PEM Rules

Sophia Wang is a PEM Fellow in Mississippi who applied the PEM Rules and wanted to share her story. Thank you, Sophia, for sharing your thoughts and thank you for listening to PEM Rules.

How did PEM Start? what is it like now? and where is it going? I discuss those questions and more with Dr. Jay Fisher, PEM Attending for almost 30 years.

Sometimes it is helpful to start thinking about patient disposition early so you can make plans appropriately. Here is what I teach parents about fever and what it really means and a very important rule for fracture reduction.

How has the training in PEM changed over the years and what makes a good PEM fellow or provider. I discuss those questions with Mel and Noel, two very influential individuals in my career.

What is a good starting point for treatment of most metabolic emergencies? How not to miss a serious diagnosis, and what to do with your team so you can all do a better job next time.

It is the General Pediatricians that often sends the child to the Pediatric ED. How the PCP and PEM doctor better communicate to help their patients.

I don’t know what I would do without Ketamine. My favorite drug to use for procedures. Here is how I use it and what I tell the parents…

Dear Listener, If you are a PEM provider in the US in a Pediatric ER that has rotating residents and/or fellows please take a moment and click on the link below and help Sophia Wang (a PEM fellow in the University of Mississippi Medical Center) with her research project regarding patient handoff during transition of care. Sophia is an active contributor to PEM Rules who has produced several episodes of the podcast (coming up this summer). Thank you in advance, Yaron Ivan, PEM Rules Link to PEM Rules and the survey below https://pemrules.com/news/

Probably the most common procedure I perform in the Pediatric ER and one I particularly like. Suturing. Which rules do I use and what is my anticipatory guidance for these parents.

Rashes always makes us, none dermatologist worry and maybe a bit anxious. Which rashes are worrisome? and what should we look for as the red flags of pediatric rashes. I discuss this and more With Dr. Tace Rico our Pediatric Dermatologist.

Talking to a consultant so your patient can benefit the most is an art and a science. Here are some rules I have already discussed (and some new ones) that help me make the best of those contestations on the phone. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC

There is a certain art to how to document to your advantage? And what s&s should scare you more. Are Bilateral complaints really worse? Most importantly, how to speak to parents and trainees. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC

What is the best approach to the patient with the difficult airway? and how can we improve our sedations? I discuss these topics (and others) with Dr. Adam Adler, a pediatric Anesthesiologist and a friend. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC

PEM Rules will be taking a short winter vacation for the month of December. Really appreciate everyone's support over the last 2 years. Will see you again in the new year.

Does every child who is vomiting need Zofran? What is the “best” thing to do for a vomiting child and how do we set our PO challenge for success? What do we do when things don’t go as planned? Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC

Despite so much research and evidence there are still so many questions and uncertainties. Victoria and I review the clinical presentation, diagnosis, current and future treatment. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC

As a PEM physician I must worry (and therefore rule out and treat) the true emergencies first. That is why I first check for what is emergent and what I can fix. Since my patient population varies greatly with regards to age I find it very important to know the epidemiology, in other words, what is the most common cause of X based on the patient’s age. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC

Research is one of the most intimidating aspects of medicine for us clinicians. Why is that ? and where is a good place to start? I discuss these topics and much more with Dr. Bob Hickey from the Children's Hospital of Pittsburgh Please consider contributing to PEM Rules on https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC

What is the best way to view mistakes and how to reap some benefits from them. How I go about "working up" smiling children and what to do first with that IV access. Please consider contributing to PEM Rules on https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC

My Nephrology professor in Medical school used to say that “The kidney is an easy organ to master, but you truly need to understand it”. My friend Craig Woda (an astute Pediatric Nephrologist) helps me better understand how we can do a better job identify nephrological issues in children. As usual, Please consider supporting PEM Rules by clicking below https://ko-fi.com/pemrules And make sure to check out www.pemrules.com Copyright PEM Rules LLC