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Recent Episodes
Episode 137: Metabolic Diseases in the Peds ER. What To Worry About , What to Tests For and What To Do…
The newborn with a new onset (some kind of) metabolic disease is a rare event in the Pediatric ER. Add that to the fact that there are so many different types of diseases with so much basic science…
Episode: 136: Clinical Care Tips – What to "Be", What to "Do" With Parents and How to Relate to Patient (and parents).
Your demeanor often sets the stage of the encounter which is why it is important to have the opposite one of the patients (usually). How to empower parents to be "doctor like" and why it is important…
Episode 135: Pediatric Hematologists Emergencies in the Pediatric ER
Hematological emergencies though uncommon can be a significant problem and is something we should all be familiar with. That is why I asked Dr. Kenneth Bujold (previous intern of mine) to come on the…
Episode 134: My List of I Never Want to Miss It with Dr. Jay Fisher – GBS and Its Variants
In this new (not so new anymore) segment of PEM Rules Dr. Jay Fisher, who has been practicing PEM since 1992 came back to discuss an interesting case of something we don't see very often in the Peds…
Episode 133: Pediatric Urology in the Pediatric ER
Despite working in a very busy Pediatric Emergency Department, Urological emergencies are not too common and often those patients challenge us. That is why I invited Dr. Jessica Casey whom I…
Episode: 132: Comparing Sides, Fast Track and Checking Out the Blood Pressure
Good rule for physical exam, why seeing patients in fast track is so important (as a trainee or an attending) and what I think of blood pressure in pediatric patients.
Episode 131: Pediatric Rheumatology in the Pediatric ER, What to Ask, What to Check and What Studies to Obtain.
It is not often that I see a child with possible rheumatologic disease in the pediatric ER. What to ask, what to check for and what labs to order are always important things to think about. That is…
Episode: 130: Screening Tests, Femurs and the Exceptions
What should your next step be if your screening tests are negative. How worried should you be about child abuse in the setting of a femur fracture and when to pay attention to the exceptions. Here is…
Episode 129: Pediatric Otolaryngology in the Pediatric ED. Discussion with Dr. Jeremy Prager
ENT related illness are very high on the list of conditions I treat from the mild AOM or Strep Pharyngitis and beyond. That is why I asked Dr. Jeremy Prager to come on PEM Rules and discuss some…
Episode: 128: Sleeping Well at Night, Being an Advocate and Asking About Antipyretics
Why is it important to leave your shift with NO unresolved issues. How to advance your education and be your own best advocate and what is an important questions on any afebrile (or febrile) child.
Episode 127: Why is PEM So Special and What Advice Do I Have for "Beginners"
Listen to the discussion I had with EM physician Dr. Patricia Capone and PEM physician Delia Gold from Nationwide children's Hospital about the field of Pediatric EM and what advice we, PEM…
Episode 126: Clinical Care Tips – Being kind, False Negatives and the Minimum X ray Views.
We heavily relay on radiologists these days so why not helping them out and making it easy for them to help you? What to be aware of when you are ordering tests on your patients and a bit about X ray…
Episode 125: Child Abuse in the Pediatric ED with Dr. Toni Laskey
Probably one of the most important (and most challenging) situation in PEM is how do we identify the child with none accidental trauma among the see of true / innocent accidental injuries. That is…
Episode: 124 - Clinical Care Tips – Future Visits, Taking Complaints Seriously and Validating the Concerns.
Sometimes it is worth going the extra mile in order to (maybe) prevent the next ED visit. Always try to take the Chief Complaint seriously though it is not always as easy as it sounds and why it is…
Episode 123: Pediatric Trauma: Same-Same or Different? with Dr. Nir Samuel
Trauma is often scary and small children may be intimidating. Admitting to this is a good first step. In this Episode Dr. Nir Samuel and I talk about how to fall on our feet, get better about…
Episode 122: My List of "I Never Want To Miss It" with Jay Fisher - Bacterial Meningitis
Dr. Jay Fisher is back on PEM Rules to discuss his experience with Bacterial Meningitis, a rare (and terrible) condition that is high on my list of "I Never Want to Miss It". Here are the articles…
Episode 121: Some Basic Tips About Ventilator Management by a Respiratory Therapist.
As a PEM physician I am fairly good (and confident) about intubating children and passing that ET tube beyond the vocal cords. Managing the vent, however is a whole different ballgame. That is why I…
Episode: 120: Some PEM Rules by Dr. Carla Laos
Many PEM physicians I meet have some rules of their own or interesting interpretations of my PEM Rules. Here are some of Carla Laos's (a PEM Physician and medical director in Las Vegas) rules she…
Episode: 119: Clinical Care Tips – Responsibility, Checking Things, and Which Antibiotics to Start With
As a leader it is important to take responsibility for anything that happened "under your watch". Yes, you can check many things but do you actually need to? And what should you think about when you…
Episode: 118: Which Antibiotics Do I Use For This Infection?
With the concerning rise of antibiotic resistance I asked Dr. Fatima Levent to come back to PEM Rules and review with us the appropriate choice of antibiotics for our patients.
Frequently Asked Questions
PEM Rules has published 100 episodes since November 2022, covering topics in Education, Health & Fitness.
PEM Rules is currently highly active with new episodes every 2 weeks. Average episode length is 19m.
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