Syncope

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5 • 795 Ratings

🗓️ 7 August 2016

⏱️ 10 minutes

🔗️ Recording | iTunes | RSS

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Summary

6 EKG Findings. 6 Risk Factors. 6 Mimics. Step 1: Get an EKG This is the only “required” test for a patient with syncope Other common tests CBC Evaluate for anemia hCG If patient might be pregnant Step 2: Look For 6 High Risk EKG Patterns Mnemonic: QT-BRIDE QT prolongation Especially QTc >500 Brugada pattern […]

Transcript

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0:00.0	Hello, med students. This episode has been sponsored by Freed AI. Do you dread the thought of
0:07.1	endless charting once you become a doctor? Do you think that doctors should be spending more
0:11.9	time with our patients and less time mindlessly writing notes? Freed AI is the product for you. It is a
0:20.4	secure, hippocompliant scribe that anybody can use.
0:24.7	Focus your energy on what matters, providing good patient care.
0:29.5	Use coupon code EM50 to save 50% the first month you try it,
0:34.1	and you can cancel at any time if you decide it's not right for you. You can learn more at
0:39.3	www.gitfreed.a.i. Hello, med students. My name is Zach Olson. Thank you for downloading this
0:49.8	episode of the EM Clerkship Podcast. We're going to be covering some more core topics this month for your clerkship.
0:57.7	Here's the case.
1:02.4	University Hospital's Ambulance 48 coming to you with a 40-year-old female.
1:06.9	Singapore episode while in church, currently conscious, alert, and oriented times three,
1:11.8	was attending services and fainted from a standing position.
1:15.6	No trauma suspected, vital signs are normal, nor the complaints at this time.
1:20.2	Patient denies any medical history or medications.
1:23.2	We're about seven to eight minutes out to your facility.
1:38.2	Think. When this patient gets here, what will you do?
1:46.0	What I want you to remember today about syncope is 666.
1:48.0	666. There are six life-threatening EKG patterns.
1:53.0	There are six additional life-threatening risk factors that you have to look for.
1:59.0	And there are six life-threatening syncope mimics.
2:04.1	666.
	...

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