.
0:57.6	She has 15 minutes to complete the full case. She does not know what this case is ahead of time.
1:03.1	If Maddie hits all of the critical actions that I've listed out beforehand, she wins.
1:08.3	If she doesn't, or if she performs a dangerous action, I win. These cases were created
1:13.5	by me. They are not derived from actual ABM cases that I had, not that I've taken my oral boards yet,
1:19.5	and they are not real patience. Maddie, take out a piece of paper and a pencil. Place the paper
1:26.2	sideways in front of you, outline a human
1:28.3	body on the left side of it, and let me know when you are ready. I'm ready to go.
1:33.3	Okay, Dr. Watts, this will be a single patient encounter. You will have 15 minutes to complete the case before we begin. Do you have any questions?
1:43.3	Nope.
1:45.0	All righty. Let me get my timer up. And the timer is started.
	...

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