Round 3 (Chest Pain)
EM Clerkship
Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD
4.9 • 816 Ratings
🗓️ 22 September 2019
⏱️ 37 minutes
🧾️ Download transcript
Summary
CAUTION: THESE NOTES CONTAIN SPOILERS!!!
Case Introduction
An ill appearing patient has been rushed back from the lobby, clutching his chest, you are needed immediately at the bedside…
Initial Vitals
* Temp 99.1* HR 95* RR 20* BP 120/80* O2 98%
Courtesy of LITFL Medical Blog https://creativecommons.org/licenses/by-nc-sa/4.0/
Critical Actions
* Obtain Early EKG* Notify Cardiology of Inferior STEMI* Bring Crash Cart to Bedside* Administration of Heparin* Counsel the Family
Dangerous Actions
* Giving Nitroglycerine to Patient with Inferior MI and on Sildenafil* Giving Aspirin to Patient with Allergy to Aspirin
Final Diagnosis
Cardiac Arrest due to Inferior STEMI
Tips and Tricks
Ask about allergies prior to administering medications
Additional Reading
* Approach to STEMI (EM Clerkship)* American Heart Association STEMI Guidelines (AHA)
Transcript
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| 0:00.0 | Hello, med students. This episode has been sponsored by Freed AI. Do you dread the thought of |
| 0:07.1 | endless charting once you become a doctor? Do you think that doctors should be spending more |
| 0:12.0 | time with our patients and less time mindlessly writing notes? Freed AI is the product for you. It is a |
| 0:20.4 | secure, HIPAA-compl compliance scribe that anybody can use. |
| 0:24.8 | Focus your energy on what matters, providing good patient care. |
| 0:29.6 | Use coupon code EM50 to save 50% the first month you try it, |
| 0:34.1 | and you can cancel at any time if you decide it's not right for you. You can learn more |
| 0:38.9 | at www.gitfreed.a.i. Hello, residents. My name is Zach Olson. I'm joined today by Mike |
| 0:49.2 | Estefan and thank you for downloading this week's episode of the EM Clerkship podcast. |
| 0:57.0 | This is EM Clerkship's secret residency curriculum, advanced content designed to test graduates |
| 1:03.8 | of EM Clerkship. |
| 1:05.2 | And today is round number three of the game. |
| 1:09.1 | The score stands one to one. Mike will need to perform today's case |
| 1:14.0 | in real ABEM oral boards format. 15 minutes to complete the full case. He does not know what this |
| 1:22.8 | case is ahead of time. I'm going to text him EKG images and x-ray images during recording and ask him to |
| 1:29.5 | interpret. These images will be posted online and on the EM Clerkship Facebook group. If Mike hits all of |
| 1:36.9 | the critical actions that I have listed out beforehand, he wins. If he misses any of the critical |
| 1:42.4 | actions or if he performs a dangerous action, I win. |
| 1:47.1 | These cases were created by me. They are not actual ABAM cases that I have had, and they are |
| 1:52.7 | certainly not real patients. Now, as always, let's check in with our hero, Dr. Mike Estefan. |
| 2:01.6 | Hey, man. What Estefan. Hey man. |
| 2:02.5 | What's going on? |
... |
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