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. This episode is sponsored by Pearson Ravitts Insurance and today is round number 24 of the game.

Mike will need to perform today's case in real ABEM oral boards format. He has 15 minutes to complete the case and has no idea what the case is ahead of time. These cases were created by me. They are not derived from actual ABEM cases that I had. They are not real patients. Mike, take out a piece of paper and a pencil, place the paper sideways in front of you, outlining the human body on the left side of it and let me know when you are ready.

I am ready, my friend. Let's do this. Are you nervous yet? You're a third year. I was going to say, I feel like the dynamic has changed a little bit. It went from like, oh, let's do these common cases that like, you know, are high yield to, oh, let's see how we can screw Mike up.

Well, the thing is, is you're really smart, so I have to make them difficult.

Otherwise, there won't be anything interesting.

No, everyone will just expect you to win.

No one should expect you to win today.

I'm terrified to answer your question.

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

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

Do you have any questions?

No questions, my friend.

All right, let's begin.

Dr. Estefan, you are working at Clerkship General when EMS calls in over the radio, and I'm going to do my medic, Wanda, clerkship hospital, we're en route with a 25-year-old female who was found unresponsive

by her friends in the bathroom.

We administer naloxone.

She is now alert.

Heart rate 90, blood pressure 120 over 80, respiratory rate 12, 098%.

Ivy established for about one minute out.

Great.

Let's set up in the resuscitation room.

Let's grab two nurses, attack myself, and get all ready for her.

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