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EM Clerkship

Round 34 (Shortness of Breath / Bradycardia)

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 1 June 2022

⏱️ 30 minutes

🧾️ Download transcript

Summary

You are working at Clerkship General when you are called to see a 70 yo male who is presenting with shortness of breath. Initial Vitals Temp 98.0 HR 36 RR 28 BP 80/35 O2 82% Critical Actions Interpret ECG Correctly (3rd degree AV block) Order a troponin Perform and Describe transcutaneous pacing Perform and Describe […]

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. This episode is sponsored by Pearson Rabbit's Insurance, my personal, independent life and disability insurance agent. We will talk more about Pearson Rabbits later in this episode. Let's get into it.

0:22.0

Today is round number 34 of the game. Next month will be Mike's final case as a resident.

0:29.5

I am so excited, but today Mike will still just need to perform a case in real ABM oral boards

0:35.6

format. He has 15 minutes to complete the full case. He does not know

0:39.1

what the case is ahead of time. These cases were created by me. They're not derived from actual

0:42.3

ABM cases that I had, and they are not real patients. Mike, good morning. How are you doing?

0:48.7

I'm doing pretty well, Zach. How are you? I am doing well also. I'm just so excited to these final few cases here, and I'm really excited for next month.

0:59.6

So that's the one I'm most excited for.

1:01.7

I was going to say, the way you introduced next month case already has me a little terrified, to be honest.

1:09.8

Yeah, I mean, like, what's the worst that can happen?

1:11.5

What's the worst that could happen?

1:12.7

What's the worst that can happen?

1:16.2

Let me know when you're ready.

1:17.6

My gingerbread man is all pre-drawn.

1:19.7

I am ready.

1:20.3

Let's do it.

1:21.8

All right.

1:22.4

So it sounds like you've already taken out a piece of paper and a pencil.

1:25.4

You place the paper sideways in front of you. You've outlined the body on the left side of it. Dr. Estefan, this will be a single patient

1:33.6

encounter. You'll have 15 minutes to complete the case. Before we begin, do you have any questions?

1:38.3

I have zero questions. Okay, Dr. Estefan, you are working at Clerkship General. It's your new attending job.

1:46.0

It's a slow, quiet shift. You actually have two third-year EM residents that accidentally got double-scheduled on your shift, and they're doing all your work.

...

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