@nataliamullins6919

Key points:
1. Timing (1:01)
Real time = the actual time/real world time, which is 10-20 min.
Simulated time = hypothetical time, which can last from hours to days to weeks.

2. What to look for in case's introduction (2:18)
Age
Gender
Allergies
Main HPI points
Screening (vaccinations, pap smear, colonoscopy, etc)

3. Physical exam (3:45)
Complete physical exam --> if patient is stable or in the office
Focused physical exam --> if patient is unstable or in the ED; you can always do a complete PE later in the case after putting in emergency orders!

4. Disposition (4:35)
Where do you want the patient to be? Options: home, ED, admit to inpatient, admit to ICU. 

5. Emergency orders (5:55)
MAVOCCF, which stands for:
Morphine
Acc (gives you IV access and glucose accucheck)
Vitals check
Oxygen/oximeter
Cardiac monitor
C-spine
Fluids (normal saline)

6. Routine orders (6:51)
CCCMP
CUAEH
LLUSCENT 
stands for:

CBC, CMP, Creatine phosphokinase, Magnesium, Phosphate
Chest x-ray/other x-rays, Ultrasounds, Abg, Ecg/other cardiac tests, Hcg
Lactate,  Lft/pt/ptt/inr, Urinalysis/culture/toxicology, Stool culture/pH/ova/etc, Culture (blood), Esr/crp, Neuro checks, Tsh

7. You should land on a diagnosis by this point and thus, a treament (9:09)

8. Case might finish early if you have managed the patient correctly (9:27)

9. Once the case finishes, you have 2 minutes at the end to put in last minute- orders (10:00). 
These can be pap smears, colonoscopies, vaccinations, counseling the patient on various topics. 
SITPM (vaccines)
CPM (screening tests)
ISSSAD (counseling)

Shingles
Influenza
Tetanus
Pneumococcal
Meningococcal

Colonoscopy (50-75 yrs, every 10 years)
Pap smear (21-65 yrs, every 3 years)
Mammography (50-75 yrs, every 2 years)

Instruct
Smoking cessation
Safe sex
Seatbelt
Alcohol abstention
Disease specific (diabetes, medication side effects, etc)

@GypsyZoya

Amazing, so helpful!! you should be paid by the CCS cases :D

@afnanashrafMD

Very helpful

@minamelka860

please help us how to tackle the "drug ad" questions..??....Please...any resources....books...channels...??...Please..

@koryjacobs7923

there is no way I can do this shit. I have only done one case because I am too scared

@thechucknorris97

Gallo fino 🐓