Episode 26: Clinical Care Tips – About You, Part 5

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Episode 26: Clinical Care Tips – About You, Part 5

FromPEM Rules

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Length:

12 minutes

Released:

Nov 22, 2021

Format:

Podcast episode

Description

Why I don’t recommend you ever run in the ER. How to spend your money during your training and how a doctor should really worry.

Released:

Nov 22, 2021

Format:

Podcast episode

Titles in the series (100)

PEM Rules is a dedicated Pediatric Emergency Medicine Podcast designed to help students, residents, physicians and anyone who takes care of children in the acute setting. Find out more and www.pemrules.com Contents does not constitute medical advice

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Episode 8: How I Approach Patients: Taking a break from the Rules. Here I share my personal approach to the pediatric patient including how I obtain history, perform physical exam and work up my patients. by PEM Rules
16 min listen
Episode 3: Clinical Care Tips Part 2 - Newborns: What constitutes constipation in a newborn? When is spitting up a concern? What is the most important detail to obtain in a newborn history? listen now and find out. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And... by PEM Rules
11 min listen
Episode 6: Clinical Care Tips - Procedures: Procedures are some of my favorite things to do and teach as a PEM physician. These rules are about approaching and performing procedures in the Pediatric ED. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out... by PEM Rules
8 min listen
Episode 17: Upper Airway Obstruction – Viral Croup: As an Emergency Physician, my biggest concern (and the first thing I need to address) is the airway. I like to think of the Pediatric airway as simple. Upper and lower. Viral croup is a very common upper airway obstruction. by PEM Rules
15 min listen
Episode 23: Clinical Care Tips – Abdominal Pain, Bronchiolitis and How to Find the Right Size Endotracheal Tube: This is how I make sure the abdomen is not surgical, what helps me with the disposition of children with bronchiolitis and how do I decide what ET tube size I need. by PEM Rules
11 min listen
Episode 18: Lower Airway Obstruction – Bronchiolitis: Probably one of the most researched diseases in Pediatrics. Bronchiolitis is an issue for us PEM physicians every winter. Here is my approach to the wheezing child with bronchiolitis. by PEM Rules
11 min listen
Episode 11: Clinical Care Tips - About You, Part 2: These are some more rules that helped me make better career choices and working in a team as a team leader by PEM Rules
9 min listen
Episode 37: Clinical Care Tips -Who to Monitor, Pin-pointing Problems, and How to Have Better Outcome In Resuscitations: This episode is about knowing who (not what) to monitor, helping your team by pin-pointing and naming the problem and how to (hopefully) have good outcome in resuscitations by having the parents present. As usual, Please consider supporting PEM... by PEM Rules
12 min listen
Episode 4: Clinical Care Tips Part 3 - Intensive Care and Shock: Despite being an emergency physician, it is uncommon for me to actually encounter true emergencies. As mentioned in previous episodes most of what I do is not emergent or even urgent and many times less is more. However, every once in a while, I do... by PEM Rules
9 min listen
Episode 13: Approach to The Child with a Rash In The Pediatric Emergency Department: My personal experience is that rashes often intimidate us EM providers. I know that because I often work with trainees who get a bit nervous when they see a child with a rash. I encourage them to think of a child with a rash the way they think of any... by PEM Rules
13 min listen
Episode 2: Clinical Care Tips Part 1: Here are the first five rules in the first category (Clinical Care Tips) starting with the most important of them all "Its not the patient's job to prove that they are sick, it is your job to prove they are not" Please consider contributing to... by PEM Rules
13 min listen
Episode 24: Clinical Care Tips - About You, Part 4: Sometimes there is just nothing to lose, so why not try? What do you do when you make mistakes? And how do you deal with the chaos of the ED? by PEM Rules
8 min listen
Episode 14: Communication Tips and Tricks – Part 1: Communicating effectively to your colleagues, trainees, consultants and patients is a key element of what I do. Effective communication drives better patient care, patient satisfaction and simply makes the day better by PEM Rules
9 min listen
Episode 7: Clinical Care Tips - Assessment and Plan Part 1: Here are some rules that help with the assessment of patients, their plan of care and disposition. Remember, every patient needs an assessment and every patient needs a plan (that is actually one of the rules). Please consider contributing to PEM... by PEM Rules
10 min listen
Episode 22: My Newborn Talk to Young Parents in the ED: Some of my favorite patients are those newborns with new parents who have many questions and concerns. I try to address the acute concerns of that encounter and take care of the issue (whatever it may be) but I always take the 10 minutes to give those... by PEM Rules
10 min listen
Episode 10: Clinical Care Tips - About You, Part 1: Some More PEM rules, about you (or me, the provider). These have to do with how I try to act as a leader and communicate to my patients and colleagues. One may call it professionalism. by PEM Rules
13 min listen
Episode 21: Clinical Care Tips - Ventilation, Sedation and Breaking Some Rules: Talking about ventilating a child using bag and mask, the way I go about conscious sedations and how I get ready, and recognizing the fact that some rules were meant to be broken. by PEM Rules
10 min listen
Episode 5: Clinical Care Tips Part 4 - Musculoskeletal Complaints and Vomiting: Some more rules in the Clinical Care category that help with the assessment and plan of patients with musculoskeletal complaints and vomiting. These are two very common presentations to the Pediatric ED Please consider contributing to PEM Rules at... by PEM Rules
6 min listen
Episode 25: Peds ID, In The ED: Though Infectious Diseases is not a very common subspecialty I consult from the ED, it is still one of my favorites. Great discussion with Dr. Levent about vaccination, fever and when antibiotics is truly needed. by PEM Rules
28 min listen
Episode 15: Communication Tips and Tricks – Part 2: Some more helpful rules to help you communicate to worried parents, consultants and trainees. I use these every day with great success, Most of the time by PEM Rules
13 min listen
Episode 35: Physician Assistants, Nurse practitioners (AKA APP’s) in the Pediatric Emergency Department.: APP’s are the people I can’t do without. They are helpful, motivated and often teach me more than I teach them. I love having them around. by PEM Rules
16 min listen
Episode 9: Clinical Care Tips - Assessment and Plan Part 2: These are some rules that help me with the assessment and plan of my patients and the most appropriate disposition for them. by PEM Rules
10 min listen
Episode 29: Interview With My Great Mentor and The Man Behind So Many of The Rules Dr. Richard Saladino: I had the privilege to work with Dr. Rick Saladino when I was a fellow at the Children’s Hospital of Pittsburgh when he served as the division chief. Rick taught me a lot of clinical medicine, research methods and most importantly he is the man... by PEM Rules
38 min listen
Episode 27: Interview with My Favorite Pediatric Orthopedist Dr. Sean Keyes: Pediatric Orthopedics is probably the subspecialty I consult most often and Dr. Sean Keyes is one of my favorites consultants to talk to. In this discussion I pick his brain about some important Pediatric Ortho principles. by PEM Rules
22 min listen
Episode 28: Clinical Care Tips - More on MSK Chief Complaints, Improving Your Skills and Thinking Outside the Box: Some good rules about musculoskeletal chief complaints, how they relate to previous rules, how to always improve your skills and a reminder to think outside the box. by PEM Rules
13 min listen
Episode 20: EBM Review with Victoria – Approach to the Child with Anaphylactic Reaction: My former scribe, Victoria, who is now an astute medical student and I discuss an evidence based approach to the treatment and management of anaphylactic reaction. by PEM Rules
19 min listen
Episode 19: Clinical Care Tips – Life, Career, And The Patients We See Often: I love my job but rule number 64 is so important as a person, father and husband. I also discuss the importance of listening and paying attention to the PMH and HPI and why a chest x ray is a good idea on that child who had Pneumonia so many times by PEM Rules
12 min listen
Episode 39: Clinical Care Tips – All About Premature Closure and the Rule I Have for It: Premature closure is something that all clinician deal with. This rule helped me avoid it in the past. In the end, it all boils down to rule number 47 (see episode 11). As always, Please consider supporting PEM Rules by clicking below by PEM Rules
10 min listen
Episode 12: Clinical Care Tips - About You, Part 3: What is the right thing to do? When does a leader take “time off” Here are some more PEM rules, about you (the provider). These have to do with how I lead my team, mentor my trainees and treat my patients. by PEM Rules
8 min listen
Episode 31: Clinical Care Tips – About You Part 6 - Some Rules About Worrying, Teaching and How to Be More Than Just an Emergency Medicine Doctor: Worrying about you or your patients is usually just a bad idea that does not serve us well, but what about just being concerned? What does PGY really mean? and why you should sometime be more than just an Emergency Medicine Physician. by PEM Rules
13 min listen

More Episodes from PEM Rules

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Episode 89: Clinical Care Tips – Normal Exam, Worst Case Scenarios and Taking Risks: Sometimes (it is not often), a normal physical exam is actually more concerning, why it is a good idea to be pessimistic? and how to be comfortable with risks? by PEM Rules
13 min listen
Episode 88: What Are PEM Facility Directors Look for In Their Teams Members They Hire and What Are Their Challenges: What do our “future bosses” look for in their candidate and how can we become a more competitive applicants for our next job?. I discuss that and other important questions with Dr. Todd Zimmerman a PEM attending in Las Vegas. by PEM Rules
17 min listen
Episode 87: Clinical Care Tips - Testing, Asking the Right Questions and What Not To Do: Sometimes there are "odd reasons" for using a test, Getting a good history is key and some questions are more important than others and a bit about knowing what not to do. Please consider contributing to PEM Rules at ... by PEM Rules
12 min listen
Episode 86: Emergencies in the Primary Care Office. What to Do and When to Send?: Just like I lost many of my “primary care” skills many primary care pediatrician feel uncomfortable treating emergencies or urgencies in their office. That is why I had a discussion with Dr. Noah (from a previous PEM Rules episode) about what to... by PEM Rules
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Episode 85: Clinical care Tips – Intermittent Conditions, being a Trainee and Starting with The Basics: What do you do when the patient in front of you has no symptoms (at the moment). Why you should enjoy being in training and what all of us PEM clinicians should know very well. Please consider contributing to PEM Rules at ... by PEM Rules
9 min listen
Episode 84: Interesting Case In the Peds ER. By Codey Pedersen: What do you do when a teenager with odd (and concerning) neurological symptoms walks into you ER and how do you apply the PEM Rules to work him up step by step? by PEM Rules
15 min listen
Episode 83: Clinical Care Tips – Your Limited Exam, the Patient’s Trust and Your Compassion: Often times I see none verbal patients (be it newborns or children who are neurologically devastated) who come in by EMS or perhaps their parents / caregiver. In those situations, I find it important to be more conservative. How do I gain the... by PEM Rules
11 min listen
Off Schedule Episode: (Another) Case of Pediatric Acute Pneumonia: Hours after last weeks episode was published I heard from Dr. Jay Fisher about a very similar (and unfortunate) case one of his APP's had in their ED. I decide to bring Jay to the show (again) to discuss the case so we can all learn from this... by PEM Rules
16 min listen
Episode 82: The “Fever for Over 5 days Patient”. What to Do, What to Think About and How to Make Sure You Are Not Missing Anything”?: What is the appropriate differential diagnosis for a well appearing child with fever for over 5 days and what is the best way to work these patients up? I discuss this important Issue with my Former colleague Dr. Fatma Levent, a pediatric Infectious... by PEM Rules
19 min listen
Episode 81: Clinical Care Tips – Addressing “Issues”, Pin-Pointing The Syndromes and Adjusting Your Care: There is a certain way to address the chief complaint in the ED and it is often advantageous to do it this way. Why is it important to know what syndrome the child has? and how can we all give better care to our patients? by PEM Rules
14 min listen
Episode 80: How to Handle Neurosurgical Emergencies in the Peds ER? Interview with a Pediatric Neurosurgeon Dr. Todd Hankinson: As a PEM Physician, I get to take care of children with neurosurgical problems fairly often. Sometimes it is children with known issues such as hydrocephalus with a shunt and sometimes it is a patient with traumatic injury. Pediatric... by PEM Rules
23 min listen
Episode 79: Clinical Care Tips - What to Do with Your Team, What To Look For and How To Learn From Each of Your Patients.: As a good leader there are certain ways you can work with your team to let them excel. How do we work up our patients “appropriately”? and what can we learn from our patients? by PEM Rules
11 min listen
Episode 78: Interview with Jason Zamkoff, a Pediatric Hospitalist In Denver CO.: Probably the Pediatric Sub-specialists I interact with the most are the pediatric hospitalists. Not only they accept my admissions but often give advice about the work up that the patient needs and serve as an extension of the Pediatric Emergency... by PEM Rules
20 min listen
Episode 77: Clinical Care Tips – Consultants, Boxes and Antibiotics: It is important to communicate to your consultants and hospitalists the way they want to be communicated to and “speak their language”. Why is it important not to think linearly and when is it “Not OK” to use antibiotics. by PEM Rules
12 min listen
Episode 76: Dealing with Acute (and Chronic) Pain in the Pediatric Emergency Department: As a PEM physician, treating pain is a big part of my life and sometimes it is easier said than done. This why I invited Dr. Alan Bielskay, a Pediatric Anesthesiologist (and pain expert) from Denver CO to talk about pain treatment in children. ... by PEM Rules
29 min listen
Episode 75: Clinical Care Tips – Making Decisions, Testing for Bacteremia and “Going with Your Gut”: Sometimes decisions are hard to make, nonetheless, in the ED world it is important to make a decision and sometimes sooner rather than later. Why getting a blood culture (without giving antibiotics) makes no sense to me and more about going with your... by PEM Rules
10 min listen
Episode 74: Child Abuse in the Pediatric Emergency Department, How Can We Make Things Better?: As a PEM Physician, child abuse, sexual abuse and child neglect cases are those cases I never want to miss or overlook. That is often easier said than done. This is a discussion I had with Dr. Stephen Boos, a child abuse doctor in Western MA. by PEM Rules
29 min listen
Episode 73: Clinical Care Tips – Taking care of yourself and Making Big Deals Small ones.: Probably the best advice I got in my career was to take care of myself before I take care of any patients and how I address some over-medicalized issues. by PEM Rules
8 min listen
The PEM Rules Facebook Page: I am excited to announce the launch of the PEM Rules Facebook page. Please visit, become a follower and communicate what you like, wish to hear or just keep in touch. Here is the link to the page Please consider contributing to PEM Rules at ... by PEM Rules
1 min listen
Episode 72: The Medicolegal World of PEM With Brady Pregerson: What medicolegal aspects of medicine should we PEM Providers be familiar with and how can we all better protect ourselves while providing excellent care for our patients? I discuss these question and more with Dr. Brady Pregerson an expert in... by PEM Rules
27 min listen
Pickaso Guitar Bow Promo Code - Coming Back Soon.: My apologies to all of you who tried purchasing merchandise from Pickaso Guitar Bow and use PEM Rules Promo code. It came to my attention that the promo code stop working. Please be patient, check out the following link , decide what you want to buy... by PEM Rules
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Episode 71: Clinical Care Tips – When Things Don’t Work, Strikes and Endorphins.: What should you do when things don’t seem to work they you want them to, what happens when a patient visits the Peds ED 3 times (or more) in a short time interval and what endorphins can potentially be. by PEM Rules
8 min listen
Episode 70: PEM Education with Michael Mojica.: What makes a good PEM teacher and how can we PEM providers be better educators for the next generation. I discuss this and More with Dr. Michael Mojica a PEM attending and educator for over 30 years. by PEM Rules
12 min listen
Episode 69: Clinical Care Tips – More About Fever and Making Recommendations: Why fever in children does not really scare me much how I recommend you speak to the parents and what I do when the patient has had a fever for over 5 days. by PEM Rules
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Bonus Episode - Child Psychiatry In the Pediatric ED. Interview With Dr. Victor Fornari: Due to the pediatric Mental Health Crisis and increase in psychiatric presentations to the Pediatric Emergency Departments across the nation, I decide to have this off-schedule / bonus episode and interview Dr. Victor Fornari, an experienced Child... by PEM Rules
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Episode 68: Applying The rules, A PEM Fellow Experience (2.0) and What Emergencies Can Be Revealed By The Growth Chart?: Sophia Wang is a PEM Fellow in Mississippi who has been on the show once before and told us how she applied the PEM Rules in her clinical work as a PEM Fellow. She returned to share some more interesting stories about the times she applied other PEM... by PEM Rules
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Episode 67: Clinical Care Tips – Having Another Way, Tips on Management of (most) Knee Injuries, and "Going All the Way": In the Pediatric ER (like in life) there is always more than one way to do things. I try to remind that to myself. How do I manage (almost) all knee injuries, and what I try to be always be prepared for. by PEM Rules
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2023 July / Summer Break Announcement: PEM Rules (and I) will be taking a short break for July 2023. THANK YOU ALL for your support, your emails and interest. Will see you again on July 31st 2023. Hope everyone has a safe, restful, fun summer. by PEM Rules
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Episode 66: Why Do Children Make General EM Providers Nervous? a Discussions with My Friends at The EM Over Easy Podcast: While some of us who take care of children for a living feel comfortable around sick kids’ others disagree and get a bit nervous under the same circumstances. Why is that? and how can we change that? This is a discussion I had with my EM... by PEM Rules
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Episode 26: Clinical Care Tips – About You, Part 5

Episode 26: Clinical Care Tips – About You, Part 5

Description

Titles in the series (100)

More Episodes from PEM Rules

Related podcast episodes