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EM Clerkship

Round 27 (MW) Geriatric Fever

EM Clerkship

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

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

5795 Ratings

🗓️ 6 December 2024

⏱️ 42 minutes

🧾️ Download transcript

Summary

You are working at Clerkship General when you hear an EMS call on the base command radio. “Clerkship General. We are bringing you a minimally responsive 79 year-old female found lying on the floor inside her apartment. ETA 5 minutes” Initial Vitals: HR: 143 BP: 160/105 Temp: 106.3F RR: 22 O2: 99% Room Air Critical […]

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 this month's episode of the EM Clerkship Podcast.

0:10.7

This episode is sponsored by Pearson Rabbit's Insurance, my personal independent disability insurance broker.

0:16.8

We will talk more about Pearson Rabbits later in the episode.

0:23.7

But for now, let's dive into it.

0:27.7

Today is round number 27 of the game.

0:32.5

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

0:38.8

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

0:43.7

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

0:50.4

If she doesn't, or if she performs a dangerous action, I win. These cases were created by me.

0:55.6

They are not derived from actual ABM cases that I had on my exam, and they are not real patients. Maddie, take out a piece of paper and a pencil. Place the paper sideways in front of you,

1:02.5

outline a human body on the left side of it, and let me know when you were ready.

1:08.4

I'm ready, and I'm going to tell you, Mike, I feel like I'm starting to get nervous again like

1:13.3

I did at the very beginning of intern year now that I know you're pulling out all the hard cases

1:17.8

for the last six months.

1:19.6

Wow, my evil grin.

1:23.6

Yeah, it's fun. It's fun designing these cases, but certainly more, a little more work for me,

1:31.4

because this isn't stuff you see every day, and I need to refresh myself, too.

1:37.4

Let's get into it. All right. Dr. Watts, this will be a single patient encounter. You have 15

1:43.9

minutes to complete the case. Before we begin,

1:46.5

do you have any questions? No. All right. And your timer starts now. Dr. Watts, you are working

1:58.4

at Clerkship General when you hear an EMS call on the Base Command

2:02.0

Radio.

...

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