Round 12 (MW) Respiratory Distress

EM Clerkship

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

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

4.9 • 816 Ratings

🗓️ 1 September 2023

⏱️ 33 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

You are working at Clerkship General when you hear an EMS call on the radio. “Clerkship General. We are bringing you an unresponsive 6-year-old female found foaming at the mouth by her babysitter. ETA 2 minutes.”

Initial Vitals:

BP: 125/80

HR: 62

RR: 34

O2: 81% (Non Rebreather)

Critical Actions:

* Grab the Broslow!

* Fingerstick Glucose

* Choose Endotracheal Tube Size

* Administer Atropine until bronchial secretions stop

* Pralidoxime

Transcript

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0:00.0	Hello, residents. My name is Mike Estefan. I'm joined today not only by Maddie Watts, but also by a special guest, Maris Schewarter. We thank you for downloading this month's episode of the EM Clerkship podcast.
0:18.3	This episode is sponsored by Pearson Rabbit's Insurance, my personal independent disability
0:24.3	insurance agent.
0:26.0	We will talk more about Pearson Rabbits later in the episode, but for now, let's get into
0:31.6	it.
0:32.6	Today is round number 12 of the game.
0:36.6	Maddie will need to perform today's case in real ABEM
0:39.8	oral boards format. She has 15 minutes to complete the full case and she does not know what
0:46.0	this case is ahead of time. If Maddie hits all of the critical actions that I have listed
0:50.9	out beforehand, she wins. If she doesn't, or if she performs a dangerous action, I win.
0:58.1	These cases were created by me. They are not derived from actual ABM cases that I had, and they are not real patience.
1:06.0	Maddie, how are you doing today?
1:08.0	I'm good. How about you?
1:10.0	I am doing well. I am very excited for today's episode.
1:13.6	You should be nervous.
1:15.6	I was about to say I do not know what this surprise guest has in store for me, so I am a
1:21.6	little bit nervous.
1:22.6	No, you're going to do fine.
1:24.6	You're going to do just fine. Okay, Maddie, take out a piece of paper and a pencil.
1:31.8	Place the paper sideways in front of you, outline a human body on the left side of it, and let me know when you are ready.
1:38.8	I am ready to go.
1:41.3	Dr. Watts, this will be a single patient encounter. You will have 15 minutes to complete the case before we begin. Do you have any questions?
	...

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