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EM Clerkship

Round 30 (Chest Pain)

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 1 February 2022

⏱️ 22 minutes

🧾️ Download transcript

Summary

You are working a shift at Clerkship General Hospital when you go see your next patient, a 70 year old male presenting with chest pain. Initial Vitals Temp 98.7 HR 140 RR 20 BP 125/85 O2 99% Critical Actions Obtain EKG Treat AFib RVR via rate control (and not cardioversion) Diagnose Acute Arterial Occlusion Treat […]

Transcript

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0:00.0

Hello, residents. My name is Zach Olson. I'm joined today by Mike Estefan, and thank you for downloading this month's episode of the EM Clerkship Podcast.

0:10.1

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

0:18.2

We will talk more about Pearson Rabbits later in this episode. Now let's get into it.

0:23.2

Today is round number 30 of the game. Mike will need to perform today's case in real ABEM

0:28.8

oral boards format. He has 15 minutes to complete the full case. He does not know what this case is

0:34.8

ahead of time. If Mike hits all the critical actions that I've listed

0:38.7

out beforehand, he wins. If he doesn't, or if he performs a dangerous action, I win. These cases

0:43.7

were created by me. They're not derived from actual ABM cases that I had, and they are not

0:47.4

real patience. Mike, take out a piece of paper and a pencil, place the paper sideways in front

0:52.3

of you, outline a human body on the left side of it and let me know when you are ready. I am ready, but dude, we're at

0:58.0

episode 30. Isn't that crazy? I know. It's crazy, right? We've been doing a lot of these. But it doesn't

1:05.4

feel like it's been that long. Like, time is just, I don't know, time goes by faster the longer you're alive, I think.

1:12.1

Yeah, I think that's possibly true.

1:14.3

The days go slow, the years go fast, as they say.

1:16.8

All right, but yeah, I'm ready.

1:18.1

Let's do it.

1:19.1

All right.

1:19.9

Dr. Estefan, this will be a single patient encounter.

1:23.3

You will have 15 minutes to complete the case.

1:26.0

Before we begin, do you have any questions?

1:28.1

No questions, my friend.

1:30.1

All right, let's begin.

...

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