Episode 33: Clinical Care Tips – What to Do With “Problems”, How Often to Evaluate Your Patients and Remembering That Sometimes You Just Can’t Go Wrong.

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

32 min listen

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

2 min listen

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

10 min listen

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

29 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

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

12 min listen

PEM Rules Special Announcement - Pickaso Guitar Bow Collaboration with PEM Rules: I am excited to announce my new collaboration with Pickaso Guitar Bow. This item is a really cool tool that makes your guitar sound like a violin or a cello. It’s a lot of fun and you will be hearing it soon on some of my outros as I get better at... by PEM Rules

2 min listen

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

2 min listen

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

22 min listen

Discover this podcast and so much more

Episode 33: Clinical Care Tips – What to Do With “Problems”, How Often to Evaluate Your Patients and Remembering That Sometimes You Just Can’t Go Wron…

Episode 33: Clinical Care Tips – What to Do With “Problems”, How Often to Evaluate Your Patients and Remembering That Sometimes You Just Can’t Go Wron…

Description

Titles in the series (100)

More Episodes from PEM Rules