EM Clerkship
Episodes
Upstairs Episode 1 – Psychiatry
27 Dec 2025
Contributed by Lukas
Welcome to Isobel’s new series called “Upstairs”, where she gives us various pearls and teaching points from her experiences on off ...
Deep Dive R6 (IT)
17 Dec 2025
Contributed by Lukas
Round 6 (IT) – Diarrhea
02 Dec 2025
Contributed by Lukas
Deep Dive R5 (SR)
18 Nov 2025
Contributed by Lukas
Round 5 (SR) – Stridor
01 Nov 2025
Contributed by Lukas
Deep Dive R4 (IT)
15 Oct 2025
Contributed by Lukas
Round 4 (IT) – Abdominal Pain
01 Oct 2025
Contributed by Lukas
Deep Dive R3 (SR)
16 Sep 2025
Contributed by Lukas
Round 3 (SR) – Motor Vehicle Collision
02 Sep 2025
Contributed by Lukas
Deep Dive R2 (IT)
15 Aug 2025
Contributed by Lukas
Round 2 (IT) – Palpitations
01 Aug 2025
Contributed by Lukas
Deep Dive R1 (SR)
15 Jul 2025
Contributed by Lukas
Round 1 (SR) – Shortness of Breath
01 Jul 2025
Contributed by Lukas
Deep Dive R32 MW
16 Jun 2025
Contributed by Lukas
Round 32 (MW) – Altered Mental Status
02 Jun 2025
Contributed by Lukas
Deep Dive R31 MW
31 May 2025
Contributed by Lukas
Deep Dive - Decompensated Hypothyroidism
Round 31 (MW) – Confusion
21 May 2025
Contributed by Lukas
Deep Dive R30 MW
25 Apr 2025
Contributed by Lukas
Round 30 (MW) – Constipation
05 Apr 2025
Contributed by Lukas
April 2025 Update
03 Apr 2025
Contributed by Lukas
March 2025 Update
19 Mar 2025
Contributed by Lukas
New Zealand
03 Mar 2025
Contributed by Lukas
Learn about Maddie’s experience in New Zealand as well as unique aspects of New Zealand medical practice. Disclaimer: This is based on personal expe...
Deep Dive R29 MW
20 Feb 2025
Contributed by Lukas
Round 29 (MW) Pediatric Respiratory Distress
01 Feb 2025
Contributed by Lukas
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 Vita...
Deep Dive R28 MW
16 Jan 2025
Contributed by Lukas
Round 28 (MW) – Hypothermia
02 Jan 2025
Contributed by Lukas
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 resusci...
Deep Dive R27 MW
16 Dec 2024
Contributed by Lukas
Round 27 (MW) Geriatric Fever
06 Dec 2024
Contributed by Lukas
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 respon...
Deep Dive R26 MW
15 Nov 2024
Contributed by Lukas
Round 26 (MW) Dizziness and Fatigue
01 Nov 2024
Contributed by Lukas
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 dizzine...
Deep Dive R25 MW
17 Oct 2024
Contributed by Lukas
Transcript/Summary coming soon!
Round 25 (MW) Laboring Mom in Triage
01 Oct 2024
Contributed by Lukas
You are working at Clerkship General when you hear a woman screaming from triage… It’s baby time! Initial Vitals: HR: 120 RR: Shallow O2: 58% Crit...
Deep Dive MW R24
16 Sep 2024
Contributed by Lukas
Transcript coming soon!
Round 24 (MW) Nursing Home Transfer
02 Sep 2024
Contributed by Lukas
You are working at Clerkship General when the nurse comes up to you and says, “Hey doc, EMS dropped off this guy named Randy from the memory care un...
Deep Dive MW R23
17 Aug 2024
Contributed by Lukas
Episode summary coming soon!
Round 23 (MW) Pediatric Altered Mental Status
01 Aug 2024
Contributed by Lukas
You are working at Clerkship General when you hear an EMS call on the radio. “Clerkship General, we are bringing you a 3 year old female with compla...
Deep Dive MW R22
16 Jul 2024
Contributed by Lukas
Guillain-Barre Syndrome (GBS) – Autoimmune polyneuropathy that results in widespread demylination of peripheral nerves Typically occur 1 week after ...
Round 22 (MW) Fall with Weakness
03 Jul 2024
Contributed by Lukas
Critical Actions:
Deep Dive MW R21
16 Jun 2024
Contributed by Lukas
Orbital Compartment Syndrome – needs to be diagnosed CLINICALLY On exam, LOOK for: Proptosis, Ophthalmoplegia, Afferent Pupillary Defect, Vision Los...
Round 21 (MW) Geriatric Fall
01 Jun 2024
Contributed by Lukas
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: ...
Deep Dive MW R20
16 May 2024
Contributed by Lukas
Symptoms of stroke – weakness, facial droop, slurred speech. vision loss, vertigo, ataxia, confusion or changes to mental status. The “typical”...
Round 20 (MW) – Weakness
01 May 2024
Contributed by Lukas
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 s...
Deep Dive MW R19
16 Apr 2024
Contributed by Lukas
* Common during the first year of life as well as during puberty * Presents with nausea/vomiting, abdominal pain, and/or testicular pain * ALWAY...
Round 19 (MW) – Pediatric Abdominal Pain
02 Apr 2024
Contributed by Lukas
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: 1...
Deep Dive MW R18
16 Mar 2024
Contributed by Lukas
Phase One: CNS Phase Two: Cardiopulmonary Phase Three: Renal Diagnosis: Treatment: Further Reading: EMCrit Toxic Alcohols
Round 18 (MW) – Intoxication
01 Mar 2024
Contributed by Lukas
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...
Deep Dive MW R17
16 Feb 2024
Contributed by Lukas
Hypertensive Emergencies of Pregnancy PreEclampsia, Eclampsia, HELLP syndrome Diagnosis: BP 140/90 plus end organ dysfunction Treatment
Round 17 (MW) Headache
01 Feb 2024
Contributed by Lukas
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 ...
Deep Dive MW R16
17 Jan 2024
Contributed by Lukas
Diagnosing PE: Step 1: Consciously consider the diagnosis Step 2: Risk Stratify into low, intermediate, and high risk Step 3: Choose appropriate testi...
Round 16 (MW) Leg Pain
01 Jan 2024
Contributed by Lukas
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 pa...
Deep Dive MW R15
17 Dec 2023
Contributed by Lukas
Shock – A state of deranged physiology characterized by systemic, widespread hypoperfusion
Round 15 (MW) MVA
02 Dec 2023
Contributed by Lukas
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 ...
Deep Dive MW R14
15 Nov 2023
Contributed by Lukas
* Differential * Traumatic causes: non-accidental trauma, fracture, dislocation, sprain, strain, tendonitis, osgood schlatter * Non-traumatic ca...
Round 14 (MW) Leg Pain
01 Nov 2023
Contributed by Lukas
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 Vi...
Deep Dive MW R13
15 Oct 2023
Contributed by Lukas
* Focused Physical Exam * Tachypnea and Hypoxemia * Able to speak in complete sentences * Accessory muscle use/retractions * Moving air or q...
Round 13 (MW) Respiratory Distress
01 Oct 2023
Contributed by Lukas
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 ...
Deep Dive MW R12
16 Sep 2023
Contributed by Lukas
Introduction Clinical Presentation Treatment
Round 12 (MW) Respiratory Distress
01 Sep 2023
Contributed by Lukas
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 fema...
OBGYN: The Vaginal Delivery (Pt 2)
15 Aug 2023
Contributed by Lukas
Shoulder dystocia is an OB emergency. Remember McRobert’s maneuver and suprapubic pressure. For more information, take a look at the resources below...
OBGYN: The Vaginal Delivery (Pt 1)
01 Aug 2023
Contributed by Lukas
Maddie’s 7 Cardinal Movements of a Successful Delivery: 1. Head comes out 2. Head turns 3. Cord Assessment 4. Anterior shoulder delivered 5. Posteri...
Deep Dive MW R11
15 Jul 2023
Contributed by Lukas
The 6 STEMI Equivalents: Other atypical ischemic EKG findings: Further Reading (see photos in the article): ECG Diagnosis of Life-Threatening STEMI Eq...
Round 11 (MW) Chest Pain
02 Jul 2023
Contributed by Lukas
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: 1...
Deep Dive MW R10
17 Jun 2023
Contributed by Lukas
Consider removing the terminology “Agitated Delirium” from your vocabulary, as there is significant racial bias behind this term.
Round 10 (MW) Agitation
01 Jun 2023
Contributed by Lukas
You are working at Clerkship General when you hear an EMS call on the radio… “CLERKSHIP GENERAL – We are bringing you an agitated and combative ...
Deep Dive MW R9
16 May 2023
Contributed by Lukas
Indications for LP: CNS infection, SAH, Guillian Barree, IIH Contraindications for LP: Space occupying lesion with mass effect ; severe thrombocytopen...
Round 9 (MW) Altered Mental Status
01 May 2023
Contributed by Lukas
You are working at Clerkship General when the charge nurse comes and grabs you… “Hey doc, we need you in room 2, this kid looks sick…” Initial...
Deep Dive MW R8
16 Apr 2023
Contributed by Lukas
* Two Types of Priapism * Low Flow “Ischemic” (Most Common 95% of Cases) * Urologic Emergency * Results in Erectile Dysfunction * Painful ...
Round 8 (MW) Groin Pain
01 Apr 2023
Contributed by Lukas
You are working at Clerkship General on an overnight shift when the next chart is handed to you. It’s a 35 year old male with a chief complaint of g...
Deep Dive MW R7
16 Mar 2023
Contributed by Lukas
Obtain IV Access – get two large bore IVs (18g or larger) Resuscitate – un-crossmatched blood at first, don’t forget type and screen! Medicate –...
Round 7 (MW) – Vomiting Blood
01 Mar 2023
Contributed by Lukas
You are working at Clerkship General when the charge nurse grabs you – “hey we got a real sick one, a 57yo Male who I just put in the resuscitatio...
Flash Pulmonary Edema (aka SCAPE)
19 Feb 2023
Contributed by Lukas
* “Sympathetic Crashing Acute Pulmonary Edema” * Pathophysiology – Rapid onset of pulmonary edema caused by sudden hypertension * Triggers- ...
Opioid Use Disorder – What You Do Matters!
01 Feb 2023
Contributed by Lukas
In this long-form episode we will discuss opioid use disorder, the leading cause of death in young adults in the United States. What you do matters! R...
The Rank List
20 Jan 2023
Contributed by Lukas
This episode will answer 3 big pre-Match Day questions: 1. How do I go about making my rank list? 2. What about post-interview communication both from...
Deep Dive MW R6
16 Jan 2023
Contributed by Lukas
Aortic Dissection – when there is a tear in the intima layer of the aorta and the blood dissects the intima away from the media creating a false lum...
Round 6 (MW) – Weakness
02 Jan 2023
Contributed by Lukas
You are working at Clerkship General when the base command phone rings – “Hey doc just wanted to give you a heads up on this stroke alert we’re ...
New Years Resolutions
16 Dec 2022
Contributed by Lukas
Not your typical wellness episode – by Zack
Round 5 (MW) – Leg Pain
02 Dec 2022
Contributed by Lukas
You are working at Clerkship General Hospital when EMS calls in a female with opioid overdose, but she won’t stop complaining of leg pain… Initial...
Deep Dive MW R4
15 Nov 2022
Contributed by Lukas
Diabetic Ketoacidosis – hyperglycemia, ketosis, and anion gap metabolic acidosis Don’t forget about euglycemic DKA (especially in setting of SGLT2...
Round 4 (MW) – Shortness of Breath
01 Nov 2022
Contributed by Lukas
You are working a shift at Clerkship General when the charge nurse comes and grabs you to see a 24yo male who appears to be in respiratory distress. C...
Interviews Part 2 – Acing your interview
24 Oct 2022
Contributed by Lukas
Before interview day, do your research on programs and interviews and reflect on the way in which you want to portray yourself. On interview day, have...
Deep Dive MW R3
19 Oct 2022
Contributed by Lukas
show notes coming soon
Round 3 (MW) – MVC
03 Oct 2022
Contributed by Lukas
Show comments to be posted shortly
Interviews Part 1 – Crafting your schedule
29 Sep 2022
Contributed by Lukas
Understand the timeline – research programs to find out when they extend invites and when they host interviews Prepare for invitations – set up em...
Deep Dive MW R2
18 Sep 2022
Contributed by Lukas
Summary of Key Points 1. You should consider ectopic pregnancy in every patient who is capable of bearing children 2. If a patient of child bearing ag...
Round 2 (MW) – Abdominal Pain
01 Sep 2022
Contributed by Lukas
You are working at Clerkship General when the next chart gets handed to you – a 31 year old female presenting with abdominal pain. Initial Vitals: B...
Selecting Programs
17 Aug 2022
Contributed by Lukas
Things to consider when selecting residency programs to apply to: 1. What type of program (County, Community, Academic) 2. What length of progr...
Competitiveness
17 Aug 2022
Contributed by Lukas
3 Steps to assessing your competitiveness for matching in an EM residency: 1. Get a good advisor. 2. Look at the data. 3. Maximize your pote...
Should I go into EM? Pt 2
15 Aug 2022
Contributed by Lukas
The future of emergency medicine seems bleak. Listen to Zack’s perspective on the future of our beloved specialty in part TWO of this two-part serie...
Round 1 (MW) – Shortness of Breath
01 Aug 2022
Contributed by Lukas
You are working your FIRST SHIFT EVER at Clerkship General hospital when a 60 year old female presents with shortness of breath. Initial Vitals: HR: 9...
Should I go into EM? – Part 1
19 Jul 2022
Contributed by Lukas
The future of emergency medicine seems bleak. Listen to Zack’s perspective on the future of our beloved specialty in part one of this two-part serie...
Round 35 (Pediatric Trauma)
01 Jul 2022
Contributed by Lukas
You are working at *rural* Clerkship General when you receive a radio call from EMS – 7yo male from a severe bus accident with a large scalp lacerat...
Bradycardia (Deep Dive R34)
15 Jun 2022
Contributed by Lukas
Asymptomatic Bradycardia – usually don’t treat Symptomatic Stable Bradycardia – atropine, further workup Symptomatic Unstable Bradycardia – SI...
ERAS 2 of 2 – How to fill out the CV section
09 Jun 2022
Contributed by Lukas
What is most important to programs from ERAS? SLOEs, clinical grades on EM rotations and residency interviews. How do you look good on interviews? Hav...
ERAS 1 of 2 – The 8 parts of the application
03 Jun 2022
Contributed by Lukas
ERAS Pt 1: The 8 Parts of the ApplicationThere are 8 parts to the application: Personal and Biographic Information – mostly self-explanatory Curricu...
Round 34 (Shortness of Breath / Bradycardia)
01 Jun 2022
Contributed by Lukas
You are working at Clerkship General when you are called to see a 70 yo male who is presenting with shortness of breath. Initial Vitals Temp 98.0 HR 3...
Ventilator Alarms (Deep Dive R33)
15 May 2022
Contributed by Lukas
DOPES D-Displacement – endotracheal tube dislodges from trachea, or falls into right mainstem bronchus O-Obstruction – Mucous plugging, bronchospa...
Personal Statement Pt 2 – Brainstorming Ideas
02 May 2022
Contributed by Lukas
Brainstorming ideas – how to make it personal What makes me unique? 2. What are some specific experiences I’ve had in my life that have either mad...
Personal Statement Pt 1 – Dos and Donts
02 May 2022
Contributed by Lukas
Welcome to EM Clerkship Maddie Watts! The personal statement should be *personal* and should *make a statement*. Start early Use solid organizational ...
Round 33 (Respiratory Distress)
01 May 2022
Contributed by Lukas
You are working at Clerkship General when you are called to the resuscitation bay for a 55yo M presenting in respiratory distress. Initial Vitals Temp...
Toxic Plants (Deep Dive R32)
15 Apr 2022
Contributed by Lukas
Cardiac Glycoside containing plants : Foxglove, Lilly of the Valley, Oleander, Squill Contain cardiac glycosides, which act as a negative chronotrope ...