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.

This episode is sponsored by Pearson Rabbit's Insurance, my personal disability and life insurance agent, and today is round number, I believe it's round number 31 of the game. I'm starting

to have trouble keeping track. We're going to try another structured interviewed case today.

Again, for those of you who don't know, ABEM got rid of triple cases and replaced it with this

new format of case. Lots of back and forth questions, that kind of thing, not as much role playing.

And these are intended to evaluate further how the candidate is thinking about a case and not just that they know certain steps to take or like a certain protocol, but actually gets into how they think.

Mike will still have 15 minutes to complete this case.

This case was created by me. They're not derived from actual ABM cases that I had, and they are not real patients. Mike, how's it going? You ready to go? I'm ready to go. Let's do it. All right, let's do it. Dr. Estefan, this is a structured interview case. There is no role paining. I may interrupt you to move through the case, but this is not a reflection of your performance. You will have 15 minutes to

complete the case. Before we begin, do you have any questions? I have no questions. Let's do this.

All right. Let me start the timer here. Timer is started. Dr. Estefan, the patient we will be discussing is a 39-year-old female who comes in from EMS, poorly responsive.

EMS states that they were called when one of her friends found her in the bathroom unconscious,

and she was brought here.

She's a febrile.

Her heart rate is 70 beats per minute. Her respirations are

six, and her O2 saturation is 88%. She's unable to provide any history at this time.

Dr. Estefan, given the limited initial history, please give me three alternative sources of obtaining

information regarding this patient.

I would like information from EMS, mainly what they saw at the scene, who else was there at the scene,

and kind of things around the scene where they're empty pill bottles, empty bottles of alcohol, open needles, et cetera.

Let's see.

If we have anything in the patient's chart from prior visits, do we know who this patient is at all?

Am I able to use the EMR?

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