Episode 85: Clinical care Tips – Intermittent Conditions, being a Trainee and Starting with The Basics
PEM Rules
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 https://ko-fi.com/pemrules And check out Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advice to treat any medical conditions in either yourself or others, including, but not limited to, patients that you are treating. Consult your own physician for any medical issues...
info_outline
Episode 84: Interesting Case In the Peds ER. By Codey Pedersen
PEM Rules
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?
info_outline
Episode 83: Clinical Care Tips – Your Limited Exam, the Patient’s Trust and Your Compassion
PEM Rules
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 parent’s trust? Simple gain the child’s first.
info_outline
Off Schedule Episode: (Another) Case of Pediatric Acute Pneumonia
PEM Rules
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 experience. Below is the link to the patient's Chest X rays. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advice to treat any medical conditions in either yourself or...
info_outline
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”?
PEM Rules
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 Disease Attending.
info_outline
Episode 81: Clinical Care Tips – Addressing “Issues”, Pin-Pointing The Syndromes and Adjusting Your Care
PEM Rules
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?
info_outline
Episode 80: How to Handle Neurosurgical Emergencies in the Peds ER? Interview with a Pediatric Neurosurgeon Dr. Todd Hankinson
PEM Rules
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 neurosergeons are often life savers in those situations. Here is a conversation I had with Dr. Todd Hankinson, a Pediatric Neurosurgeon at Children’s Hospital of Colorado.
info_outline
Episode 79: Clinical Care Tips - What to Do with Your Team, What To Look For and How To Learn From Each of Your Patients.
PEM Rules
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?
info_outline
Episode 78: Interview with Jason Zamkoff, a Pediatric Hospitalist In Denver CO.
PEM Rules
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 Department. That is why I invited Jason Zamkoff, a Pediatric Hospitalist from Denver CO to talk about the relationship between PEM Clinicians and the Peds Hospitalists. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out Copyright PEM Rules LLC DISCLAIMER By listening...
info_outline
Episode 77: Clinical Care Tips – Consultants, Boxes and Antibiotics
PEM Rules
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.
info_outlineTaking 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.