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EM Clerkship

NBME Shelf Review (Part 9) – Cardiopulmonary

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 25 November 2018

⏱️ 14 minutes

🧾️ Download transcript

Summary

Pulmonary Embolism Three types of pulmonary embolism “Massive” Hypotension or severe bradycardia Treat with tPA or thrombectomy “Submassive” Normotensive but with Right Heart Strain S1Q3T3 on EKG Elevated BNP Elevated troponin Dilation of RV on ultrasound Treat with heparin/lovenox and admit “Low Risk” Treat with anticoagulation Outpatient vs inpatient treatment Testing CTA of the Chest […]

Transcript

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0:00.0

Hello, med students. This episode has been sponsored by Freed AI. Do you dread the thought of

0:07.1

endless charting once you become a doctor? Do you think that doctors should be spending more

0:11.9

time with our patients and less time mindlessly writing notes? Freed AI is the product for you. It is a

0:20.4

secure, hippocompliant scribe that anybody can use.

0:24.7

Focus your energy on what matters, providing good patient care.

0:29.5

Use coupon code EM50 to save 50% the first month you try it,

0:34.1

and you can cancel at any time if you decide it's not right for you. You can learn more at

0:39.3

www.gitfreed.a.i. Hey everyone, what's going on? This is Mike Estefan from the University of

0:49.1

Rochester School of Medicine, bringing you episode nine in the Emergency Medicine shelf exam review series.

0:56.0

This week's episode is going to be focused on cardiopulmonary emergencies.

1:00.8

A lot of what I'm going to be covering in this episode is considered to be the bread and

1:04.4

butter of emergency medicine. Most of you probably have the clinical presentation for many

1:10.4

of these diseases drilled into your head from your clerkship.

1:13.6

For example, pulmonary embolism, myocardial infarction, aortic dissection, etc.

1:19.6

So I'm mostly going to be focusing on ways that the exam will try to trick you with these questions.

1:24.6

I'm not really going to be focusing on the disease presentations.

1:28.3

And just a heads up guys, I'm currently getting over a viral pharyngitis, so if my voice

1:34.3

sounds a little different or softer than the previous weeks, that's why.

1:37.3

Alright, let's start off with pulmonary embolism.

1:41.3

So for pulmonary embolism, the exam typically won't make you calculate a well

1:46.1

score or figure out if you can perk rule them out or whatever. Instead, usually it'll give you a

1:52.0

vignette with a disease presentation that is obvious for a pulmonary embolism, and then it will

...

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