EM Clerkship

CAUTION: THESE NOTES CONTAIN SPOILERS!!! Case Introduction The nurse is asking you to evaluate a 70 year old male who has been placed in a hall bed after hitting the back of his head. She wants to know if you would like to call a trauma alert... Initial Vitals Temp 103.7 (Hidden by Examiner) HR [...]

EM Clerkship’s 10 Step Patient Presentation Demographics (Age, Gender, Pertinent Medical/Surgical History, Chief Complaint) At Least 4 Descriptors (Location, Quality, Severity, Duration, Timing, Context, Modifying Factors) Red Flags/Pertinent Positives and Negatives Vital Signs Focused Physical Exam of the Complaint Suspected Diagnosis Can’t Miss Diagnosis Testing Plan Treatment Plan (If Asked) Anticipated Disposition Vital Signs “Vitals [...]

How do you oxygenate a patient (while you are preparing for RSI) if suction, moving the tongue, and basic BVM ventilation are unsuccessful? Pharyngeal Airways These tools bypass the posterior portion of the tongue to help with BVM ventilation Nasopharyngeal Airway (NP) Measure from earlobe to tip of nose TEST QUESTION: Don’t use in a [...]

Most Life Threatening Fungal Infection Mucormycosis Black facial discharge Cranial nerve dysfunction Facial swelling Eschar formation When to Suspect a Fungal Infection Immunocompromised (HIV, Diabetes, Organ Transplants, etc) Not getting better on typical antibiotics Other Fungal Infections Aspergillus Aspergilloma Bronchopulmonary Aspergillosis Invasive Aspergillosis Coccidiomycosis Southwestern United States Histoplasmosis North Central United States Blastomycosis Southeast United [...]

You are working at Clerkship General when the next patient is put into your rack. It is an 8 year-old male with vomiting Initial Vitals: HR: 119 BP: 104/63 Temp: 98.0F RR: 20 O2: 99% (Room Air) Critical Actions: References: Mellick LB, Sinex JE, Gibson RW, Mears K. A Systematic Review of Testicle Survival Time [...]