Round 33 (Respiratory Distress)

EM Clerkship

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

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

4.9 • 816 Ratings

🗓️ 1 May 2022

⏱️ 36 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

You are working at Clerkship General when you are called to the resuscitation bay for a 55yo M presenting in respiratory distress.

Initial Vitals

* Temp 99.9* HR 110* RR 22* BP 122/82* O2 82% on BiPAP 10/5 100%FiO2

Critical Actions

* Correctly interpret CXR #1 (multifocal PNA)* Correctly interpret CXR #2 (bilateral PNTX)* Treat with Oseltamivir* Troubleshoot vent alarm#1 (increase sedation)* Troubleshoot vent alarm#2 (place bilateral chest tubes)

Further Reading:

Acute Exacerbation of COPD – EMCrit

COPD – EM@3AM

Transcript

Click on a timestamp to play from that location

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.
0:11.5	This episode is sponsored by Pearson Rabbit's Insurance, my personal, independent life and disability insurance agent.
0:18.3	We will talk more about Pearson Rabbits later in this episode.
0:22.5	Before we start, I also want to give a quick shout out and introduction to Maddie Watts.
0:28.2	She is currently a fourth year graduating med student. She just matched at her top program,
0:33.7	and she will be our newest victim for some of these cases once Mike graduates and is
0:38.4	also preparing a whole series on the residency application process, how to match into emergency
0:44.9	medicine.
0:45.6	Her advice is going to be a million times better than anything we could say because she literally
0:49.6	just did it.
0:51.7	Mike and I are both super excited for you to get to know her, meet her, and her first
0:55.4	episode will be coming out tomorrow, barring technical difficulties, which I know we've had
1:00.2	several of recently, but we got that all fixed. All right, let's get into it. Mike, how are you doing
1:04.9	today? I am good. I'm fresh off my shift. Brain's a little scrambled, but ready to go. Let's let's do it. Brains scrambled? Scramble brains. It's warmed up, but warmed up. Warmed up scramble brains. Today is round number 33 of the game. Mike will need to perform today's case in real ABEM oral boards format. He has 15 minutes to complete the full case. He does not know what the case is ahead of time. If Mike hits all of the critical actions that I have listed up beforehand,
1:31.7	he wins. If he doesn't or if he performs a dangerous action, I win. These cases recruited by me. They're
1:36.7	not derived from actual ABM cases that I had. They are not real patience. Mike, take out a piece of
1:41.9	paper and a pencil. Place the paper sideways in front of you. Outline a human body on the left side of it.
1:45.5	Let me know when you are ready.
1:47.7	I am ready.
1:49.1	Let's do it.
1:50.2	Let's go.
1:52.7	Dr. Estefan, this will be a single patient encounter.
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.