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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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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?…
 
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 …
 
Hi Friends! So today's episode is a little different. I'm all up in my feels today and thought I would share a few experiences about when my patients died and tips on how to deal with this as a healthcare worker. Hope you are all hanging in there! You are a superstar and never forget it! More educational context to come next week. Please email anes…
 
Hi friends! Here in episode six, I teach you about all things related to pre-operative medications. This includes going through the medications that you might want to alert your attending to when you meet your patient for the first time. Have an anxious patient? That sounds like a job for...pre-medication!! Haha. Enough with the dad jokes. Enjoy. H…
 
Hi Friends! Here in episode FIVE (we made it) I teach you about all things related to making a pre-operative risk assessment. This includes going through the ASA classification system, the Revised Cardiac Risk Index, and how a risk assessment fits into the overall practice of a pre-operative evaluation of a patient. The accurate and thorough risk a…
 
Hey y'all! Another episode of the pod. Today we talk about all things pre-operative physical exam for anesthesia clerkship student. It includes basic rules that you should follow during your pre-operative assessment, as well as labs that you might consider ordering. Hope you enjoy! Cheers, Lauren Rietchel Any questions, comments, corrections please…
 
CAUTION: THESE NOTES CONTAIN SPOILERS!! Case Introduction You are working a shift at EM Clerkship General when you receive a radio call from EMS who are bringing in a young female who was found unresponsive. Initial Vitals Temp 98.0F HR 97 RR 16 BP 120/80 O2 98% Critical Actions Obtain collateral history from EMS/friends Administer […]…
 
Welcome back to the movie clerks podcast. this week we talk 007 and the many secrets of coconut oil with special guest RidiculousHat. The movie clerks Presented by HMGLLC dot SHOP, here’s what’s on network this week. After6 podcast every Monday Big Friendly Letters new episode premiers on Big Friendly Friday every Friday The movie clerks Re-Watch W…
 
Hey y'all! Welcome back for another episode of the Anesthesia Clerkship Podcast. In this episode I discuss part two of a two part series of the pre-operative history taking, arguably one of the most important aspects of anesthesia. As well, I will be changing the name of the podcast at some point because there is another one with the same name haha…
 
Hey y'all! Welcome back for another episode of the Anesthesia Clerkship Podcast. In this episode I discuss part one of a two part series of the pre-operative history taking, arguably one of the most important aspects of anesthesia. As well, I will be changing the name of the podcast at some point because there is another one with the same name haha…
 
In this episode we highlight ClerQ Aid, a medical education app created by Matthew Gynn and over 60 medical students from Queen's University. We delve into the details of the app and its inception, translatable lessons/inspirations, and end off with pearls of wisdom related to the Clerkship experience!…
 
Asymptomatic Hypertension Make SURE the patient isn’t having symptoms of end organ dysfunction, which could make this hypertensive emergency (confusion, severe headache, blurry vision, weakness, chest pain, shortness of breath, seizures during pregnancy, etc). ACEP clinical policy states, that in the patient with true asymptomatic hypertension who …
 
Welcome back to the Movie Clerks. This week in our Sunday conversation we deep dive NO SUDDEN MOVE streaming now on HBOMAX starring DON CHEADLE - BENICIO DEL TORO - BRENDAN FRASER - KIERAN CULKIN - DAVID HARBOR - JON HAMM www.twitter.com/SCOOTER2621 www.twitter.com/BitesizedAC www.HyperrealMG.com The Movie Clerks covers what's on where for DISNEY+ …
 
Hi Friends! Here in episode one I teach you about all things related to the scope of anesthesia. This includes the areas of practice of anesthesia, what the word even means, the goals of anesthesia and the types of anesthesia you will encounter. I also introduce the basic steps in deciding on an anesthetic plan. Please direct any questions or inqui…
 
CAUTION: THESE NOTES CONTAIN SPOILERS!! Case Introduction You are working a shift at EM Clerkship General when you are handed the next chart, a 60 year old male presenting with high blood pressure. Initial Vitals Temp 98.0F HR 90 RR 18 BP 220/120 O2 98% Critical Actions Perform thorough neurological exam (and find papilledema) Diagnose […]…
 
The movie clerks minute is presented by HMGLLC dot SHOP, here’s what’s on this week. After6 podcast every Monday Big Friendly Letters new episode premiers on Big Friendly Friday every Friday The movie clerks, hey that’s this podcast, right here on this RSS feed Re-Watch Wednesday new episode on Sundays. Music for movie clerks minute provided by Hea…
 
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