Episode 28: Clinical Care Tips - More on MSK Chief Complaints, Improving Your Skills and Thinking Outside the Box

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Episode 28: Clinical Care Tips - More on MSK Chief Complaints, Improving Your Skills and Thinking Outside the Box

FromPEM Rules

ratings:

Length:

13 minutes

Released:

Dec 20, 2021

Format:

Podcast episode

Description

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.

Released:

Dec 20, 2021

Format:

Podcast episode

Titles in the series (99)

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 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 1: Introduction To the PEM Rules Podcast: What is PEM Rules? what is it all about and what will come in the future? Let's get started. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out Copyright PEM Rules LLC by PEM Rules
4 min listen
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 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 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 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 32: Fever in Children. Is It Good, Bad and Should It Be Treated or Left Alone?: Fever is one of the most common chief complaint in the Pediatric Emergency Department and tends to scare many parents, myself included. My previous scribe (and now an astute medical student) Victoria, researched what fever is? what it does? and... by PEM Rules
28 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 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 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 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 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
15 min listen
Special Announcement / Request: It has been over a year since I started PEM Rules and I would love to have some feedback. Have you used the rules in your practice? check out and submit any feedback you wish. by PEM Rules
3 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 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 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 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 30: Clinical Care Tips – How To Go About Hydration, Document Your Encounters, And What To Do With That EpiPen In Your Hand.: We all know rule number 82 but sometimes forget to use it. Practicing protective medicine is something we all do but hopefully we keep it to a minimum and how to be a step ahead during the most crucial times. by PEM Rules
11 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
Special Announcement - PEM Rules Is Also a Monthly Column: Thank you all for listening to the podcast in the last 15 months. I am excited to announce that PEM Rules is now a column in the journal EP monthly. Please check out the link below to read the "PEM Rules Philosophy". Also please consider... by PEM Rules
2 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 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 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 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 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 43: My Approach to the Ill Appearing Baby: Not particularly based on any evidence-base study I am aware of, but this is how I approach the Ill-appearing (previously well) newborn / baby in the Pediatric Emergency Department Check out the following video I created to help you remember the EKG... by PEM Rules
29 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 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 55: The Art of Talking To Consultants: 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... by PEM Rules
11 min listen
Episode 34: Clinical Care Tips – How to Be Ready For Intubation, How To Use Your Resources Well And Why You Should Do Things Step By Step: It is not very often that I intubate an asthmatic but when I do I always think about PEM rule number 91. Rule Number 92 is meant to help me be more efficient and do what is right for my patients and rule number 93 helps me to things one step at a... by PEM Rules
11 min listen

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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
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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 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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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Episode 28: Clinical Care Tips - More on MSK Chief Complaints, Improving Your Skills and Thinking Outside the Box

Episode 28: Clinical Care Tips - More on MSK Chief Complaints, Improving Your Skills and Thinking Outside the Box

Description

Titles in the series (99)

More Episodes from PEM Rules