Detailed
Compact
Art
Reverse
September 22, 2019
Courtesy of LITFL Medical Blog https://creativecommons.org/licenses/by-nc-sa/4.0/
September 16, 2019
September 8, 2019
August 25, 2019
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 me, for the purpose of medical education and improving patient care. Topics are chosen from the publicly available ABEM model of clinical practice and are built from scratch using a my own custom template. If you would like a copy of this template, please email me and I can send you a copy. -Zack
July 21, 2019
Great blog post on topic… https://first10em.com/uti/
July 14, 2019
All women of childbearing age with abdominal pain need a pregnancy test
July 7, 2019
Advising and Application Tips (35:45) UPDATE: The PICU rotation for this program has been moved to Nationwide Children’s Hospital in Columbus, OH.
June 16, 2019
Advising and Application Tips (32:50)
May 26, 2019
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 Plan* (If Asked) Anticipated Disposition
May 19, 2019
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 Plan* (If Asked) Anticipated Disposition
May 12, 2019
Long distance family relationships and Emergency Medicine
May 5, 2019
Oral Boards this week!
April 28, 2019
General Program Info (1:45) Day in the Life (8:08) Unique Stuff about Program (16:20) Advising and Application Tips (35:03)
April 21, 2019
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, Chin MH. Religious characteristics of U.S. physicians: a national survey. J Gen Intern Med. 2005;20(7):629-34. The Resurrection of the Son of God (Christian Origins and the Question of God, Vol. 3) -N.T. Wright (Amazon)
April 14, 2019
The follow through and the CLOSE
April 7, 2019
Your patient presentation and helping the resident/attending
March 31, 2019
Tips and tricks for your physical exam
March 24, 2019
Taking a patient history
March 17, 2019
Congratulations on Matching into EM! This is how you should study during residency…
March 10, 2019
Specific tips on how to take “ownership” of your patients.
March 3, 2019
No BS, No cliche, specific tips on how to do well on your EM rotation. The ideal attitude of an EM student.
February 24, 2019
What is the knowledge set, lifestyle, and personality of an EM doctor?
February 17, 2019
State of the Podcast
February 6, 2019
Thank you to our EMS. There will be no episode this weekend. I plan on postponing the 2019 kickoff episode until next week out of respect for recent events. The pre-recorded 2019 kickoff episode will post at that time and we will be back on a normal schedule and with normal content. Thanks, Zack https://www.nbc4i.com/news/local-news/memorial-held-for-crew-members-killed-in-survival-flight-crash/1759423171 Pilot: Jennifer Topper Flight Paramedic: Bradley Haynes Flight Nurse: Rachel Cunningham
February 3, 2019
Plan B. What to do when you CAN’T intubate a patient.
January 27, 2019
How to intubate a patient…
January 20, 2019
This week we continue our discussion (started several years ago) on the most important procedural skill set in Emergency Medicine…. Airway!
January 13, 2019
Super random. Except for mucormycosis. Remember mucormycosis!
January 6, 2019
My personal strategy on how I keep life organized and get stuff done. 
December 30, 2018
Simple. Pragmatic. Palliative Care. Lunney JR, Lynn J, Foley DJ, Lipson S, Guralnik JM. Patterns of Functional Decline at the End of Life. JAMA. 2003;289(18):2387–2392. doi:10.1001/jama.289.18.2387
December 25, 2018
Flying Reindeer, Ham Heart, and the Nativity
December 23, 2018
Medical Clearance and Risk Assessment
December 16, 2018
December 9, 2018
OBGYN
December 2, 2018
Miscellanous
November 25, 2018
Cardiology. Pulmonology.
November 18, 2018
More on Abdominal Pain
November 11, 2018
Gastroenterology
November 4, 2018
Arrythmias
October 28, 2018
Ophthalmology, Tox, and other Ingestions
October 21, 2018
Topics specific to EM
October 14, 2018
Pediatrics
October 7, 2018
Trauma
September 30, 2018
Introduction and Electrolytes
September 23, 2018
Cancelling my episode this week. Be careful with what you post online and find a mentor!
September 16, 2018
Congratulations on getting those applications submitted! This week I will give some tips for interview season.
September 9, 2018
When should you stop CPR and pronounce death?  Jordan MR, O’keefe MF, Weiss D, Cubberley CW, Maclean CD, Wolfson DL. Implementation of the universal BLS termination of resuscitation rule in a rural EMS system. Resuscitation. 2017;118:75-81. Jabre P, Bougouin W, Dumas F, et al. Early Identification of Patients With Out-of-Hospital Cardiac Arrest With No Chance of Survival and Consideration for Organ Donation. Ann Intern Med. 2016;165(11):770-778. Goto Y, Funada A, Goto Y. Duration of Prehospital Cardiopulmonary Resuscitation and Favorable Neurological Outcomes for Pediatric Out-of-Hospital Cardiac Arrests: A Nationwide, Population-Based Cohort Study. Circulation. 2016;134(25):2046-2059.
September 2, 2018
Kidney stones are a diagnosis of exclusion. When you see flank pain or testicular pain or lower abdominal pain on that triage note, you have to consider leaking abdominal aortic aneurysm as well.
August 26, 2018
Kidney stones are a diagnosis of exclusion. When you see flank pain or testicular pain or lower abdominal pain on the triage note, you have to consider testicular torsion. Testicular torsion is a high risk, high morbidity diagnosis that is very time sensitive. 
August 19, 2018
Kidney stones are a diagnosis of exclusion…
August 12, 2018
In this 5 part series I will be reflecting on a list of non-clinical stuff I learned while in residency. This week: Humility, Listening, and Patients Per Hour.
August 5, 2018
In this 5 part series I will be reflecting on a list of non-clinical stuff I learned while in residency. This week: showing up on time, voicing concerns, written evaluations, and watching what you say.
July 29, 2018
In this 5 part series I will be reflecting on a list of non-clinical stuff I learned while in residency. This week: managing time, what to study during your 1st year of residency, sleep, and annoying colleagues.
July 22, 2018
In this 5 part series I will be reflecting on a list of non-clinical stuff I learned while in residency. This week: podcasts, heroes, the pillars of EM, and disagreeing with your attending.
July 15, 2018
In this 5 part series I will be reflecting on a list of non-clinical stuff I learned while in residency. This week: disability insurance, stuff that gets you fired, and “purpose”.
July 8, 2018
Vents are easy!!!! Today we will discuss the basic approach to using a ventilator machine.
July 1, 2018
Cold. Dark. Quiet. Get exercise. Avoid alcohol. 
June 24, 2018
We are considering rabies prophylaxis on all animal bites or scratches that come to the Emergency Department. We don’t have to give it every time, but there is a specific protocol we’re supposed to follow
June 17, 2018
You have to be very knowledgable about occupational exposures because this is the only chief complaint that I guarantee, you will eventually manage in a colleague. LEARN THIS. 
June 10, 2018
Breast complaints are usually pretty straight forward. Just remember that all breast complaints are cancer until proven otherwise.
June 3, 2018
Neonatal conjunctivitis is a quick topic, but has some big LIFE THREATS which you’ll need to know for both real life and your test. 
May 27, 2018
This is a concept episode for a series of lectures on Emergency Dermatology (one of my favorite topics). Over the course of several episodes, we will develop an organized, systematic, visual approach to the diagnosis of all life threatening rashes as well as the majority of the other rashes you will see in the ED. 
May 20, 2018
Subarachnoid hemorrhage is the king of life-threatening headaches and is on my differential every time. This episode will cover how to take the history, exam, testing and treatment of this devastating diagnosis.
May 13, 2018
Babies frequently have red stuff in their diapers, and when they do, mom will rush them to the department concerned that they are having a fatal GI bleed. Usually it’s not… 
May 6, 2018
Most nutrition disorders are common sense, and we don’t really treat them in the ED very often. Vitamin D deficiency with it’s osteoporosis, Vitamin C with scurvy, and iron deficiency anemia. But there are several nutritional disorders that we do see frequently in the ED. They hide in the shadows of your most malnourished patients, and you can save them if you catch the disease in time. 
April 29, 2018
When patient’s come in with MI or shortly after having an MI, you need to think beyond “Is this another heart attack?”. There is a whole list of complications from heart attacks that you need to remember, and that is what we’re covering this week.
April 22, 2018
tPA bleeding isn’t the most high yield scenario for your clerkship, but it is a perfect case to review the physiology of hemostasis and also might save a life when you’re a resident or attending someday. 
April 15, 2018
tPA is currently the core treatment for ischemic stroke, and this week we will discuss some of the physiology on how this drug works as well as how to remember a VERY important list of tPA contraindications. 
April 8, 2018
In this episode we will discuss 5 major allopathic Emergency Medicine organizations in the US and the differences between them. 
April 1, 2018
There have been numerous changes recently in sepsis definitions. This is an update to our sepsis episode from last year. 
March 25, 2018
Neonatal jaundice is a common complaint in pediatric emergency medicine and a very high yield topic for your test. Identify one of 3 causes of neonatal jaundice while keeping the bilirubin number low enough to avoid brain damage.
March 18, 2018
It’s time to stop thinking in quadrants…
March 14, 2018
Good luck!!!
March 11, 2018
When we get labs, we are usually getting a CBC as part of our testing. This week we will discuss what to do when the patient has a thrombocytopenia that you weren’t expecting.
March 4, 2018
Nausea and vomiting has a HUGE differential diagnosis but usually ends up being simple gastritis in the end. This week we will discuss a basic approach, treatment protocol, as well as to help out your attending.
February 25, 2018
We commonly see patients with advanced liver disease in the Emergency Department and we screen all of them for 5 common complications every time.
February 18, 2018
For our series finale we will review the 5 mega abdominal emergencies in kids as well as briefly discuss non-accidental trauma.
February 11, 2018
Don’t be scared of the inborn errors of metabolism and endocrinology. They are really quite simple to screen for. Focus less on knowing the details of each one, and more on the general concept of what byproducts are building up and what substance is missing.
February 4, 2018
Cyanosis, difficulty feeding, failure to thrive, and shock can all be the presenting symptom of a cardiac abnormality. We will briefly overview cyanotic heart lesions, ductal dependent lesions, and CHF today.
January 28, 2018
Physicians get concerned about 4 serious bacterial infections (SBIs) when a baby or young child comes in with fever or possible sepsis. UTI, bacteremia, meningitis, and pneumonia. Start those antibiotics early, especially if the child appears sick.
January 21, 2018
H stands for hyperglycemia and hypoglycemia. Always check that blood sugar when you have a sick pediatric patient!
January 14, 2018
OH SHIT (grab the Broselow) is the mnemonic I use to help me think through my approach to the sick child. This week we are covering oxygenation, airway and respiratory disorders.
January 7, 2018
This is the introduction episode for our upcoming series on the approach to a sick child.
December 31, 2017
As another special holiday treat we will be talking about the Big 3 hemostatic disorders that make people bleed too easily and how to fix them.
December 24, 2017
I just stumbled on a study by The Doctors Company, a big malpractice insurer, looking at 332 closed claims against ED physicians. MOST of these cases were from missed or delayed diagnosis, and statistically, it was TWELVE diagnoses that made up the majority of these. So, in the musical spirit of Christmas,  my gift to you is the most high yield, medicolegal, differential diagnosis that exists In the world… Happy Holidays! ~~~~~~~~ The Doctors Company. Emergency Medicine Closed Claims Study. April 2015. Accessed December 22, 2017 *Music Licensed by AudioJungle
December 17, 2017
Have a great week. No episode. We’re working on updating the show notes.
December 10, 2017
Performing an emergency delivery is very intimidating. The good news is that in most scenarios, as long as you don’t drop the baby, it should go very naturally. However, there are exceptions to this which we will cover today.
December 3, 2017
EM physicians are the masters of EKG interpretation. We will cover an organized EKG interpretation system today with an emphasis on identifying life threats, and this will act as the foundation for your EKG interpretation skills for the rest of your career.
November 26, 2017
Sick. Not sick. This week we will discuss the fundamental pediatric exam that you need to remember regardless of how the patient looks.
November 19, 2017
Really sick kids and babies are some of the scariest and most difficult cases we get in Emergency Medicine. This week we’re going to start with the general approach to the less-sick pediatric patient. We will use this as the groundwork for future episodes.
November 12, 2017
One of the topics that we typically DONT study much in Emergency Medicine is tropical medicine, and specifically fever in returning travelers. The reason this is important, is because MALARIA is a huge life threat in this patient population that can be easily missed. It is very important to ask about recent travel and then go through a simple approach when they say “yes”.
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