Overview
279 Episodes
Crotalinae, elapidae, hymenoptera and more! Check out these additional resources for all things bites and stings! EB Medicine North American Snake Envenomations ALiEM Envenomations EMRAP Corependium Snake Bites and Insect/Arthropod Stings Links available on emclerkship.com
Transcribed - Published: 15 May 2026
Snakes and scorpions and spiders, oh my! What bit our patient and how did Dr. Rumney handle it?
Transcribed - Published: 1 May 2026
Hypertensive emergency? Urgency? Crisis? What’s the difference? For further reading, check out: https://www.ebmedicine.net/topics/cardiovascular/emergency-medicine-hypertensive-emergencies
Transcribed - Published: 15 April 2026
The altered hypertensive elderly patient – what’s the diagnosis? Stroke? Trauma? Sepsis? Dr. Tweedt gets put to the test in this latest case, following a new format designed to mirror new 2026 ABEM Certifying Exam.
Transcribed - Published: 1 April 2026
Do you struggle with rashes? Learn about this life threatening rash on our deep dive. If you haven’t listened to the case yet, first check out The Game Season 3 Round 9 with Maddie Watts and Sean Rumney. Sources: UptoDate – SJS/TEN Diagnosis and Management https://www.dermacompass.net/en/diseases/stevens-johnson-syndrome-and-toxic-epidermal-necrolysis3 https://dermnetnz.org/topics/stevens-johnson-syndrome-toxic-epidermal-necrolysis https://www.ncbi.nlm.nih.gov/books/NBK574530/ https://onlinelibrary.wiley.com/doi/full/10.1155/dth/6527730 https://pmc.ncbi.nlm.nih.gov/articles/PMC8814784/
Transcribed - Published: 15 March 2026
Everyone’s favorite chief complaint… rash. What could it be? Join Dr. Rumney in cracking this latest case
Transcribed - Published: 1 March 2026
Hear about the importance of own occupation disability insurance for physicians with none other than the expert herself – Stephanie Pearson from Pearson Ravitz!
Transcribed - Published: 27 February 2026
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Transcribed - Published: 1 February 2026
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Transcribed - Published: 2 January 2026
Welcome to Isobel’s new series called “Upstairs”, where she gives us various pearls and teaching points from her experiences on off service rotations.
Transcribed - Published: 27 December 2025
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Transcribed - Published: 19 March 2025
Learn about Maddie’s experience in New Zealand as well as unique aspects of New Zealand medical practice. Disclaimer: This is based on personal experience. If you’d like to learn more, some resources are listed below. https://www.mcnz.org.nz/about-us/glossary https://pharmac.govt.nz/about/what-we-do/how-pharmac-works https://www.acc.co.nz https://www.luc.edu/media/lucedu/law/centers/healthlaw/pdfs/advancedirective/pdfs/8/robin.pdf https://nzformulary.org
Transcribed - Published: 3 March 2025
Transcribed - Published: 20 February 2025
You are working at Clerkship General when the triage nurse walks back and gets you. “Hey doc, we just put a hypoxic infant in bed 7”. Initial Vitals: HR: 168 RR: 44 BP: 81/40 O2: 81% (Room Air) Critical Actions: * Administer oxygen * Obtain chest xray * Correctly perform tube thoracostomy * Initiate non-accidental trauma workup * Complete mandated reporting
Transcribed - Published: 1 February 2025
Transcribed - Published: 16 January 2025
You are working at Clerkship General on New Year’s Day when you see a nurse running from triage. He is carrying an unresponsive child to the resuscitation bay. Initial Vitals: HR: 43 BP: 47/20 Temp: 66F RR: 4 O2: 95% (BVM) Critical Actions: * Obtain Core Temperature * Use the Broslow Tape * Follow PALS * Begin Invasive Warming * Transfer for ECMO
Transcribed - Published: 2 January 2025
Transcribed - Published: 16 December 2024
You are working at Clerkship General when you hear an EMS call on the base command radio. “Clerkship General. We are bringing you a minimally responsive 79 year-old female found lying on the floor inside her apartment. ETA 5 minutes” Initial Vitals: HR: 143 BP: 160/105 Temp: 106.3F RR: 22 O2: 99% Room Air Critical Actions: * Blood glucose * Obtain core temperature * Rapidly cool the patient * Diagnose rhabdomyolysis
Transcribed - Published: 6 December 2024
Transcribed - Published: 15 November 2024
Introduction: You are working at Clerkship General when the next chart is handed to you. It’s a 35-year-old female with a chief complaint of dizziness and fatigue. She is here accompanied by her husband. Initial Vitals: HR: 118 BP: 150/91 Temp: 100.4F RR: 20 O2: 99% Room Air Critical Actions: * Check pregnancy test * Check hemolysis labs * Diagnose TTP * Consult hematology * Initiate treatment for TTP
Transcribed - Published: 1 November 2024
You are working at Clerkship General when you hear a woman screaming from triage… It’s baby time! Initial Vitals: HR: 120 RR: Shallow O2: 58% Critical Actions: * Place neonate in warmer * Administer positive pressure ventilation * Obtain pre-ductal pulse ox * Check blood glucose * Place umbilical vein catheter * Administer dextrose
Transcribed - Published: 1 October 2024
You are working at Clerkship General when the nurse comes up to you and says, “Hey doc, EMS dropped off this guy named Randy from the memory care unit at the nursing home down the street. He’s in the hall bed outside of room 7. EMS says he’s here for confusion, we will get him in a room once we can get one clean. Initial Vitals: HR: 118 BP: 109/55 Temp: 102.5 F RR: 22 O2: 99% Room Air Critical Actions: * Check a blood glucose * Obtain a full set of vitals * Diagnose necrotizing soft tissue infection * Consult surgery before a CT scan * Correct antibiotic coverage
Transcribed - Published: 2 September 2024
You are working at Clerkship General when you hear an EMS call on the radio. “Clerkship General, we are bringing you a 3 year old female with complaints of altered mental status. We are pulling in now.” Initial Vitals: HR: 129 BP: 98/66 Temp: 99.7F RR: 35 O2: 99% Room Air Critical Actions: * Check blood glucose * Check ingestion labs * Start bicarbonate drip * Call nephrology * Check venous blood gas
Transcribed - Published: 1 August 2024
Guillain-Barre Syndrome (GBS) – Autoimmune polyneuropathy that results in widespread demylination of peripheral nerves Typically occur 1 week after a triggering infection Paresthesias/Neuropathic Pain -> Ascending symmetric paralysis -> Respiratory Failure Major Diagnostic Criteria * Progressive limb weakness in multiple limbs that is relatively symmetric * Diminished/Absent deep tendon reflexes in affected limbs * No alternative diagnosis * CSF studies have false-negatives – May see albuminocytologic dissociation (Elevated protein with normal cell counts) Treatment – IVIG and monitor respiratory status
Transcribed - Published: 16 July 2024
Critical Actions: * Treat the Patient’s Pain * Perform a detailed neurologic exam (including reflexes) * Perform LP * Administer IVIG * Check NIF or FVC and intubate prior to transfer
Transcribed - Published: 3 July 2024
Orbital Compartment Syndrome – needs to be diagnosed CLINICALLY On exam, LOOK for: Proptosis, Ophthalmoplegia, Afferent Pupillary Defect, Vision Loss On exam, FEEL for: Rock hard globe, tense eyelids, resistance to retropulsion IOP > 40 means immediate canthotomy is indicated! Don’t perform if open globe is present Lateral Canthotomy Procedure: Anesthetize, Devascularize, Canthotomy, Cantholysis (inferior crus first) Paperclip Eyelid Retractors
Transcribed - Published: 16 June 2024
You are working at Clerkship General when the next chart is put into your rack. It’s a 76 year-old male who has fallen. Initial Vitals: HR: 101 BP: 138/85 Temp: 98.0F RR: 20 O2: 99% (Room Air) Critical Actions: * Diagnose Retrobulbar Hematoma * Diagnose Subdural Hematoma * Reverse Anticoagulation * Perform a Lateral Canthotomy Procedure * Administer Tetanus Shot * Elevate the Head of Bed
Transcribed - Published: 1 June 2024
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