Round 12 (Difficulty Breathing)
EM Clerkship
Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD
4.9 • 816 Ratings
🗓️ 1 July 2020
⏱️ 35 minutes
🧾️ Download transcript
Summary
CAUTION: THESE NOTES CONTAIN SPOILERS!!!
Case Introduction
A young gentlemen runs out to triage yelling “I can’t breath!” and collapses to the floor in front of the nurse…
Initial Vitals
* Temp 98.8* HR 145* RR 45* BP 60/30* O2 85%
Critical Actions
* Give Supplemental Oxygen* Identify Pneumothorax Prior to Imaging* Correctly Perform Needle Thoracostomy* Correctly Perform Tube Thoracostomy
Final Diagnosis
Pneumothorax Secondary to Penetrating Chest Trauma
Tips and Tricks
Be careful, lack of visual cues during oral cases can mislead you!
Additional Reading
* Thoracic Trauma (EM Clerkship)* NBME Trauma Review (EM Clerkship)
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 |
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| 0:20.4 | secure, hippocompliant scribe that anybody can use. |
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| 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. |
| 0:37.7 | You can learn more at www.gitfreed.a.i. |
| 0:44.7 | Hello, residents. My name is Zach Olson. I'm joined today by Mike Estefan, and thank you for |
| 0:50.4 | downloading this month's episode of the EM Clerkship podcast. I can't believe it. |
| 0:56.9 | Today is round number 12 of the game. And Mike will need to perform today's case in real |
| 1:03.3 | ABM oral boards format. He has 15 minutes to complete the full case. He does not know what the |
| 1:08.6 | case is ahead of time. And if he hits all of the critical actions, |
| 1:11.6 | he wins. If he doesn't or if he performs a dangerous action, I win. These cases were created by me. |
| 1:17.0 | They're not actual ABM cases. They're not real patience. How are you doing, Mike? |
| 1:21.2 | I'm doing all right. A little tired. How are you, Zach? I'm really excited to do this case. |
| 1:30.0 | I have masterminded this case, |
| 1:36.3 | so I'm very excited. That is absolutely terrifying. Yeah, you should be a little terrified. |
| 1:44.4 | This is not the right case for you to be tired, but whatever. Let me get everything pulled up here on my phone. |
| 1:46.2 | Okay, I'm ready to go. |
| 1:54.2 | Mike, take out a piece of paper in a pencil, place the paper sideways in front of you, put the human body on the left side of it, let me know when you're ready. |
| 1:56.5 | I am ready. |
... |
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