Round 21 (MW) Geriatric Fall

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5 • 795 Ratings

🗓️ 1 June 2024

⏱️ 32 minutes

🔗️ Recording | iTunes | RSS

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Summary

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:

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
0:06.9	this month's episode of the EM Clerkship Podcast. As usual, this episode is sponsored by Pearson Ravits Insurance,
0:15.3	my personal disability insurance broker. We will talk more about Pearson Rav Rabbit later in the episode. But for now,
0:23.3	Maddie, are you ready for today's case? I think so. All right. Today is round number 21 of the game.
0:34.1	Maddie will need to perform today's case in real ABEM oral boards format.
0:39.1	She has 15 minutes to complete the full case, and she does not know what this case is ahead of time.
0:45.5	If Maddie hits all of the critical actions that I've listed out beforehand, she wins.
0:50.5	If she doesn't, or if she performs a dangerous action, I win.
0:55.0	These cases were created by me.
0:57.3	They are not derived from actual ABEM cases that I had and they are certainly not real patients.
1:03.8	Maddie, take out a piece of paper and a pencil.
1:06.2	Place the paper sideways in front of you, outline a human body on the left side of it,
1:12.1	and let me know when you get ready.
1:13.7	I'm good to go.
1:15.9	All right, Dr. Watts, this will be a single patient encounter.
1:19.9	You have 15 minutes to complete the entire case before we begin.
1:23.8	Do you have any questions?
1:27.1	Nope.
1:35.3	All right. And the timer has started. Dr. Watts, you are working at Clerkship General when the next chart is put into your rack, a 76-year-old
1:41.6	male with chief complaint of fall.
1:49.3	All right, so I walk into the room and what do I see?
1:58.4	You see an elderly male with obvious facial trauma accompanied by his wife in seemingly no acute distress.
	...

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