PEM Rules

With the concerning rise of antibiotic resistance I asked Dr. Fatima Levent to come back to PEM Rules and review with us the appropriate choice of antibiotics for our patients.

Pediatric Gastroenterological Chief Complaints is something we do in the Pediatric Emergency Department a considerable part of our time. That is why I invited Howard Baron to come on the show and talk about his advice for investigating and treating common GI conditions.

PEM Rules will take a short summer break for the months of July and August and will be back in September again with (hopefully) more exciting episodes. Thank you for all the support. Please check out the PEM Rules store at https://www.redbubble.com/shop/ap/164385928 at the Facebook page https://www.facebook.com/PEMRules And please keep in touch.

Like many other "adult diagnosis" Cannabinoid hyperemesis syndrome is something we see in the Pediatric ER more and more of. That is why I invited Biren to come on the show and talk to us about this condition.

What is fever? and do we always have to treat it? how much attendant should the triage level get and what can we do to learn (and teach) better?

What happens when you are a "general practitioner" but are passionate about Emergency Medicine or PEM. Listen to Dr. Allen Herman's story on practicing Emergency Medicine despite completing his training in Family Medicine.

Though teaching is something I love doing, sometimes teaching PEM to an ED resident is challenging (for many reasons). Dr. Steven Nazario has been a physician and an educator for many years which is why I invited him on the show to talk about the challenges of teaching PEM to EM residents. Here is the link to the Video Stephen was referring to. The EKG Changes of hyperkalemia. https://pemrules.com/hk/ Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advice to treat any medical conditions in either yourself or others, including, but not limited to, patients that you are treating. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or website. Under no circumstances shall PEM Rules, the PEM Rules podcast or any guests or affiliated entities be responsible for damages arising from their use. This podcast should not be used in any legal capacity whatsoever, including, but not limited to, establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the website or in the podcast.

Newborns are small and examining them the “right way” does not take much and is worth doing, and why it is important (and helpful) to look at Pediatric Emergency Medicine as Simple.

The further away I am from my general pediatric training the more I forget how to manage chronic complaints and “primary care like” presentations. That is why I brought Dr. Noah Makovsky again to help us (PEM clinicians) do a better job with those patients.

Sometimes enemas are not just for treatment only. Why is it important to keep making decision and not dwell and contemplate for too long and what is the best thing to do after intubations.

We all meet some people in our life that inspire us to do better. For me Dr. Ellen Fitzpatrick is one of those people. Listen to her truly amazing life story.

Why is it useful to sometimes “consult” with your patient’s parents. What tests you should really never do and why cant we just make everyone happy

In this new segment of PEM Rules Dr. Jay Fisher, who has been practicing PEM since 1992 came back to discuss intussusception and how can we all do a better job identifying those children among the see of children with constipation.

With the exception of corneal abrasions and conjunctivitis, ophthalmological presentations always make me a bit nervous. That is why I invited Dr. Mitchell Strominger to talk about some common ophthalmological emergencies. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advice to treat any medical conditions in either yourself or others, including, but not limited to, patients that you are treating. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or website. Under no circumstances shall PEM Rules, the PEM Rules podcast or any guests or affiliated entities be responsible for damages arising from their use. This podcast should not be used in any legal capacity whatsoever, including, but not limited to, establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the website or in the podcast.

Distracting injuries can be tricky but should always be taken into account. What should you think about in a child with LLQ abdominal pain and odd Neurological complaints and more about giving yourself a break.

Thank you all for listening and supporting PEM Rules. I will be taking a short winter break to collect more material and enjoy the cold Nevada Winter (which I love). PEM Rules will be back in four weeks with more information, more medicine, more rules and, of course more music.

I (finally) got a pediatric surgeon to come and talk on the show. Most importantly I was curious to know what he thinks about my Rule of 6. Listen to Dr. Erik Pearson and his wonderful advice. Here is the link to Erik's Website https://www.citizensurgeon.com/recourses consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advice to treat any medical conditions in either yourself or others, including, but not limited to, patients that you are treating. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or website. Under no circumstances shall PEM Rules, the PEM Rules podcast or any guests or affiliated entities be responsible for damages arising from their use. This podcast should not be used in any legal capacity whatsoever, including, but not limited to, establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the website or in the podcast.

How prepared should you be? Maybe Over-prepared? What to do with your trainees and why it wise to buy time (if you can).

It seems to me that due to the obesity epidemic more and more children suffer from "adult problems" such as Type 2 diabetes, hypertension etc. That is why I decided to bring Seth Ball, a PEM physician who is also trained in General EM to the show to discuss the management of those children. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advice to treat any medical conditions in either yourself or others, including, but not limited to, patients that you are treating. Consult your own physician for any medical issues that you may be having. This entire disclaimer also applies to any guests or contributors to the podcast or website. Under no circumstances shall PEM Rules, the PEM Rules podcast or any guests or affiliated entities be responsible for damages arising from their use. This podcast should not be used in any legal capacity whatsoever, including, but not limited to, establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the website or in the podcast.

So apparently I am not the only one with "rules". Dr. Rammy Assaf contacted me via the PEM Rules website and wanted to share some of the rules and wisdom he has learned over the year. Thank you Rammy for coming on the show and sharing you knowledge.