Round 35 (Pediatric Trauma)
EM Clerkship
Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD
4.9 β’ 816 Ratings
ποΈ 1 July 2022
β±οΈ 36 minutes
ποΈ Recording | iTunes | RSS
π§ΎοΈ Download transcript
Summary
You are working at *rural* Clerkship General when you receive a radio call from EMS β 7yo male from a severe bus accident with a large scalp laceration, unable to control the hemorrhage.
Initial Vitals
* HR: 136* RR: 22* BP: 80/35* O2%: 100%* Temp: 98F
Critical Actions:
* Perform ATLS Algorithm* Control Hemorrhage* Transfuse pRBCs* Replete Factor VIII with correct dosing (100% replacement)* Diagnose supracondylar fracture on XR and splint appropriately
Further Reading:
emDOCs β Managing Hemophilia in the ED
CoreEM β Supracondylar fracture in the ED
Transcript
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| 0:00.0 | Hello, everybody. 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. |
| 0:09.3 | This episode is sponsored by Pearson Ravits Insurance, my personal independent life and disability insurance agent. |
| 0:15.5 | We will talk more about Pearson Ravits later in this episode. Now let's get into it. |
| 0:20.1 | Today is Mike's final case. |
| 0:23.2 | There will be no mercy. |
| 0:25.7 | Unlike ABEM, this case is actually designed to make him fail. |
| 0:29.6 | To be very clear, he's not going to pass. |
| 0:33.6 | How excited are you, Mike, for today's case? |
| 0:36.0 | Scale of 1 to 10. |
| 0:40.7 | I'm hoping that you say like 11. |
| 0:52.1 | Negative, negative 7, negative 8. I'm kind of nervous to get fully roasted in front of thousands of listeners, but let's do it. |
| 0:55.1 | Now, I will say it is, in theory, doable. |
| 0:56.7 | It's a difficult case. |
| 1:02.0 | It, I think, pulls together a few things that maybe we'll see if you can pull out or not. |
| 1:06.2 | The originally, I'm going to just giving a little background. |
| 1:08.5 | So there is originally going to be a triple case. |
| 1:10.4 | But since I don't do triple cases, that's gone. |
| 1:12.9 | So I just have to make a really difficult single case. |
| 1:17.4 | So, anyways, it's going to be, this is going to be a good time, man. |
| 1:18.4 | This is going to be a good time. |
| 1:26.0 | Mike will have strict 15 minutes to complete the full case or I'm going to cut him off. He does not know what the case is ahead of |
| 1:27.7 | time. If Mike hits all the critical actions that I have listed out beforehand, he wins. And if he doesn't or if he performs a dangerous action, I win. These cases were created by me. They're not dry from actual e-m cases that I had. They're not real patients. Dr. Estefan, take out a piece a paper and a pencil, place the paper sideways in front of you. |
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