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EM Clerkship

Round 23 (MW) Pediatric Altered Mental Status

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 1 August 2024

⏱️ 29 minutes

🧾️ Download transcript

Summary

You are working at Clerkship General when you hear an EMS call on the radio. “Clerkship General, we are bringing you a 3 year old female with complaints of altered mental status. We are pulling in now.” Initial Vitals: HR: 129 BP: 98/66 Temp: 99.7F RR: 35 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 this month's episode of the EM Clerkship podcast.

0:11.5

This episode is sponsored by Pearson Rabbit's Insurance, my personal independent disability insurance agent.

0:17.8

We will talk more about Pearson Rabbits later in the episode. But for now, let's do it.

0:24.9

Today is round number 23 of the game. Maddie will need to perform today's case in real

0:31.8

ABEM oral boards format. She has 15 minutes to complete the full case, and she does not know what this case is

0:39.5

ahead of time. If Maddie hits all five of the critical actions that I've listed out beforehand,

0:45.5

she wins. If she doesn't, or if she performs a dangerous action, I win. These cases were created

0:51.5

by me. They are not derived from actual ABM cases that I had, and they are certainly not real patients.

0:58.0

Maddie, take out a piece of paper and a pencil, place the paper sideways in front of you,

1:02.9

outline a human body on the left side of it, and let me know when you are ready.

1:07.8

I'm ready.

1:10.0

Alrighty, Dr. Watts, this will be a single patient encounter.

1:13.6

You will have 15 minutes to complete the case.

1:16.6

Before we begin, do you have any questions?

1:20.6

Nope, let's go.

1:22.6

All righty, and the timer has started.

1:26.6

You are working at Clerkship General when you hear an EMS call on the Base Command Radio.

1:31.8

Clerkship General, we are bringing you a three-year-old with complaints of altered mental status.

1:37.3

We're pulling in now.

1:39.8

All right.

1:40.9

I will go ahead and get the recess bay ready and I'd like to have a

1:46.5

Braslow tape at bedside.

...

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