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EM Clerkship

Round 21 (MW) Geriatric Fall

EM Clerkship

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

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

5795 Ratings

🗓️ 1 June 2024

⏱️ 32 minutes

🧾️ Download transcript

Summary

You are working at Clerkship General when the next chart is put into your rack. It’s a 76 year-old male who has fallen. Initial Vitals: HR: 101 BP: 138/85 Temp: 98.0F RR: 20 O2: 99% (Room Air) Critical Actions:

Transcript

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0:00.0

Hello, residents. My name is Mike Estefan. I'm joined today by Maddie Watts, and thank you for downloading

0:06.9

this month's episode of the EM Clerkship Podcast. As usual, this episode is sponsored by Pearson Ravits Insurance,

0:15.3

my personal disability insurance broker. We will talk more about Pearson Rav Rabbit later in the episode. But for now,

0:23.3

Maddie, are you ready for today's case? I think so. All right. Today is round number 21 of the game.

0:34.1

Maddie will need to perform today's case in real ABEM oral boards format.

0:39.1

She has 15 minutes to complete the full case, and she does not know what this case is ahead of time.

0:45.5

If Maddie hits all of the critical actions that I've listed out beforehand, she wins.

0:50.5

If she doesn't, or if she performs a dangerous action, I win.

0:55.0

These cases were created by me.

0:57.3

They are not derived from actual ABEM cases that I had and they are certainly not real patients.

1:03.8

Maddie, take out a piece of paper and a pencil.

1:06.2

Place the paper sideways in front of you, outline a human body on the left side of it,

1:12.1

and let me know when you get ready.

1:13.7

I'm good to go.

1:15.9

All right, Dr. Watts, this will be a single patient encounter.

1:19.9

You have 15 minutes to complete the entire case before we begin.

1:23.8

Do you have any questions?

1:27.1

Nope.

1:35.3

All right. And the timer has started. Dr. Watts, you are working at Clerkship General when the next chart is put into your rack, a 76-year-old

1:41.6

male with chief complaint of fall.

1:49.3

All right, so I walk into the room and what do I see?

1:58.4

You see an elderly male with obvious facial trauma accompanied by his wife in seemingly no acute distress.

...

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