EM Clerkship

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March 2025 Update Mar 19, 2025

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New Zealand Mar 03, 2025

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Learn about Maddie’s experience in New Zealand as well as unique aspects of New Zealand medical practice. Disclaimer: This is based on personal experience. If you’d like to learn more, some resources are listed below.
https://www.mcnz.org.nz/about-us/glossary
https://pharmac.govt.nz/about/what-we-do/how-pharmac-works
https://www.acc.co.nz
https://www.luc.edu/media/lucedu/law/centers/healthlaw/pdfs/advancedirective/pdfs/8/robin.pdf
https://nzformulary.org

Deep Dive R29 MW Feb 20, 2025

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Round 29 (MW) Pediatric Respiratory Distress Feb 01, 2025

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You are working at Clerkship General when the triage nurse walks back and gets you. “Hey doc, we just put a hypoxic infant in bed 7”.
Initial Vitals:
HR: 168
RR: 44
BP: 81/40
O2: 81% (Room Air)
Critical Actions:
* Administer oxygen
* Obtain chest xray
* Correctly perform tube thoracostomy
* Initiate non-accidental trauma workup
* Complete mandated reporting

Deep Dive R28 MW Jan 16, 2025

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Round 28 (MW) – Hypothermia Jan 02, 2025

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You are working at Clerkship General on New Year’s Day when you see a nurse running from triage. He is carrying an unresponsive child to the resuscitation bay.
Initial Vitals:
HR: 43
BP: 47/20
Temp: 66F
RR: 4
O2: 95% (BVM)
Critical Actions:
* Obtain Core Temperature
* Use the Broslow Tape
* Follow PALS
* Begin Invasive Warming
* Transfer for ECMO

Deep Dive R27 MW Dec 16, 2024

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Round 27 (MW) Geriatric Fever Dec 06, 2024

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You are working at Clerkship General when you hear an EMS call on the base command radio. “Clerkship General. We are bringing you a minimally responsive 79 year-old female found lying on the floor inside her apartment. ETA 5 minutes”
Initial Vitals:
HR: 143
BP: 160/105
Temp: 106.3F
RR: 22
O2: 99% Room Air
Critical Actions:
* Blood glucose
* Obtain core temperature
* Rapidly cool the patient
* Diagnose rhabdomyolysis

Deep Dive R26 MW Nov 15, 2024

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Round 26 (MW) Dizziness and Fatigue Nov 01, 2024

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Introduction:
You are working at Clerkship General when the next chart is handed to you. It’s a 35-year-old female with a chief complaint of dizziness and fatigue. She is here accompanied by her husband.
Initial Vitals:
HR: 118
BP: 150/91
Temp: 100.4F
RR: 20
O2: 99% Room Air
Critical Actions:
* Check pregnancy test
* Check hemolysis labs
* Diagnose TTP
* Consult hematology
* Initiate treatment for TTP

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