Round 30 (Chest Pain)

EM Clerkship

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

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

5 • 795 Ratings

🗓️ 1 February 2022

⏱️ 22 minutes

🔗️ Recording | iTunes | RSS

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Summary

You are working a shift at Clerkship General Hospital when you go see your next patient, a 70 year old male presenting with chest pain. Initial Vitals Temp 98.7 HR 140 RR 20 BP 125/85 O2 99% Critical Actions Obtain EKG Treat AFib RVR via rate control (and not cardioversion) Diagnose Acute Arterial Occlusion Treat […]

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.
0:10.1	This episode is sponsored by Pearson Rabbit's Insurance, my personal, independent life and disability insurance agent.
0:18.2	We will talk more about Pearson Rabbits later in this episode. Now let's get into it.
0:23.2	Today is round number 30 of the game. Mike will need to perform today's case in real ABEM
0:28.8	oral boards format. He has 15 minutes to complete the full case. He does not know what this case is
0:34.8	ahead of time. If Mike hits all the critical actions that I've listed
0:38.7	out beforehand, he wins. If he doesn't, or if he performs a dangerous action, I win. These cases
0:43.7	were created by me. They're not derived from actual ABM cases that I had, and they are not
0:47.4	real patience. Mike, take out a piece of paper and a pencil, place the paper sideways in front
0:52.3	of you, outline a human body on the left side of it and let me know when you are ready. I am ready, but dude, we're at
0:58.0	episode 30. Isn't that crazy? I know. It's crazy, right? We've been doing a lot of these. But it doesn't
1:05.4	feel like it's been that long. Like, time is just, I don't know, time goes by faster the longer you're alive, I think.
1:12.1	Yeah, I think that's possibly true.
1:14.3	The days go slow, the years go fast, as they say.
1:16.8	All right, but yeah, I'm ready.
1:18.1	Let's do it.
1:19.1	All right.
1:19.9	Dr. Estefan, this will be a single patient encounter.
1:23.3	You will have 15 minutes to complete the case.
1:26.0	Before we begin, do you have any questions?
1:28.1	No questions, my friend.
1:30.1	All right, let's begin.
	...

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