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EM Clerkship

How to Crush Your SLOE (Tips 16-20)

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 31 March 2019

⏱️ 21 minutes

🧾️ Download transcript

Summary

Tip #16 Recheck the patient’s heart rate and respiratory rate (and put in your presentation that you did so) Heart rate frequently falsely elevated when being triaged Respiratory rate frequently falsely normal when being triaged Tip #17 Fully examine the specific complaint. Some common misses include… Neurologic complaints (headache, paresthesias, dizziness, asymptomatic hypertension, seizures, visual […]

Transcript

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0:00.0

Hello, mid-students.

0:03.0

My name is Zach Olson and thank you for downloading this week's episode of the EM Clerkship

0:09.6

Podcast.

0:11.8

This week, tips number 16 through 20 on how to crush your slow.

0:17.7

So last week we talked about tips for when you're taking the history from the patient.

0:22.1

So a natural progression from that.

0:24.8

This week, it's all about exam.

0:28.4

This one is also incredibly important.

0:30.6

It is so high yield.

0:32.2

Five tips on how to perform an exam that leads to a great slow.

0:39.7

Let's get going, it's not waste any time here.

0:42.0

Tip number 16, the vital signs.

0:47.6

You're like, yeah, yeah, yeah, the vital signs are vital, yada, yada.

0:50.7

No, I want to draw your attention to two specific vital signs, the heart rate and the

0:56.7

respiratory rate. And here is where you are going to really impress your attendings. When you do your

1:03.5

exam, just double check the heart rate and the respiratory rate. The heart rate, you can just

1:10.4

count out for like 10 seconds and multiply it out. That's fine. And the respiratory rate. The heart rate, you can just count out for like 10 seconds

1:11.9

and multiply it out. That's fine. And the respiratory rate, you don't even count it. You just eyeball it.

1:17.5

But actually look at that respiratory rate with intention. And if it's fast looking, then count it out.

1:23.9

And I know that you were probably taught to kind of like hide when you were counting their

1:27.7

respiratory rate so that they don't change it up on you.

1:30.3

But I'm totally fine if you just watch them breathe for a minute awkwardly, if they're

...

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