Round 15 (Syncope)

EM Clerkship

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

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

5 • 795 Ratings

🗓️ 1 November 2020

⏱️ 33 minutes

🔗️ Recording | iTunes | RSS

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Summary

CAUTION: THESE NOTES CONTAIN SPOILERS!!! Case Introduction You are working a shift at Clerkship General when a 51 year old female is brought in after a syncopal episode. Initial Vitals Temp 100.2 HR 132 RR 28 BP 105/69 O2 85% Critical Actions Give supplemental Oxygen Diagnose Pulmonary Embolism Administer Heparin Assess contraindications for tPA Administer […]

Transcript

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0:00.0	Hello, residents. My name is Zach Olson. I'm joined today by Mike Estefan, and thank you for downloading this month's episode of the EM Clerkship podcast.
0:09.7	This episode is sponsored by Pearson Rabbit's Insurance, my personal independent life and disability insurance agent.
0:14.8	We will talk more about Pearson Rabbits later in this episode. Let's get into it. Today is round number 15 of the game. And Mike is going to need
0:24.7	to perform today's case in real ABEM oral boards format. He has 15 minutes to complete the full
0:30.4	case. He does not know what the case is ahead of time. If Mike hits all of the critical actions
0:35.6	that I have listed out beforehand, he wins.
0:37.8	And if he doesn't or if he performs a dangerous action, I will win.
0:41.6	These cases were created by me.
0:43.5	They are not derived from actual ABM cases that I had and they are not real patience.
0:48.1	Mike, you ready to go?
0:50.2	Yeah, let's do it, Zach.
0:51.8	All right.
0:52.8	Mike, take out a piece of paper and a pencil, place the paper sideways in front of you,
0:56.3	outline a human body on the left side of it, and let me know when you're ready.
0:59.9	I am ready, my friend.
1:02.1	Dr. Estefan, this will be a single patient encounter.
1:05.6	You will have 15 minutes to complete the case.
1:08.0	Before we begin, do you have any questions?
1:10.7	I do not.
1:13.2	All right, Dr. Estefan, you are working at Clerkship General Hospital. When EMS brings in your
1:18.5	next patient, it's a 51-year-old female, Ms. Emerson, and she has had an episode of syncope. She
1:24.6	passed out. Okay. I walk into the room. What do I see?
	...

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