Hello, residents. My name is Maddie Watts and thank you for downloading this month's

episode of the EM Clerkship podcast. This month's episode is sponsored by Pearson Rabbit's Insurance,

who is my personal independent disability insurance agent. We will talk more about Pearson

Ravits later in the episode. So as you guys might know, today is my first time actually being on the

flip side of the game. And I'm super excited, but I'm also a little bit nervous. I have realized

in writing these cases and preparing that Zach and Mike have made this look a lot easier than it

actually is. It can be quite hard to staircase the way you want to, so you guys are going to have to be patient

with me as I learn how to do this. But today I'm with one of our fabulous new EM interns, Sean

Romney, who you guys are familiar with from case one. Sean, I feel like I might have been a little

bit mean to you at that first case. It was pretty nuanced. No, no, no, no. Like I said, it was a great learning case.

I feel like I've seen similar cases already, like once a week since I started intern year.

I've only been in the department for three weeks. So it was a great learning point, and I'm okay

with struggling a little bit. Well, that's great. That's our goal for Eam Clerkship is just to help all of us feel more

prepared on shift. So with that being said, are you ready for another case?

Yeah, let's get to it. All right. So today is round number three of the game 3.0, and it's round number two for Sean. He will need to

complete today's case in real ABEM oral boards format and he will have 15 minutes to

complete the case. He does not know what this case is ahead of time. As you guys know, if he hits

all of the critical actions that I have listed out beforehand, he wins.

But if he doesn't or if he performs a dangerous action, then I win.

These cases were created by me, but they are not drive from actual oral boards cases because I haven't taken my oral boards yet.

And they are not real patient cases that I've had.

All right. So Dr. Romney, please take out a piece of paper and a pencil, place the paper sideways in front of you, outline a human body on the left side,

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