Round 11 (Headache)
EM Clerkship
Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD
4.9 • 816 Ratings
🗓️ 1 June 2020
⏱️ 34 minutes
🧾️ Download transcript
Summary
CAUTION: THESE NOTES CONTAIN SPOILERS!!!
Case Introduction
You are having a busy day in the department when you are paged overhead to the resuscitation bay for an ill appearing patient with a headache…
Initial Vitals
* Temp 98.9* HR 99* RR 18* BP 180/110* O2 94%
Critical Actions
* Verbalize a Full Neurologic Examination* Obtain CT Scan Without Contrast* Consult Neurosurgery for Subarachnoid Hemorrhage* Reverse Warfarin Coagulopathy* Administer Antihypertensives
Final Diagnosis
Acute Subarachnoid Hemorrhage on Anticoagulation
Tips and Tricks
Always ask the patient if they have allergies prior to administering ANYTHING.
Additional Reading
* Basics of Subarachnoid Hemorrhage (EM Clerkship)* How to Reverse Warfarin (AHA)
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 |
| 0:48.9 | Estefan, and thank you for downloading this month's episode of the EM Clerkship podcast. This is EM Clerkship's |
| 0:57.3 | Secret Residency Curriculum, advanced content designed to test graduates of EM Clerkship, |
| 1:03.0 | and today is round number 11 of the game. Mike will need to perform today's case in real |
| 1:10.1 | ABEM oral boards format. |
| 1:11.7 | He has 15 minutes to complete the full case. |
| 1:14.7 | He does not know what the case is ahead of time. |
| 1:16.9 | And if Mike hits all of the critical actions that I've listed out beforehand, he wins. |
| 1:22.1 | And if he doesn't, or if he performs a dangerous action, I win. |
| 1:27.2 | These cases were created by me. They are not actual ABM cases. They are not spun from ABM cases that I had. They are certainly not real patience. So let's get going. How are you doing? Mike. Hey, Zach. I'm doing well. How are you doing, man? I'm doing pretty good. Are you ready to rumble? I am ready. I'm excited for this one. I even made some last, I made some last second adjustments just to make it extra special. Lovely. All right. You ready to go? I guess so. Okay. Mike, take out a piece of paper and a pencil, place the paper sideways in front of you, |
| 2:01.6 | outline a human body on the left side of it. |
| 2:03.2 | Let me know when you're ready. |
| 2:06.2 | I am. |
| 2:07.2 | Let me move my paper. |
| 2:08.0 | I am ready. |
... |
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