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EM Clerkship

Deep Dive - Round 18

EM Clerkship

Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

Education, Science, Life Sciences, Courses, Health & Fitness, Medicine

5 β€’ 795 Ratings

πŸ—“οΈ 16 February 2021

⏱️ 13 minutes

🧾️ Download transcript

Summary

Four definitions you must know: SIRS – Must have at least 2 of 4 SIRS criteria (listed below): Fever (>38C) or Hypothermia (<36C) WBC >12k or <4k ; OR Bandemia >10% Tachycardia > 90 Tachypnea > 20 SEPSIS – Must have SIRS + have a suspected infectious source (eg pulmonary, urinary, intra-abdominal, etc) SEVERE SEPSIS […]

Transcript

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0:00.0

Hello, students and residents. My name is Mike Estefan, and I thank you for joining me today on this episode of the EM Clerkship Podcast.

0:12.2

As Zach alluded to during our last episode, this is the first episode of the bonus educational content that we are going to be putting out to supplement our

0:22.5

monthly oral board cases. The goal of these bonus episodes is to dive deeper into topics

0:29.1

that I was tested on during the preceding episode of the game. Before we begin, I want to give

0:36.2

a short plug to our sponsor, Pearson Rabbits.

0:39.3

As you probably can recall from recent episodes, Pearson Rabbits is a company that specializes in disability insurance for physicians, including both residents and attendings.

0:51.3

Let me share a quick story with you guys. This happened just two and a half

0:56.1

weeks ago to me. I was bouldering at my favorite climbing gym when I unexpectedly fell from the top

1:02.5

of the climbing wall and landed on my right wrist. And for reference, I'm right-handed. It hurt,

1:08.9

but I didn't think too much of it until later that night.

1:11.6

The same night after the fall, I went into my overnight ED shift, where I had to physically

1:17.0

restrain a combative hypoxic overdose patient who we had just pushed some IV Narcan on.

1:23.7

In the process of doing so, my wrist pain went from just a twinge to excruciating.

1:29.3

I was sure that I had fractured something.

1:31.3

It was so bad that after my ED shift, I checked myself into the ED to get an X-ray and get splinted.

1:38.3

After talking with occupational health, I learned that I would not be allowed to work clinically with a splint,

1:45.5

as it violates hand hygiene protocols, and that I would need to take disability leave if the

1:50.8

splints was medically necessary. Luckily, after an urgent appointment with sports medicine

1:55.5

and a stat MRI, it was determined that my injury did not require splinting at work and I was allowed to return to work.

2:04.0

I'm telling you guys this story because it was my wake-up call for how valuable and necessary disability insurance is.

2:10.9

I'm an otherwise healthy 29-year-old male who just prior to this was planning on signing up for disability insurance right before graduating

2:18.9

residency just to lock in the lower rates. I thought to myself that nothing would happen,

...

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