Hello, med students. My name is Zach Olson, and thank you for downloading this week's

episode of the EM Clerkship Podcast. I'm about to tell you a secret about myself. I just

killed a patient. It was a few months ago, actually, it was only in SIM, but I've only ever completely

killed two patients in Sim before. Once in a patient with Wolf Parkinson White and atrial fibrillation,

and I gave a medicine that blocked the AV node to slow down the AFIB, and boom, cardiac arrest.

And all of the attendings all rolled their eyes. I was a fresh intern. It's okay. Not going to happen again.

But the case we're going to talk about today was as a third year resident.

I was a little sloppy on taking a full history, and my attendings just let me miss it,

and the patient died. And now this case is forever burned

into my memory i've been doing a ton of reading about it and it's not a topic that we think about

much so i wanted to cover it at least in the united states even though we should be thinking about this

we're not this week we're going to be talking travel medicine we're going to specifically be thinking about this or not. This week we're going to be talking travel medicine.

We're going to specifically be talking about fever in the returning traveler.

Somebody comes back from a trip to a foreign country where they were exposed to stuff that they have no immunity to.

And when they come back, they are sick and belazed, maybe febrile, or at least they feel like

they're having fevers.

That's what we're talking about today.

Because it turns out there is a big, big, big, big life threat lurking in these patients.

It's one of the biggest killers in the world, actually.

And we never think about it. It's one of the biggest killers in the world, actually. And we never think about it.

It's malaria. When you think about fever in the returning traveler, please, please, please, I need you to

remember to think about malaria. Recent travel? Malaria. Malaria, malaria, malaria, malaria, malaria, malaria, malaria.

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