Guillian Barre Syndrome : A progressive, autoimmune acute inflammatory demyelinating polyneuropathy leading to weakness, neuropathic pain, sensory changes, and can cause respiratory failure. Critical Actions:

Orbital Compartment Syndrome (Deep Dive MW R21)

21 days ago 13m 16s

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 i

Round 21 (MW) Geriatric Fall

Jun 1st, 2024 32m 15s

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:

Ischemic Stroke (Deep Dive MW R20)

May 16th, 2024 17m 51s

Symptoms of stroke – weakness, facial droop, slurred speech. vision loss, vertigo, ataxia, confusion or changes to mental status. The “typical” stroke workup – blood glucose level, CTH non-con, CTA head/neck, CT Perfusion, CBC BMP Troponin EK

Round 20 (MW) Stroke Symptoms

May 1st, 2024 32m 50s

You are working at Clerkship General when one of the nurses comes and grabs you. “Hey doc, we need you in bed 10. I think this patient is having a stroke.” Initial Vitals: HR: 51 BP: 201/98 Temp: 98.0F RR: 18 O2: 99% (Room Air) Critical Actions

Testicular Torsion (Deep Dive MW R19)

Apr 16th, 2024 9m 46s

Round 19 (MW) Tummy Ache in Child with Diabetes

Apr 2nd, 2024 31m 40s

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

Ethylene Glycol (Deep Dive MW R18)

Mar 16th, 2024 18m 28s

Phase One: CNS Phase Two: Cardiopulmonary Phase Three: Renal Diagnosis: Treatment: Further Reading: EMCrit Toxic Alcohols

Round 18 (MW) Drunk Man Wants Pizza

Mar 1st, 2024 36m 40s

You are working at Clerkship General when you hear an EMS call on the radio. Clerkship General, we are bringing you Arthur. He is intoxicated… Again Initial Vitals: HR: 116 BP: 150/70 Temp: 98.8 RR: 26 O2: 85% (Room Air) Critical Actions:

Pre-Eclampsia (Deep Dive MW R17)

Feb 16th, 2024 16m 29s

Hypertensive Emergencies of Pregnancy PreEclampsia, Eclampsia, HELLP syndrome Diagnosis: BP >140/90 plus end organ dysfunction Treatment

Round 17 (MW) Headache

Feb 1st, 2024 30m 27s

You are working at Clerkship General when the next chart is put in your rack. It’s a 41-year-old female with a chief complaint of headache. Initial Vitals: HR: 56 BP: 172/93 Temp: 98.8F RR: 18 O2: 97% Critical Actions:

Pulmonary Embolism (Deep Dive MW R16)

Jan 17th, 2024 20m 55s

Diagnosing PE: Step 1: Consciously consider the diagnosis Step 2: Risk Stratify into low, intermediate, and high risk Step 3: Choose appropriate testing based on pre-test probability Classification of PE Treatment of PE

Round 16 (MW) Leg Pain

Jan 1st, 2024 27m 15s

You are working at Clerkship General when you overhear the base command radio. “Clerkship General. We have a 57 year-old female coming in for leg pain. She just had surgery at your hospital. Her blood pressure is 85/50. We’ll be there in 5 minu

Shock (Deep Dive R15 MW)

Dec 17th, 2023 15m 44s

Shock – A state of deranged physiology characterized by systemic, widespread hypoperfusion

Round 15 (MW) MVA

Dec 2nd, 2023 28m 1s

You are working at Clerkship General when you hear and EMS call on the radio. “Clerkship General, we are activating a trauma alert. We are bringing you a 33 year old male from a high-speed single vehicle collision” Initial Vitals: HR: 65 BP: 88

Pediatric Septic Arthritis (Deep Dive R14 MW)

Nov 15th, 2023 13m 22s

Round 14 (MW) Leg Pain

Nov 1st, 2023 34m 57s

You are working a beautiful sunny day in Pennsylvania when the next chart gets put in your rack. It is a 2 year-old male with a leg injury. Initial Vitals: HR: 112 BP: 97/67 Temp: 99.2F RR: 20 O2: 97% Room Air Critical Actions:

Asthma (Deep Dive R13 MW)

Oct 15th, 2023 24m 44s

Round 13 (MW) Respiratory Distress

Oct 1st, 2023 30m 55s

You are working at Clerkship General when you hear an EMS call: “Clerkship General, we are bringing you a young female in respiratory distress. ETA 2 minutes” Initial Vitals: HR: 123 BP: 142/78 Temp: Unknown RR: 36 O2: 97% (NonRebreather) Criti

Organophosphate Poisoning (Deep Dive R12 MW)

Sep 16th, 2023 16m 45s

Introduction Clinical Presentation Treatment

Round 12 (MW) Respiratory Distress

Sep 1st, 2023 33m 16s

You are working at Clerkship General when you hear an EMS call on the radio. “Clerkship General. We are bringing you an unresponsive 6-year-old female found foaming at the mouth by her babysitter. ETA 2 minutes.” Initial Vitals: BP: 125/80 HR:

OBGYN: The Vaginal Delivery (Pt 2)

Aug 15th, 2023 16m 15s

Shoulder dystocia is an OB emergency. Remember McRobert’s maneuver and suprapubic pressure. For more information, take a look at the resources below. References ACOG- Shoulder Dystocia AAFP- Shoulder Dystocia

OBGYN: The Vaginal Delivery (Pt 1)

Aug 1st, 2023 25m 51s

Maddie’s 7 Cardinal Movements of a Successful Delivery: 1. Head comes out 2. Head turns 3. Cord Assessment 4. Anterior shoulder delivered 5. Posterior shoulder delivered 6. Body delivered. 7. Baby on mom’s chest T’s of Postpartum Hemorrhage: 1.

The Ischemic EKG (Deep Dive R11 MW)

Jul 15th, 2023 20m 15s

The 6 STEMI Equivalents: Other atypical ischemic EKG findings: Further Reading (see photos in the article): ECG Diagnosis of Life-Threatening STEMI Equivalent’s: Journal of the American College of Cardiology

Round 11 (MW) Chest Pain

Jul 2nd, 2023 28m 27s

You are working at Clerkship Rural when the nurse hands you your next chart to see. It’s a 59 year old farmer with chest pain. Initial Vitals: BP: 156/97 HR: 110 RR: 22 O2: 98% (Room Air) Temp: 98.8F Critical Actions: