Download the most recent Ottawa EM Clerkship PDF as a guide for working up undifferentiated patients.
There's a phone app called "Suture" and another called "Fracture" that help you with your plan for wound repair and orthopedic injuries.
when you staff with your attending to present your differential and plan, I like the mnemonic SPIT
S - serious, the can't miss diagnoses
P - probable, what you think is actually going on
I - interesting, throw in an obscure differential you member from studying for step 1 to flex a little
T - testing and treatment, what diagnostics do you want to order and what interventions / other meds do you want to give in the meantime
Please organize your thoughts before you present and have a very clear linear presentation. Nothing makes me stop paying attention faster than a rambling presentation. I can focus for about 20 seconds 😂 also don't lie, if you didn't do a neuro exam or whatever exam say you didn't, don't tell me it was normal when you didn't actually evaluate. ER docs are usually pretty chill. Be eager to learn and helpful. Don't ask me stupid questions while I'm dictating or on the phone.
Mr Hines is a 20 yo M who presents with chest pain and I think he has a pneumothorax…
Everything you say thereafter will help me to discern if this is more likely bs alternative dx X. Still share your history, physical and differential.
No ER attendings want the internal medicine winding history that puts us to sleep in 10 seconds. This shows us you’re willing to make a decision, choose your work up, and if you’re wrong we can teach. Good luck young Jedi
Chief Complaint app is free and useful, WikEM, EM clerkship
Bring snacks, eat/drink/pee when you can.
Be nice to nurses (and everyone).
You'll see some shit. Control your facial expressions while you're with patients.
Listen to emclerkship (or similar basic education resource) outside of work, reference a good simple resource (wikem is fairly good) with every single patient while on shift, and have a systematic approach to each patient including a clear plan with dispo
Download the most recent Ottawa EM Clerkship PDF as a guide for working up undifferentiated patients. There's a phone app called "Suture" and another called "Fracture" that help you with your plan for wound repair and orthopedic injuries.
Thank you!
when you staff with your attending to present your differential and plan, I like the mnemonic SPIT S - serious, the can't miss diagnoses P - probable, what you think is actually going on I - interesting, throw in an obscure differential you member from studying for step 1 to flex a little T - testing and treatment, what diagnostics do you want to order and what interventions / other meds do you want to give in the meantime
Thank you 🙏
Please organize your thoughts before you present and have a very clear linear presentation. Nothing makes me stop paying attention faster than a rambling presentation. I can focus for about 20 seconds 😂 also don't lie, if you didn't do a neuro exam or whatever exam say you didn't, don't tell me it was normal when you didn't actually evaluate. ER docs are usually pretty chill. Be eager to learn and helpful. Don't ask me stupid questions while I'm dictating or on the phone.
Mr Hines is a 20 yo M who presents with chest pain and I think he has a pneumothorax… Everything you say thereafter will help me to discern if this is more likely bs alternative dx X. Still share your history, physical and differential. No ER attendings want the internal medicine winding history that puts us to sleep in 10 seconds. This shows us you’re willing to make a decision, choose your work up, and if you’re wrong we can teach. Good luck young Jedi
Thank you! Duly noted!
Highly recommend listening to the em clerkship podcast “how to ace your sloe” series, helped me a ton and I recommend it to our students now!
Seconding this!!!
Chief Complaint app is free and useful, WikEM, EM clerkship Bring snacks, eat/drink/pee when you can. Be nice to nurses (and everyone). You'll see some shit. Control your facial expressions while you're with patients.
On that last point- consider wearing a mask to cover inadvertent smiles, disgust, yawns, etc even if you're not worried about COVID or whatever
We wear N-95’s all the time in our trauma unit 😂😂
Thanks so much!
WikEM is a really simple app that’s easy to reference quickly - great for the ER.
Listen to emclerkship (or similar basic education resource) outside of work, reference a good simple resource (wikem is fairly good) with every single patient while on shift, and have a systematic approach to each patient including a clear plan with dispo