Round 28 (Burn)

EM Clerkship

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

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

4.9 • 816 Ratings

🗓️ 1 December 2021

⏱️ 37 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

You are working a shift at ABEM General when you receive a call from EMS over the radio for a patient involved in a house fire.

Initial Vitals

* Temp 99.0* HR 150* RR 40* BP 90/50* O2 95%

Critical Actions

* Administer 8L IVF in first 8 hours* Administer supplemental oxygen for CO poisoning* Administer TDAP* Give hydroxycobalamine for cyanide toxicity* Obtain head CT to diagnose SDH

Further Reading:

Cyanide Poisoning (LITFL)

Carbon Monoxide Poisoning (EMCrit)

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.
0:10.6	This episode is sponsored by our amazing sponsor, Pearson Rabbit's Insurance, and today is round number 28 of the game.
0:19.1	Mike will need to perform today's case in real ABEM oral boards format.
0:22.3	He has 15 minutes to complete the case and has no idea what the case is ahead of time.
0:28.6	These cases were created by me.
0:30.2	They are not derived from actual ABM cases that I had and they are not real patients.
0:34.6	Mike, good morning.
0:36.0	How are you doing?
0:37.3	I'm doing well. How are you? I'm doing well.
0:40.6	Take out a piece of paper and a pencil, place the paper sideways in front of you. I'll find a human
0:45.9	body on the left side of it. Again, this is going to be a single patient encounter. Let me know when
0:50.1	you are ready. I am ready. Let's get this ball rolling.
0:55.0	All right, Dr. Estefan, this will be a single patient encounter.
0:59.0	You will have 15 minutes to complete the case.
1:01.0	Before we begin, do you have any questions?
1:04.0	No questions.
1:06.0	All right, let's begin.
1:08.0	Dr. Estefan, you are working at Clerkship General when EMS calls overhead stating that they are
1:13.8	about one minute out, unconscious male that was involved in a house fire.
1:17.8	Unconscious male, house fire.
1:20.5	Great.
1:22.1	All right, let's get the team into the resuscitation bay.
	...

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