Round 14 (Shortness of Breath)

EM Clerkship

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

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

4.9 • 816 Ratings

🗓️ 1 October 2020

⏱️ 30 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

CAUTION: THESE NOTES CONTAIN SPOILERS!!!

Case Introduction

You are sitting at your computer on an otherwise quiet night when a young male is brought into your ED in obvious respiratory distress.

Initial Vitals

* Temp 98.6* HR 99* RR 34* BP 105/69* O2 95%

Critical Actions

* Give Albuterol + Ipratropium + Steroids* Obtain Chest Xray* Give Magnesium* Place patient on BiPAP* Give IV Beta Agonist (Epinephrine)

Final Diagnosis

Status Asthmaticus

Tips and Tricks

Frequently perform verbal reassessments on patients with the examiner (vitals, patient appearance, pain, etc)

Additional Reading

* The Crashing Asthmatic (REBEL EM)

Transcript

Click on a timestamp to play from that location

0:00.0	Hello, residents. My name is Zach Olson. I'm joined today by the famous Mike Estefan,
0:07.1	and thank you for downloading this month's episode of the EM Clerkship podcast. This episode is
0:12.3	sponsored by Pearson Rabbit's Insurance. This is my personal insurance agent, so obviously I recommend
0:17.6	them. We will talk more about Pearson Rabbits later in this episode. Let's
0:22.4	get into it. Today is round number 14 of the game. Michael will need to perform today's case in
0:28.3	real ABEM's oral boards format. He has 15 minutes to complete the full case. He does not know what
0:34.3	the case is ahead of time. If Mike hits all of the critical actions that I've listed out beforehand, he wins. And if he doesn't, or if he performs a dangerous action, I win. These cases were created by me. They are not derived from actual ABM cases that I had, and they are certainly not real patience. Mike, take out a piece of paper and a pencil, place the paper sideways in front of you,
0:55.3	outline a human body on the left side of it, and let me know when you're ready.
0:58.9	I'm ready. Let's go, Zach.
1:01.3	All right, Dr. Estefan, this will be a single patient encounter. You will have 15 minutes to
1:07.6	complete the case. Before we begin, do you have any questions?
1:12.9	No, no questions.
1:13.8	Go easy on me.
1:14.9	I don't know.
1:18.5	I never take it easy on you because you have to have opportunities for growth.
1:22.4	Lucky for you.
1:24.2	Last week was a doozy.
1:26.3	Last month.
1:27.2	Yeah, no, I got you.
1:29.9	I got you. You're going to be great. Stay focused though stay focused okay here we go the timer has started Mike you are working at clerkship general hospital
1:37.5	when the next patient gets assigned chief complaint shortness of breath shortness of breath great
1:44.0	can I get some information about this patient how old what gender Complaint, shortness of breath. Shortness of breath. Great.
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.