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.
Release Date: 02/28/2022
Episode 137: Metabolic Diseases in the Peds ER. What To Worry About , What to Tests For and What To Do…
PEM Rules
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 to remember and you got a pretty bad situation in your hands. That is why I invited Dr. Austin Larson an Associate Professor of Pediatrics-Clinical Genetics and Metabolism on the show to discuss how we can do a better job identifying and treating those children.
info_outline
Episode: 136: Clinical Care Tips – What to “Be”, What to “Do” With Parents and How to Relate to Patient (and parents).
PEM Rules
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 to relate to the caregivers.
info_outline
Episode 135: Pediatric Hematologists Emergencies in the Pediatric ER
PEM Rules
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 show and tell us how can we do a better job handling true emergencies in Sickle Cell Disease patients.
info_outline
Episode 134: My List of I Never Want to Miss It with Dr. Jay Fisher – GBS and Its Variants
PEM Rules
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 ER and NEVER want to miss.
info_outline
Episode 133: Pediatric Urology in the Pediatric ER
PEM Rules
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 sometimes consult from the Pediatric ER to talk about common urological emergencies. Here are two links Jessica recommends us PEM providers Article on Priapism in children The TWIST score calculator. 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...
info_outline
Episode: 132: Comparing Sides, Fast Track and Checking Out the Blood Pressure
PEM Rules
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.
info_outline
Episode 131: Pediatric Rheumatology in the Pediatric ER, What to Ask, What to Check and What Studies to Obtain.
PEM Rules
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 why I asked Dr. Robert Lowe to come on the show and discuss the management of those patients. Dr. Lowe Advice on Labs to order when suspecting Rheumatological condition: For suspected JIA. Most important to confirm joint swelling on physical exam AND a history of one or more joints being swollen continuously for 6 weeks or longer. Systemic JIA (only 15% of kids with JIA) ESR and CRP are both...
info_outline
Episode: 130: Screening Tests, Femurs and the Exceptions
PEM Rules
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 the link to the study I refer to in the episode. Please consider contributing to PEM Rules at And check out and the PEM Rules Store at 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,...
info_outline
Episode 129: Pediatric Otolaryngology in the Pediatric ED. Discussion with Dr. Jeremy Prager
PEM Rules
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 common ENT related problems.
info_outline
Episode: 128: Sleeping Well at Night, Being an Advocate and Asking About Antipyretics
PEM Rules
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.
info_outlineWhen 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