Round 4 (MW) – Shortness of Breath

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5 • 795 Ratings

🗓️ 1 November 2022

⏱️ 33 minutes

🔗️ Recording | iTunes | RSS

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Summary

You are working a shift at Clerkship General when the charge nurse comes and grabs you to see a 24yo male who appears to be in respiratory distress. Critical Actions: Diagnose DKA Replete potassium Start insulin AFTER potassium repletion EITHER place central line for faster K repletion OR initiate bipap to allow time for potassium […]

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.
0:11.8	This episode is sponsored by Pearson Ravits Insurance, my personal, independent disability insurance agent. We will talk more about Pearson Rabbit later into the episode.
0:24.3	All right, Maddie. Let's get into it. I believe today is round number five. Is this really already
0:29.7	your fifth case? Yeah, I'm kind of blown away too. Wait, is it four or five? Is it four? It might be four.
0:38.0	It might be four.
0:39.3	I think it's four.
0:40.3	But it still feels like it shouldn't be that new cases.
0:44.3	Time is flying.
0:45.9	Okay, for everyone who has not listened to us before,
0:49.9	Maddie will need to perform today's case in real ABEM oral boards format.
0:55.3	She will have 15 minutes to complete the full case.
0:58.8	She does not know what this case is ahead of time.
1:02.0	If Maddie hits all of the critical actions that I have listed out beforehand, she wins.
1:07.5	If she doesn't, or if she performs one of the many dangerous actions that have been
1:13.4	put into the case intentionally, I win. These cases were created by me. They are not derived
1:20.1	from actual ABM cases that I've had, not that I've taken the boards yet, but, uh, and they
1:26.8	are not real patients.
1:29.4	Maddie, take out a piece of paper and a pencil.
1:31.5	Place the paper sideways in front of you, outline a human body on the left side, and let me
1:36.0	know it when you are ready.
1:38.3	I'm ready.
1:40.6	Okay, Dr. Watts, this will be a single patient encounter. You will have 15 minutes to complete
	...

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