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Episode 21: Clinical Care Tips - Ventilation, Sedation and Breaking Some Rules

PEM Rules

Release Date: 09/13/2021

Episode 39: Clinical Care Tips – All About Premature Closure and the Rule I Have for It show art Episode 39: Clinical Care Tips – All About Premature Closure and the Rule I Have for It

PEM Rules

Premature closure is something that all clinician deal with. This rule helped me avoid it in the past. In the end, it all boils down to rule number 47 (see episode 11).  As always, Please consider supporting PEM Rules by clicking below  

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Episode 38: PEM Nursing in the Pediatric ED show art Episode 38: PEM Nursing in the Pediatric ED

PEM Rules

What is the role of the PEM nurses in the Pediatric ED? and how do they help me do a better job? Who is the ideal PEM attending? I discuss this and other topics with one of our fantastic Pediatric EM nurses, Elizabeth  

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Episode 37: Clinical Care Tips -Who to Monitor, Pin-pointing Problems, and How to Have Better Outcome In Resuscitations show art Episode 37: Clinical Care Tips -Who to Monitor, Pin-pointing Problems, and How to Have Better Outcome In Resuscitations

PEM Rules

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. 

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Special Announcement - PEM Rules Is Also a Monthly Column show art Special Announcement - PEM Rules Is Also a Monthly Column

PEM Rules

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 supporting PEM Rules by clicking on the link below.    

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Episode 36: Clinical Care Tips – About You, Part 6 show art Episode 36: Clinical Care Tips – About You, Part 6

PEM Rules

How to give yourself credit all the work you do, what to “look at” during your shift and how to manage your time

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

PEM Rules

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. 

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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 show art 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

PEM Rules

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 time. 

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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. show art 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.

PEM Rules

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

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Special Announcement And Request show art Special Announcement And Request

PEM Rules

Thank you for listening to PEM Rules and for the emails and support. Please check out  and consider supporting my educational project using the link below (or on the website) and sign up for the newsletter which is (finally) up and running.       

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Episode 32: Fever in Children. Is It Good, Bad and Should It Be Treated or Left Alone? show art Episode 32: Fever in Children. Is It Good, Bad and Should It Be Treated or Left Alone?

PEM Rules

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 answered the ultimate question, to treat or not to treat??

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More Episodes

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.