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EM Clerkship

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EM Clerkship

Zack Olson, MD and Michael Estephan, MD

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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.
 
Hey everyone, my name is Lauren Rietchel and I'm a 4th year medical student at the University of British Columbia, and welcome to the Anesthesiology Clerkship Podcast! In this podcast, I talk about all things anesthesia for a clerkship level medical student. We will go through the basics of anesthesia (like what that word even means!) and build our way up through to more complicated topics. Each episode will be varied and feature different styles of teaching to suit all learning styles! I in ...
 
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The most adorable a movie could be about spree killers! Frank (Joel Murray) and Roxy (Tara Lynn Barr) take a cross-country trip killing the mean, annoying, and rude. Any early warning from Bobcat Goldthwait, foretelling exactly where we are today. From 2012 deep in the heart of the Obama era and the early days of reality television. We also discuss…
 
Witches in the Woods, Yellowjackets (no spoilers), Metal Lords (no spoilers) In Witches in the Woods, a pamphlet, a sex tape, a sturdy hood ornament, and poor decision making cause a group of kids to turn on each other. The Last Clerks tackle a movie about witches with no freaking witches! Twitter - https://twitter.com/LastClerks Instagram -https:/…
 
DOPES D-Displacement – endotracheal tube dislodges from trachea, or falls into right mainstem bronchus O-Obstruction – Mucous plugging, bronchospasm, patient biting tube P –Pneumothorax – Look out for pneumothorax, it can be subtle E – Equipment – Disconnected/unpowered equipment, ensure everything is powered on and connected appropriately S – Stac…
 
What do Tim Curry, Dylan Walsh, and a Nintendo Power Glove wearing Gorilla have in common with Laura Linney? Is the answer gas money? Ernie Hudson? The myth of the Killer Ape? Huh? Scott and Frank popped back to 1995 and watched Congo. A beloved Michael Crichton novel shoved in a big slam Pepsi bottle. Tastes like sweet Jurassic Park money to us. A…
 
The Killing of a Sacred Deer explained? God, no. Why would anyone try to explain this? Some movies earn their madness. This week, Scott and Frank take a deep dive into Yorgos Lanthimos's 2017 "Horror" movie. (Um, this was definitely a comedy.) Drag yourself downstairs with you elbows. Get your plate of spaghetti, and force feed your son a donut. We…
 
Brainstorming ideas – how to make it personal What makes me unique? 2. What are some specific experiences I’ve had in my life that have either made me want to do EM or given me the skills that will prepare me well for training in EM? 3. If a family member or a friend were […]Bởi Zack Olson, MD and Michael Estephan, MD
 
Welcome to EM Clerkship Maddie Watts! The personal statement should be *personal* and should *make a statement*. Start early Use solid organizational structure Address the big three questions – who? what? why? Check for grammar mistakes Explain any red flags Further Reading: EMRA / CORD Advising Guide NRMP Program Director Survey ALiEM Match Advice…
 
You are working at Clerkship General when you are called to the resuscitation bay for a 55yo M presenting in respiratory distress. Initial Vitals Temp 99.9 HR 110 RR 22 BP 122/82 O2 82% on BiPAP 10/5 100%FiO2 Critical Actions Correctly interpret CXR #1 (multifocal PNA) Correctly interpret CXR #2 (bilateral PNTX) Treat with Oseltamivir […]…
 
SLC Punk! may as well have been a high school prerequisite movie in 1998. Does it hold up? In this episode, Scott and Frank take a break from Sci-Fi Horror and revisit fresh from Scream Matthew Lillard. IMDb Written and Directed by James Merendino Starring Matthew Lillard, Devon Sawa, Michael A. Goorjian, Annabeth Gish, Jason Segel, Til Schwieger, …
 
The Special is one of those movies. Scrolling through streaming menus, your finger hovers over the button. But you're better than that. Well, we aren't. Frank and Scott watched this movie so you don't have to. That's what video store clerks were for. A movie about a man named Jerry, and his obsession with having sex with a seedy brothel's mystery b…
 
Cardiac Glycoside containing plants : Foxglove, Lilly of the Valley, Oleander, Squill Contain cardiac glycosides, which act as a negative chronotrope as well as a positive inotrope. Patients present with nausea, vomiting, visual changes, bradycardia/arrhythmia, and may develop hyperkalemia – a poor prognostic factor Treatment is Digibind/DigiFAB – …
 
Shadow In The Cloud - The Last Video Store Clerks find their niche watching a movie they aren't sure is bad or good. Shadow In The Cloud stars Chloe Grace Moretz, Beulah Koale, and Callan Mulvey. Directed by Roseanne Laing, and written by Max Landis. What is a good movie anyway? All that and more, on the continuing adventures of The Last Video Stor…
 
The Last Video Store Clerks Explain why we're here. Being a video store clerk was a unique experience that shaped the way we watch and choose movies. There is a special something missing getting all of you movies from streaming platforms. We will be watching movies that need revisiting, that movie that didn't get enough attention, and that special …
 
Welcome, everyone, to The Last Video Store Clerks Podcast with Frank and Scott. The Days of Blockbuster, Hollywood, and the independent video store are over, but the days of searching the shelves for hidden gems and overlooked cult classics is never ending. Join us while we drown in a sea of streaming options, and ask the question: What the hell is…
 
Hey Friends! We've made it to our 25th episode!!!!! If you're new, so glad you're here and if you're not new, so glad you could make it back. We are now in over 47 countries and have a number of new subscribers. Thank you so much for the continued support and continuing to listen to the pod. Please rate subscribe on Apple podcasts and wherever you …
 
Hey friends! Long time no talk. Sorry for the gap, but I'm back! And better than ever. I hope you enjoyed the stress episode, and in this latest episode we are getting back into anesthetics again, and the application of local anesthetics --> regional anesthesia! Today I discuss what regional anesthesia is, its benefits, and just a general overview …
 
AFib with Rapid Ventricular Rate (RVR) – Rate >110 Primary AFib – Patients symptoms or their hemodynamic instability is due to the AFib itself. Treatment is by rate or rhythm control. Secondary AFib – Patients AFib rate or their hemodynamic instability is due to an underlying secondary process (eg thyrotoxicosis, PE, sepsis, drugs, etc). Treatment …
 
Hey friends! Wow! Look at us go! We've reached over 45 countries and over 1200 downloads. I am so flattered and honoured to have this teeny tiny corner of the internet for all of you to listen and enjoy my educational podcasts. Today I wanted to talk about how all this learning is great, but it's also important to take minute to breathe, especially…
 
Hi Friends! If part one wasn't enough, here's part 2 of local anesthetics! This is a challenging concept for all of us so I urge you to do some extra reading on the subject. In this episode, we discuss the clinical applications of local anesthetics, examples and dosing of local anesthetics that are commonly used, and what to do in the case of local…
 
tPA usage is controversial. Listen to find out why. Read more to form your own opinions. Episode Sources: After Re-Analysis, No Trials Show Efficacy of tPA in Acute Ischemic Stroke Clinical Policy: Use of Intravenous Tissue Plasminogen Activator for the Management of Acute Ischemic Stroke in the Emergency Department Why we can’t trust clinical guid…
 
Hi Friends! Welcome back to the podcast for another episode! I hope you're all doing super well and enjoying the new year. Time to get back into those resolutions! Today we talk about local anesthetics, and get into the nitty gritty of things. I talk about the mechanism of action of the podcast, the basic structure of local anesthetic molecules, th…
 
Hi Friends, Welcome to another episode of the anesthesiology clerkship podcast! In today's episode, we talk about all things opioid-related PART 2. This is a two part episode because this topic is MASSIVE. Today we talk about the specific opioids you will come across, their dosing, their metabolism, and importantly, their primary effects. All infor…
 
Hi Friends, Welcome to another episode of the anesthesiology clerkship podcast! In today's episode, we talk about all things opioid-related. This is a two part episode because this topic is MASSIVE. Today we discuss what an opioid is, it's common uses, physiological side effects, and reversal agents. Stay tuned for the episode following where we go…
 
Hi Friends, Hope you are doing so well in the new year and have those resolutions on lock! We are almost at 1000 downloads and 20 episodes so buckle up for another on volatile anesthetics today. I go through all the basics of volatile anesthetics, their common uses, and common examples of the anesthetics used in the operating room. Everything we di…
 
Initial Assessment: Obtain Vitals and blood glucose level Time of onset (important for tPA/TNK vs thrombectomy) Neurologic and Cardiac Examination / NIHSS do not delay head CT to complete NIHSS, can always finish after CT Assess contraindications for tPA Workup: Labs: CBC, CMP, Troponin, Coags, EtOH, bedside accucheck CXR and UA (infections can cau…
 
Hi Friends! Hope you all are well and having an amazing holiday where ever you are! In today's brief episode, we discuss all things related to sedation. Its quick and dirty, but it goes over the basics of what you need to know, which is the most important thing right??!!! Right! Sit back, relax, pop in those buds for a brain walk and lets get down …
 
Hi Friends! Welcome back! I finally figured out my microphone situation, and today we talk about IV induction agents. I get into the nitty gritty of propofol, etomidate and ketamine and we also talk about a little bit of pharmacodynamics (not to be feared!) Pop in those ear buds and take a brain walk. Enjoy. Cheers! Lauren Rietchel UBC MD Class of …
 
ATLS – Advanced Traumatic Life Support Primary Survey Airway Breathing Circulation Disability Exposure Secondary Survey Head to Toe Examination Look for injury patterns and important injuries, such as Battle Sign (post auricular ecchymosis) Raccoon Eyes (infraorbital ecchymosis) Hemotympanum Nasal Septal Hematoma Urethral Injuries Circumferential B…
 
Hey Friends!! Hope you are all doing wonderfully! Today we talk about all things monitoring in anesthesia. I go over the basics of monitoring, what all the monitors in anesthesia are for, and how we apply them to diagnose problems. My microphone is having issues so I had to chop this episode up into about 5 sections, I apologize! I will be getting …
 
50% of cases of Pelvic Inflammatory Disease (PID) is caused by common STIs (Gonorrhea, Chlamydia ) but up to 50% is caused by native vaginal flora/other organisms No SINGLE historic, physical, or laboratory finding is both sensitive and specific for the diagnosis of acute PID Women with PID may be asymptomatic!! Presumptive treatment of PID […]…
 
Hi Friends! Today I discuss two different topics which include: Laryngeal Mask Airways or LMA's, and how to do a rapid sequence induction. LMA's are very commonly used in specific anesthesia settings, so it is important to know how they work. Rapid sequence inductions are commonly performed in emergency surgeries which can happen frequently dependi…
 
You are working a shift at ABEM General when three patients check in simultaneously at the start of your shift at 6AM. Initial Vitals#1 (Ms. Taylor, 65F with Back Pain) Temp 98.8 HR 120 RR 22 BP 210/110 O2 97% Critical Actions#1 (Ms. Taylor, 65F withBack Pain) Obtain Medication/Social Hx (Ciprofloxacin use, Cocaine use) Diagnose […]…
 
Hi Friends! In this episode, I speak all about difficult intubations. Since this podcast is meant to be at a clerkship level, I decided to keep this episode short and sweet. I hope you enjoy! Cheers, Lauren Rietchel UBC MD Class of 2022 Questions, comments, inquiries please email: anesthesiologyclerkshippodcast@gmail.com…
 
Cardiac Tamponade Cardiac Tamponade – A physiological state caused by a pericardial effusion in which the pressure in the pericardial sac is higher than the pressure inside the right sided chambers of the heart, leading to impaired filling, decreased cardiac output, and hemodynamic collapse. Pericardial Effusions – Can be caused by infections, rheu…
 
Hi Friends! I've missed you all, but I'm glad to be back for another fabulous episode of the pod. Today I kind of repeat myself (oops) but we talk about all things endotracheal tube intubation. I speak about the indications, how to intubate, what to monitor and check for after intubation. I apologize for any repeated information, but this is a conc…
 
This week Nabil and Andrew are joined by fellow queens med students Lewis Forward and Steph Jiang to discuss compassion in medicine. We have a rich conversation ranging from burnout and power dynamics to knowledge translation and the recent hospital protests. We also go on multiple ridiculous tangents and create a jingle for Balzacs coffee?…
 
Case Introduction You are working a shift at your local free-standing emergency room when a family of three checks in to be seen (a father and his two sons). Initial Vitals#1 (Chris, 18mo with stridor) Temp 100.4F HR 120 RR 40 O2 93% Critical Actions#1 (Chris, 18mo with stridor) Check pulse oximetry (hidden) Administer PO […]…
 
Hi Friends! Welcome back to another episode. Today we talk about post-operative nausea and vomiting or PONV, a very hot topic in anesthesiology. I talk about my own experience with PONV, its pathophysiology, risk factors and management strategies for PONV. Let's get into it! Cheers, Lauren Rietchel UBC MD Class of 2022 Questions, comments, inquirie…
 
Hyponatremia in the ED Four questions to ask yourself: Is the patient symptomatic from their hyponatremia (confusion, nausea/vomiting, ams, seizures, etc)? If not, outpatient followup (unless super low) Is the patient having severe neurologic symptoms from their hyponatremia? (seizures, AMS) If yes, treat with hypertonic saline (3%) Is the patient …
 
Hi Friends! Long time no speak. Welcome back to the anesthesiology clerkship podcast, thank you all so much for listening. We are really racking up the downloads here!! Today, I talk about all things bag valve mask ventilation and intubation in Anesthesiology. Have no fear, because we go through risk factors, signs of difficulty, how to actually in…
 
Hey friends! So today we talk about all things OR related. It may seem a bit scary, especially in 3rd year, but I'm here to chat to you about all things anesthesia OR related. You will be a pro in no time. In today's episode, we talk about setting up your anesthesia machine, how to draw up medications (don't do this, ask your preceptor first!), and…
 
Acetaminophen Overdose & Toxicology Pearls History: Figure out how much was taken, what time the ingestion occurred, and if any other toxins were ingested Physical Exam: Perform a regular physical exam, and in addition, perform the toxicologic physical exam! Check pupil size Assess neuromuscular status for rigidity/clonus Perform the “toxicologist …
 
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