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EM Clerkship

Round 7 (MW) – Vomiting Blood

EM Clerkship

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

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

5795 Ratings

🗓️ 1 March 2023

⏱️ 32 minutes

🧾️ Download transcript

Summary

You are working at Clerkship General when the charge nurse grabs you – “hey we got a real sick one, a 57yo Male who I just put in the resuscitation bay, he is vomiting blood”. Initial Vitals:BP: 77/34 HR: 135 RR: 24 O2%: 95% Temp: 98.8F Critical Actions: Further Reading: EMDocs – GI Bleed

Transcript

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0:00.0

Hello, residents. My name is Mike Estefan. I'm joined today by Maddie Watts, and thank you for downloading this month's episode of the EM Clerkship podcast.

0:11.8

This episode is sponsored by Pearson Rabbit's Insurance, my personal independent disability insurance agent.

0:18.9

We will talk more about Pearson Rabbits later in the episode.

0:22.6

So last month we took a bit of a hiatus from the game, but now we're back and ready to

0:27.0

rumble. As stated in our previous episode, we are seeking case ideas from our listeners.

0:33.9

It's not like we're running dry on case ideas, trust me, we have plenty. We just want to get our listeners involved a bit more.

0:40.0

If we choose your idea, we'll give you a quick shout out on the podcast.

0:43.7

My email is Mike at emclerkship.com, and you can send those ideas my way at any time.

0:51.3

Maddie, how are you doing?

0:53.0

I'm good.

0:53.8

How about you? I'm good. How about you?

0:55.2

I'm doing well. Are you ready for today's case? I've heard you've been quite busy the past month or so.

1:02.4

Yeah. I've been on trauma and then have had a single day off that I've made the best of, but my brain is a little fried, so this might be the one that you get me.

1:14.8

All right, I'm sure you'll do fine.

1:17.2

We only have, what, four more cases with you as an intern.

1:22.2

I guess starting in July, we're really going to have to step up the difficulty.

1:25.3

But you're doing great so far.

1:27.5

Yeah, wow, that's wild to think about that it's four months away. Yeah. Time flies, right?

1:34.1

Anyways, without further ado, let's get into it. Today is round number seven of the game.

1:41.5

Maddie will need to perform today's case in real ABEM oral boards format. She has

1:47.0

15 minutes to complete the full case. She does not know what this case is ahead of time. If

1:52.8

Maddie hits all of the critical actions that I have listed out beforehand, she wins. If she

...

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