Round 1 (Altered Mental Status)

EM Clerkship

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

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

5 • 795 Ratings

🗓️ 8 September 2019

⏱️ 32 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

CAUTION: THESE NOTES CONTAIN SPOILERS!!! Case Introduction You are called to the resuscitation bay for a poorly responsive patient that has been brought in by EMS. Initial Vitals Temp 98.8 HR 78 RR 4 BP 124/78 O2 98% Critical Actions Obtain Early Blood Glucose Administer Dextrose Obtain Salicylate and Acetaminophen Levels Admit for Further Observation […]

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
0:38.9	at www.gitfreed.a.i. Hello, residents. My name is Zach Olson. I'm joined today by Mike
0:49.0	Estefan and thank you for downloading this week's episode of the EM Clerkship podcast. This is EM Clerkship's
0:58.5	secret residency curriculum, advanced content designed to test graduates of EM Clerkship. And today is
1:06.7	round number one of the game. Here are the rules, and feel free to play along with us.
1:13.6	Mike will need to perform today's case in real ABEM oral boards format.
1:18.6	He has 15 minutes to complete the full history, exam, testing, treatments, consults, counseling,
1:25.1	final disposition, everything.
1:27.1	Or I'm going to cut him off.
1:28.9	He does not know what this case is ahead of time.
1:31.7	I'm going to go ahead and text him EKG images and x-ray images during the recording, and I'm going
1:37.4	to ask him to interpret those for you.
1:39.9	These images will be posted online on both EMclerkship.com and the EMclerkship Facebook group
1:45.5	with necessary licenses unless it's a public domain.
1:49.1	Any advanced imaging he requests as well as lab results will be read out loud by me.
1:54.3	If Mike hits all of the critical actions that I have listed out beforehand, he wins.
	...

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