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

PEM Rules

Release Date: 03/28/2022

Episode 100: Finding the Best EM Job for You.  Some Rules for Optimizing Where You Land. show art Episode 100: Finding the Best EM Job for You. Some Rules for Optimizing Where You Land.

PEM Rules

The goal of our long (and exhausting) training is to find the ultimate job. Here are some tips from Dr. Rick Saladino (my fellowship mentor and the inspiration behind PEM Rules) on the process.

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Episode 99: Clinical Care Tips – History, Expectations and Calling Consultants.  show art Episode 99: Clinical Care Tips – History, Expectations and Calling Consultants.

PEM Rules

What is the “best way” to take history, talking about patients expectations and what you must do before calling your consultants.

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Episode 98: Pediatric Neurology In the Peds ED. Discussion with Dr. Amy Goldstein show art Episode 98: Pediatric Neurology In the Peds ED. Discussion with Dr. Amy Goldstein

PEM Rules

Children with Neurological complaints represent a significant portion of what we see in the Peds ED. From Status Epilepticus to febrile seizures to the child who (maybe) had a seizure at home. This is a discussion I had with Dr. Amy Goldstein, a Pediatric Neurologist at CHOP.   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...

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Episode 97: EBM Review with Sophia Wang, Are Steroids Necessary for Anaphylaxis? show art Episode 97: EBM Review with Sophia Wang, Are Steroids Necessary for Anaphylaxis?

PEM Rules

There are many “unanswered” questions in Pediatric EM where the scientific literature does not have a good, definitive answer. Whether to use or not to use steroids in anaphylaxis is one of them. Sophia Wang (our PEM fellow from previous episodes) looked into it.   Here are some of the articles Sophia used in her research  Alqurashi W, Ellis AK. Do Corticosteroids Prevent Biphasic Anaphylaxis?. J Allergy Clin Immunol Pract. 2017;5(5):1194-1205. doi:10.1016/j.jaip.2017.05.022 Gaffney LK, Porter J, Gerling M, Schneider LC, Stack AM, Shah D, Michelson KA. Safely Reducing...

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Episode 96: Clinical Care Tips- Having a Discussion and Understanding Your Patients show art Episode 96: Clinical Care Tips- Having a Discussion and Understanding Your Patients

PEM Rules

Sometimes it is good to give your patients (or parents) some options regarding their care (some people call it shared decision making). How a short conversation can help you better understand your patients and their needs.

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PEM Rules Online Store show art PEM Rules Online Store

PEM Rules

After many months of work and some requests I am excited to open my online PEM Rules Store where listeners can order some fun PEM Rules merchandise. Please click the link below to check out the store and maybe purchase a T-shirt, a hat or whatever product you like.   Thank you for all the support, the downloads, comments and requests. Yaron Ivan   PEM Rules Online Store.      

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Episode 95: Physician Wellness with Dr. Jake Snow show art Episode 95: Physician Wellness with Dr. Jake Snow

PEM Rules

Every once in a while I meet a physician who does a great job “taking care of himself / herself”. He or she are engaged in multipule activities or hobbies and don’t seem to be suffering  “burnout”. Listen to my discussion with Dr. Snow and his advice on how to achieve wellness.   

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Episode 94: Finding reasons (or not), Failing, and the Most Important Vital Sign. show art Episode 94: Finding reasons (or not), Failing, and the Most Important Vital Sign.

PEM Rules

Having a goal before you see the patient is crucial and it should not be to find a diagnosis. It is ok to fail but not so ok not to try and what about the patient's mental status? 

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New Affiliate Program with Guitar Coach Magazine show art New Affiliate Program with Guitar Coach Magazine

PEM Rules

If you are like me you probably do most of your guitar learning online or using videos. So here is an opportunity to learn some classic guitar riffs and get a discount via this link. Check out Guitar Coach and all the resources they have and use the link below to get a discounted price for the 42 All-Time Classic Guitar Riffs program using muscle memory.  It's a great way to up your guitar playing game.     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...

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Episode 93: Interview with Joshua Washington, a Physician Coach from Orlando FL show art Episode 93: Interview with Joshua Washington, a Physician Coach from Orlando FL

PEM Rules

Like most professionals, physicians and clinicians can always use a good advice. Especially on approach to the challenging patient when you seem to be doing everything right but nothing seems to work. That is why I invited Josh to the show. 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...

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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.