Deep Dive R9 (SR)
EM Clerkship
Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD
4.9 • 816 Ratings
🗓️ 15 March 2026
⏱️ 18 minutes
🧾️ Download transcript
Summary
Do you struggle with rashes? Learn about this life threatening rash on our deep dive.
If you haven’t listened to the case yet, first check out The Game Season 3 Round 9 with Maddie Watts and Sean Rumney.
Sources:
UptoDate – SJS/TEN Diagnosis and Management
https://www.dermacompass.net/en/diseases/stevens-johnson-syndrome-and-toxic-epidermal-necrolysis3
https://dermnetnz.org/topics/stevens-johnson-syndrome-toxic-epidermal-necrolysis
https://www.ncbi.nlm.nih.gov/books/NBK574530/
https://onlinelibrary.wiley.com/doi/full/10.1155/dth/6527730
https://pmc.ncbi.nlm.nih.gov/articles/PMC8814784/
Transcript
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| 0:00.0 | Hello, med students. This is Zach Olson. It is clerkship season. If you are heading into |
| 0:06.9 | emergency medicine and need to crush your upcoming EM rotation, then I highly encourage you to check |
| 0:13.1 | out EM Clerkship's Procrastinator's Guide to Emergency Medicine. This course is not the same as what you |
| 0:19.1 | get on the podcast. It is condensed in high yield, designed so that you can hit the ground running and make |
| 0:26.2 | a great first impression in the ER. |
| 0:29.3 | You can find a link at our website, www. |
| 0:32.4 | www.emclerkship.com. |
| 0:34.4 | Click Procrastinator's Guide to Emergency Medicine. |
| 0:37.3 | Now enjoy your show. |
| 0:40.1 | Hello, everyone, and welcome back to the EM Clerkship Podcast. |
| 0:45.4 | My name is Maddie Watts, and today's deep dive is going to be discussing one of the baddest rashes in medicine, the one, the only, Stevens Johnson syndrome, and toxic epidermal |
| 0:57.3 | necrolysis, also known on the streets as S-J-S-T-E-N. So let's get into it. But before we do, |
| 1:04.3 | a word from our sponsor, Pearson Ravitt's Insurance. Disability insurance is one of those things that you don't think about until you need it. |
| 1:13.6 | None of us ever want to imagine becoming disabled to the point where we cannot do the job that we've |
| 1:18.2 | trained so hard to do. But unfortunately, it happens and it happened to Stephanie Pearson. |
| 1:25.0 | Our job requires the use of our hands. It requires us to be mobile, and if we |
| 1:29.8 | ever were to incur a disabling condition, it may really limit our ability to practice emergency |
| 1:35.1 | medicine. General disability insurance only covers you, meaning only gives you a payout if you could |
| 1:41.9 | not work as a physician at all, which would include things like |
| 1:45.4 | reviewing charts for an insurance company or teaching a class at a medical school. However, own |
| 1:51.1 | occupation disability insurance covers you with a payout if you cannot do your specific trained |
| 1:56.8 | specialty because they know how much work we've put in to become the specific specialist that we are. |
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