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. This episode is sponsored by Pearson Rabbit's Insurance, my personal independent disability insurance broker. We will talk more about Pearson Rabbit later in the

episode. Maddie, how are you? Are you looking for some redemption from last month?

Yeah, good. I'm back in the department, so hopefully that will help me with these diabolical cases

everyone's sending in.

Well, so this month's case is not a listener submitted case, but this is some good bread and butter emergency medicine, so I'm looking forward to it.

Are you ready?

I'm ready.

All right, let's get into it. Today is round number nine of the game.

Maddie will need to perform today's case in real ABEM oral boards format. She has 15 minutes

to complete the full case. She does not know what this case is ahead of time. If Maddie hits all of the critical actions

that I've listed out beforehand, she wins. If she doesn't, or if she performs a dangerous action,

I win. These cases were created by me. They are not derived from actual ABEM cases,

and they are not real patience. Maddie, take out a piece of paper and a pencil.

Place the paper sideways in front of you, outline a human body on the left side of it,

and let me know when you are ready. I'm ready to go. All right, and the timer started.

You are working at clerkship general when the charge nurse comes and grabs you.

Hey, Doc, we need you in room too.

This kid looks sick.

All right, so I walk in the room.

What do I see?

You see an ill-appearing 19-year-old male laying on the bed with his eyes closed.

And his father is also in the room okay hi i'm dr watts can you hear me uh uh doc he's he's been like he's been like this for a couple

...