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EM Clerkship

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EM Clerkship

Zack Olson, MD and Michael Estephan, MD

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The purpose of this podcast is to help medical students crush their emergency medicine clerkship and get top 1/3 on their SLOE. The content is organized in an approach to format and covers different chief complaints, critical diagnoses, and skills important for your clerkship.
 
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Near Dark is the first solo outing as a director for Kathryn Bigelow. Featuring half the cast of Aliens with a show stealing performance by Bill Paxton. Near Dark is available to stream on AMC+ Yes, we said we were doing Skinamarink, but Frank, who was crazy excited to watch it, deemed it unwatchable. Sorry. Watch the Trailer Here Find Us Twitter @…
 
Obtain IV Access – get two large bore IVs (18g or larger) Resuscitate – un-crossmatched blood at first, don’t forget type and screen! Medicate – Give Pantoprazole always, Octreotide and Ceftriaxone if hx liver disease, reverse anticoagulation if indicated Imaging – Upright CXR to assess for perforation, CTA if concerned for lower GIB Consult – […]…
 
We complete our Riley Stearns journey with The Art of Self Defense. It's like Fight Club, but less likely to be taken the wrong way by men's rights activists. Or maybe it isn't? We hope it remains a mystery. The Art of Self Defense is currently streaming on HBO. We also watched all of the director's short films (links to all 4 below) plus M3gan, an…
 
Deadstream is why we came to AMC+ and Shudder this month, and it delivers. Found footage "influencer horror" with the spirit of an Evil Dead movie. Watch the Trailer Our Influencer Horror Shelf so far: Spree, Incantation, Sissy Find Us Twitter @LastClerks , Instagram @thelastvideostoreclerks , and Facebook.com/lastclerks Subscribe to Podcast: Apple…
 
Sissy is a 2022 Australian Shudder Original horror film written and directed by Hannah Barlow and Kane Senes. From the trailer, we totally thought this was a found footage movie. It is not. We have stumbled into a genre that deserves its own shelf. Influencer Horror? YouTuber Horror? Something like that. Either way, we've wandered into staying on t…
 
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 resuscitation bay, he is vomiting blood”. Initial Vitals:BP: 77/34 HR: 135 RR: 24 O2%: 95% Temp: 98.8F Critical Actions: Further Reading: EMDocs – GI BleedKirjoittanut Zack Olson, MD and Michael Estephan, MD
 
Incantation is a 2022 Taiwanese found footage horror film distributed and streaming on Netflix. Following release, #IsIncatationScary was trending. Is it? Watch the Trailer Find Us Twitter @LastClerks , Instagram @thelastvideostoreclerks , and Facebook.com/lastclerks Subscribe to Podcast: Apple Podcasts Spotify Everywhere you can find podcasts The …
 
* “Sympathetic Crashing Acute Pulmonary Edema” * Pathophysiology – Rapid onset of pulmonary edema caused by sudden hypertension * Triggers- Missed Medication, Cocaine, Stress/Anxiety * Increase in BP = Increase in afterload * Increased afterload causes acute pulmonary edema (in patients with CHF) * The worsening pulmonary edema causes shortness of …
 
Swiss Army Man (2016) stars Paul Dano and Daniel Radcliffe, and it's Daniels Kwan and Scheinert's first feature film. We are in complete disagreement about this movie. It's gonna be fun! Watch the Swiss Army Man trailer Find Us Twitter @LastClerks , Instagram @thelastvideostoreclerks , and Facebook.com/lastclerks Subscribe to Podcast: Apple Podcast…
 
Dual stars Karen Gillan and Aaron Paul and was written and directed by Riley Stearns. We've become fans of Stearns while doing this podcast. You can listen to our episode about his first feature length film Faults here. Dual Trailer We also talk briefly about The Last of Us on HBO, She Said on Netflix, and Sick On Peacock. Find Us Twitter @LastCler…
 
Cosmopolis (2012) is a David Cronenberg film starring Robert Pattinson and Sarah Gadon. Did we like it? Not really, but Scott read the Don DeLillo book it was adapted just to talk about it and he liked that. We had similar feelings about Netflix's adaptation of White Noise. Both these movies a faithful adaptations, so what went wrong? Maybe too fai…
 
We watched The Menu starring Ralph Fiennes an Anya Taylor Joy. If you haven't seen it yet, this episode is mostly spoiler free. We talk about the plot without spoiling the end, but there are some details of the movie. Watch the Trailer Find Us Twitter @LastClerks , Instagram @thelastvideostoreclerks , and Facebook.com/lastclerks Subscribe to Podcas…
 
This week we watched Daniels' multiverse masterpiece Everything Everywhere All At Once and Scott can finally stop jumping on one leg trying to find the universe where Frank watched it. Also, a little White Noise and ranting about Netflix cancelling 1899. #renew1899 Watch the Trailer Here Find Us Twitter @LastClerks , Instagram @thelastvideostorecle…
 
We talk our favorite episodes of year one of the podcast, and our favorite movies we found doing this. Our favorite movies and shows off 2022, and what we're looking forward to in 2023. Thanks to everyone that's been with us so far! Find Us Twitter @LastClerks , Instagram @thelastvideostoreclerks , and Facebook.com/lastclerks Subscribe to Podcast: …
 
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 bringing you – we have a 70yo M with sudden onset left arm numbness and weakness, last known well 2 hours ago, we’ll be there in about […]Kirjoittanut Zack Olson, MD and Michael Estephan, MD
 
You're Next is our final Dinner Party Movie of the series. We've covered the basics, so what better way to wind things down than a high tension home invasion? But every slasher movie needs a Final Girl, and Erin is the best Mumblegore has to offer. Sit down to dinner with us one more time. Watch the trailer here. Find Us Twitter @LastClerks , Insta…
 
Silent Night, 11th of its name, breaker of genres. The Christmas Edition of our Dinner Party Movie Series! Doomsday comes to dinner at Keira Knightly and Matthew Goode's annual Holiday gathering of friends. Noxious gas is on the menu, but nothing says holiday cheer quite like a suicide pact. It's a comedy! Watch the Trailer Here Timestamps 0:00 Int…
 
The Invitation (2015) is the third installment of our Dinner Party Series. We've had murder, the multiverse, and it's time for a cult! The similarities are starting to show, and we take a hard look at the similarities between these dinner parties and our protagonists' character arcs. Show Notes/Timestamps 0:00 New stuff we watched this week 12:04 I…
 
Coherence is our quintessential Dinner Party Movie. This week on our Dinner Party Movie Series we try to figure out where this multiverse gathering diverges. Is this our Emily? Could we beat our doubles in a fist fight? How does multiverse time travel work anyway? Watch The Trailer Watch the Movie on Prime Join us all month long for Dinner Parties …
 
Kicking off our Dinner Party Movie Series with Clue. This month, we'll jump from sci-fi to slasher, but the DNA of every great dinner party movie can be found right here. Trailer Find Us Twitter @LastClerks , Instagram @thelastvideostoreclerks , and Facebook.com/lastclerks Subscribe to Podcast: Apple Podcasts Spotify Everywhere The Last Video Store…
 
Crimes of the Future is a movie about growing new organs, sexy surgery, and delicious trashcans. Cronenberg's cronenbergy Cronenberg! Watch the Trailer Find Us Twitter @LastClerks , Instagram @thelastvideostoreclerks , and Facebook.com/lastclerks Subscribe to Podcast: Apple Podcasts Spotify Everywhere The Last Video Store Clerks website Watch Crime…
 
As we pick apart Jurassic World Dominion aka Jurassic World 3 aka Jurassic Park 6. Frank explains away the plot holes, and Scott tries to reason out where it all went wrong. Can the parallels between the trilogy low points explain the problem with episodic trilogies? Find Us Twitter @LastClerks , Instagram @thelastvideostoreclerks , and Facebook.co…
 
Diabetic Ketoacidosis – hyperglycemia, ketosis, and anion gap metabolic acidosis Don’t forget about euglycemic DKA (especially in setting of SGLT2 inhibitor) or mimics such as alcoholic ketoacidosis Treatment of the ketoacidosis Insulin (usually a drip or bolus + drip) – only once K>3.5 Volume Resuscitation (NS initially, change to LR) Bicarb drip …
 
The 1992 Buffy the Vampire Slayer might have been written out of canon, but it's everything to most of us 90s kids. It's practically part of our vocabulary. Trailer Despite the hundreds of times we've watched Buffy, this time we uncovered tons we've never noticed. Did you know Ricki Lake is in this movie? Written by Joss Whedon Directed by Fran Rub…
 
Demon Knight is by far our favorite entry into the Tales From The Crypt universe, and Billy Zane's most incredible performance. William Sadler, Jada Pinkett not yet Smith, Thomas Haden Church, and everything you want in a horror comedy. Edward Guthmann of the San Francisco Chronicle wrote that, "though the film is dull and slow-paced, if I were 12,…
 
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. Critical Actions: Diagnose DKA Replete potassium Start insulin AFTER potassium repletion EITHER place central line for faster K repletion OR initiate bipap to allow time for potassium […]…
 
When you think horror movies for Halloween, Jacob's Ladder may not be the fun choice, but it's one of the first movies that comes to mind when we want something to really scare us. It's effect on the genre my be unmatched. Also: The Knock at the Cabin trailer, Scott's Review of Devil in Ohio, and the terror of driving through remote parts of the US…
 
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 a cheat sheet with notes about your conversations, questions, and pro-cons. Remember to stay calm, take a pause if you need to, and above all be authentic to who […]…
 
Our Smile (light spoilers) review, and Scott's spoiler free reviews of Hellraiser 2022, Halloween Ends, The Midnight Club, and The Texas Chainsaw Massacre 2022. Plus we rage against the theater talkers. October is the best, isn't it? Our Jacob's Ladder Episode was originally scheduled this week. Due to the loss of a dear friend, we've shifted thing…
 
Return to Oz is a horror movie wearing Mick Mouse ears. Among the many Disney movies to traumatize small children, this one is a masterpiece of weird starring a ten year old Fairuza Balk as Dorothy. We take a deep dive into legendary editor Walter Murch's only outing in the director's chair. "Bring your children. Let them scream." -Harlan Ellison's…
 
In this special episode we pay tribute to friend of the show Scott Holden who hosted the podcast ThatMan on Fatman. He welcomed the guys onto the show when the first season of the show was airing and then talked to Blake while he was in Garfield in 2018. The audio was lost for a while and it was recently found so here it is. Enjoy the show everyone…
 
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