The First 5 Minutes

FromEM Clerkship

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The First 5 Minutes

FromEM Clerkship

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Length:

8 minutes

Released:

May 21, 2017

Format:

Podcast episode

Description

This week we will discuss some Emergency Medicine 101. This is my personal approach to the initial management of crashing patients. Not only does this algorithm work well in real life, it also works well in sim, and during verbal cases with my attendings. Listen to the old ABC episodes if you want to go […]

Released:

May 21, 2017

Format:

Podcast episode

Titles in the series (100)

The purpose of this podcast is to help medical students crush their emergency medicine clerkship and get top 1/3 on their SLOE. The content is organized in an approach to format and covers different chief complaints, critical diagnoses, and skills important for your clerkship.

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Shortness of Breath: The most important thing to remember about shortness of breath is that you need to keep your thoughts and actions focused by using an organized approach. I recommend thinking anatomically. The differential diagnosis for this complaint is huge, by EM Clerkship
8 min listen
Burnout: Before we start clerkship season, we need to address the most important issue impacting emergency medicine: HALF of our physicians are experiencing burnout this year (Medscape). This is a huge problem. It leads to decreased speed, by EM Clerkship
7 min listen
Toxicology: Welcome to clerkship season! Over the next few months we will be going through the biggest, hugest, most important topics in emergency medicine. And today, we will be starting off with toxicology. After covering the general approach to a toxicology cas... by EM Clerkship
8 min listen
Circulation (Shock): Today is episode C, the final episode in our 3 part podcast series on the approach to a crashing patient. In previous episodes we covered AIRWAY: how the first thing we need to do is suction and move the posterior portion of the patient’s tongue. by EM Clerkship
9 min listen
Introduction: Today, I am very excited to announce that The Emergency Medicine Clerkship Podcast (and its affiliate website) are officially LAUNCHED!!! Over the next several weeks, I plan on streamlining and simplifying the technical side of my publishing process. by EM Clerkship
7 min listen
Chest Pain: Today I would like to teach you about the biggest, awesomest, most stereotypical chief complaint that there is in all of Emergency Medicine: chest pain. This is a huge topic on your shelf exam, and you really need to have an in-depth understanding of i... by EM Clerkship
10 min listen
Pain Management: It’s definitely not the most exciting topic in emergency medicine, but it’s easily one of the most important. Every single shift you will be required to manage a patient’s pain. In this episode, we will be covering the 6 major pain medicines that you n... by EM Clerkship
10 min listen
Syncope: The key to understanding syncope is understanding who is at high risk and who can go home. Over the years, numerous different studies have been done looking at this topic. The easy way to remember the approach to syncope is 6-6-6. by EM Clerkship
10 min listen
Breathing: Today is episode B in a series about our approach to the crashing patient. As we discussed in the previous episode, at some point during your clerkship, you will have a patient that starts dying right in front of your eyes. And it will be very scary! by EM Clerkship
8 min listen
Headache: Headache is one of the most common chief complaints that you will see on your clerkship. Luckily, it is also one of my favorite cases to evaluate. Why do I love it so much? Because I don’t need to be completely dependent on ancillary testing! by EM Clerkship
10 min listen
BRUE (Pediatrics): Brief. Resolved. Unexplained. Events. A few months ago the American Academy of Pediatrics (AAP) released a set of guidelines on the management of a common pediatric condition formally known as ALTE (now known as BRUE). by EM Clerkship
10 min listen
Epistaxis: If you listened to the introduction episode, you heard my story about the patient with a bleeding nose. I had NO IDEA what to do. It was embarrassing. And that specific situation is what inspired the creation of this episode. Nosebleeds can be scary! by EM Clerkship
7 min listen
Dental Pain: Get excited the next time you have a patient with dental pain! Because this is one of those chief complaints that will give you tons of points on your SLOE as long as you can articulate your way through it. by EM Clerkship
10 min listen
Airway: During your clerkship, you will be encountering sick patients. This is obvious. However, I promise that at least one of these patients will catch you VERY off guard. It usually goes like this, you are walking into a room, by EM Clerkship
10 min listen
Trauma: Trauma is easily the most interesting topic in all of emergency medicine. We might not see it quite as much as chest pain and abdominal pain, but trauma is certainly one of the top 10 things you will see most commonly on your clerkship. by EM Clerkship
9 min listen
Back Pain: Similar to patients with a headache, patients with back pain typically require very little testing. Rather, these encounters are focused entirely around a search for red flags. I LOVE these types of cases. These cases are straightforward, by EM Clerkship
8 min listen
STEMI (Critical Diagnosis): We get hundreds of EKGs every day looking for ST elevation myocardial infarction. And when you finally see it, you have to know what to do. In 2013, the American Heart Association updated their STEMI management guidelines, by EM Clerkship
8 min listen
Lung Injury: Injuries to the chest are one of the most common, most life-threatening, and most important injuries that occur during severe trauma. In this episode we will cover injuries to the lungs with a specific focus on the 3 life threatening diagnoses that mus... by EM Clerkship
10 min listen
Tummy Ache: Today we are moving on to a completely new topic, we are going to be discussing a simple approach to pediatric GI complaints. I hope you enjoy it. The majority of this episode will be covering the life-threatening, by EM Clerkship
10 min listen
Patient Presentations: We are going to discuss a very important topic today. How do you give a good patient presentation to your attending? This is the single most important skill you need to develop on your clerkship. Your presentations need to be FOCUSED, THOROUGH, by EM Clerkship
8 min listen
Peds T- Tummy and Non-Accidental Trauma: For our series finale we will review the 5 mega abdominal emergencies in kids as well as briefly discuss non-accidental trauma. by EM Clerkship
9 min listen
Patient Encounters: During your clerkship, you will rapidly develop a flow for your shift. What do you do when you first pick up a chart? How much do you let your patients ramble? After you evaluate your patient, do you sprint at full speed straight to your attending? by EM Clerkship
10 min listen
Patient Satisfaction: Patient satisfaction is getting lots of bad publicity these days, and I think it’s gone too far. Certainly, patient satisfaction surveys have the potential cause multiple adverse outcomes, and we’ve all heard about the study linking patient satisfactio... by EM Clerkship
7 min listen
Priapism: When I was on my clerkship, a few of my classmates had patients present to the emergency department with priapism. It’s not common. But even if you don’t get a case during your clerkship, you will certainly see one during residency. by EM Clerkship
7 min listen
Preeclampsia (Critical Diagnosis): It’s time to start diving deep into the critical diagnoses of Emergency Medicine. Partially because I think we need to mix up the format every once in awhile to keep things interesting, but also because your attending will expect you to know the basics... by EM Clerkship
8 min listen
Hyperkalemia (Critical Diagnosis): Hyperkalemia is the single most important electrolyte abnormality you need to know for your clerkship. It is very deadly, and you need to act quickly or the patient will might go into cardiac arrest. If your patient has hyperkalemia, by EM Clerkship
10 min listen
Sore Throat: During my clerkship, every time a patient came in with a sore throat, my attending would ask me, “Zack, what are the 4 life threatening causes of sore throat!?” I could never remember the answer, but after the episode today you will. Also, by EM Clerkship
9 min listen
USMLE Step 3: We’re taking a mental break this week and talking about Step 3. I took the test last month and found out a few weeks ago that I passed! And so in this episode we’ll be breaking down the details of test day, study strategy, by EM Clerkship
9 min listen
Abdominal Pain: The most common chief complaint in Emergency Medicine is abdominal pain. Most students already have an understanding of the basic approach to this problem. We know to ask about fevers, palpate the abdomen, and give something for nausea. by EM Clerkship
9 min listen
Rural Medicine (Interview): Thank you for downloading our first EM Bolus episode! These episodes are intended to give a more in-depth look into the real world of Emergency Medicine and your future career. This week’s episode is dedicated to all of our PA listeners. Chip Lange, by EM Clerkship
36 min listen

More Episodes from EM Clerkship

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Round 9 (Seizure): CORRECTION: Ketamine not Keppra as potential induction agent for status epilepticus (32:40) by EM Clerkship
39 min listen
Round 8 (Fall) by EM Clerkship
30 min listen
BONUS – Demanding Patients: Special Thanks to Mohamed Soliman for contributing this episode! by EM Clerkship
6 min listen
Round 7 (Headache) by EM Clerkship
31 min listen
Round 6 (Back Pain) by EM Clerkship
52 min listen
BONUS- Upper Extremity Fractures: Special thanks to Fraser Kegal from McGill University for creating this excellent content. by EM Clerkship
8 min listen
Round 5 (Geriatric Fall) by EM Clerkship
43 min listen
Round 4 (Flank Pain) by EM Clerkship
31 min listen
Round 3 (Chest Pain): Courtesy of LITFL Medical Blog https://creativecommons.org/licenses/by-nc-sa/4.0/ by EM Clerkship
36 min listen
Round 2 (Seizure) by EM Clerkship
34 min listen
Round 1 (Altered Mental Status) by EM Clerkship
31 min listen
MUST LISTEN (re ABEM): ABEM-style cases presented on EM Clerkship are not my actual ABEM exam cases, and they are not based on my actual cases. I will never be discussing my actual exam details with anybody, including on this podcast. The cases were created independently, by EM Clerkship
10 min listen
EM Clerkship Changes by EM Clerkship
14 min listen
ACS, Acidosis, AAA by EM Clerkship
13 min listen
Testicular Torsion and Prostatitis by EM Clerkship
13 min listen
PID and Ovarian Torsion by EM Clerkship
18 min listen
Urinary Tract Infection: Great blog post on topic… https://first10em.com/uti/ by EM Clerkship
18 min listen
Ectopic Pregnancy: All women of childbearing age with abdominal pain need a pregnancy test by EM Clerkship
16 min listen
Bowel Perforation and Bowel Volvulus by EM Clerkship
17 min listen
Bowel Ischemia and Bowel Obstruction by EM Clerkship
28 min listen
Maine Medical Center Interview (Perron): Advising and Application Tips (32:50) by EM Clerkship
51 min listen
Biliary Stuff and Pancreatitis by EM Clerkship
21 min listen
Appendicitis and Diverticulitis by EM Clerkship
26 min listen
Abdominal Pain PBL (Part 2): Presentation Based Learning Age, Gender, Pertinent Medical/Surgical History, Complaint At Least 4 Descriptors Red Flags/Pertinent Positives and Negatives Vital Signs Focused Physical Exam Suspected Diagnosis Can’t Miss Diagnoses Testing Plan Treatment ... by EM Clerkship
32 min listen
Abdominal Pain PBL (Part 1): Presentation Based Learning Age, Gender, Pertinent Medical/Surgical History, Complaint At Least 4 Descriptors Red Flags/Pertinent Positives and Negatives Vital Signs Focused Physical Exam Suspected Diagnosis Can’t Miss Diagnoses Testing Plan Treatment ... by EM Clerkship
28 min listen
Mother’s Day and Social “Wellness”: Long distance family relationships and Emergency Medicine by EM Clerkship
7 min listen
Big Tests During EM Residency (and Beyond): Oral Boards this week! by EM Clerkship
9 min listen
UT Nashville Interview (Reiter): General Program Info (1:45) Day in the Life (8:08) Unique Stuff about Program (16:20) Advising and Application Tips (35:03) by EM Clerkship
48 min listen
Easter and Why I Am a Christian: Salmoirago-blotcher E, Fitchett G, Leung K, et al. An exploration of the role of religion/spirituality in the promotion of physicians’ wellbeing in Emergency Medicine. Prev Med Rep. 2016;3:189-95. Curlin FA, Lantos JD, Roach CJ, Sellergren SA, by EM Clerkship
18 min listen

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The First 5 Minutes

The First 5 Minutes

Description

Titles in the series (100)

More Episodes from EM Clerkship

Related podcast episodes