Episode 35: Physician Assistants, Nurse practitioners (AKA APP’s) in the Pediatric Emergency Department.

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Episode 35: Physician Assistants, Nurse practitioners (AKA APP’s) in the Pediatric Emergency Department.

FromPEM Rules

ratings:

Length:

16 minutes

Released:

Mar 28, 2022

Format:

Podcast episode

Description

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.

Released:

Mar 28, 2022

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 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 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 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 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 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 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 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 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 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 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 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 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 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.: When you are faced with a problem try to keep it small, remember your patients are yours as long as they are in the department. And keep in mind, During the initial stages of resuscitations, you simply can’t go wrong by PEM Rules
9 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 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 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
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 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 26: Clinical Care Tips – About You, Part 5: 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. by PEM Rules
12 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 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 61: Interview With Noel Spears and Mel Tavarez Who Trained Me Back At the Children’s Hospital of Pittsburgh: 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. by PEM Rules
25 min listen
Episode 42: Interview with My Favorite Pediatric Intensivist, Dr. Barry: What makes a good PEM physician? (from a PICU standpoint) and how can we all work better together to benefit our patients? My former co resident, and now PICU attending Suzie Barry and I break it down. As always, Please consider supporting PEM Rules... by PEM Rules
19 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 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 36: Clinical Care Tips – About You, Part 6: How to give yourself credit for all the work you do, what to “look at” during your shift and how to manage your time by PEM Rules
11 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 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 16: Communication Tips and Tricks – Part 3: We all want to work in an ED that is running smoothly. We all want to have good relationships with our consultants and none of us want to see the same patient two days in a row. These rules help with all those issues. by PEM Rules
13 min listen

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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
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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
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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 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
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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
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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
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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 35: Physician Assistants, Nurse practitioners (AKA APP’s) in the Pediatric Emergency Department.

Episode 35: Physician Assistants, Nurse practitioners (AKA APP’s) in the Pediatric Emergency Department.

Description

Titles in the series (100)

More Episodes from PEM Rules