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

PEM Rules

Release Date: 05/23/2022

Episode 76: Dealing with Acute (and Chronic) Pain in the Pediatric Emergency Department show art Episode 76: Dealing with Acute (and Chronic) Pain in the Pediatric Emergency Department

PEM Rules

As a PEM physician, treating pain is a big part of my life and sometimes it is easier said than done. This why I invited Dr. Alan Bielskay, a Pediatric Anesthesiologist (and pain expert) from Denver CO to talk about pain treatment in children.     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...

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Episode 75: Clinical Care Tips – Making Decisions, Testing for Bacteremia and “Going with Your Gut” show art Episode 75: Clinical Care Tips – Making Decisions, Testing for Bacteremia and “Going with Your Gut”

PEM Rules

Sometimes decisions are hard to make, nonetheless, in the ED world it is important to make a decision and sometimes sooner rather than later. Why getting a blood culture (without giving antibiotics) makes no sense to me and more about going with your gut feeling.   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 74: Child Abuse in the Pediatric Emergency Department, How Can We Make Things Better? show art Episode 74: Child Abuse in the Pediatric Emergency Department, How Can We Make Things Better?

PEM Rules

As a PEM Physician, child abuse, sexual abuse and child neglect cases are those cases I never want to miss or overlook. That is often easier said than done. This is a discussion I had with Dr. Stephen Boos, a child abuse doctor in Western MA.

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Episode 73: Clinical Care Tips – Taking care of yourself and Making Big Deals Small ones. show art Episode 73: Clinical Care Tips – Taking care of yourself and Making Big Deals Small ones.

PEM Rules

Probably the best advice I got in my career was to take care of myself before I take care of any patients and how I address some over-medicalized issues.

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The PEM Rules Facebook Page show art The PEM Rules Facebook Page

PEM Rules

I am excited to announce the launch of the PEM Rules Facebook page. Please visit, become a follower and communicate what you like, wish to hear or just keep in touch.  Here is the link to the page 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...

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Episode 72:  The Medicolegal World of PEM With Brady Pregerson show art Episode 72: The Medicolegal World of PEM With Brady Pregerson

PEM Rules

What medicolegal aspects of medicine should we PEM Providers be familiar with and how can we all better protect ourselves while providing excellent care for our patients?  I discuss these question and more with Dr. Brady Pregerson an expert in the field.   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 that you may be having. This entire...

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Pickaso Guitar Bow Promo Code - Coming Back Soon.  show art Pickaso Guitar Bow Promo Code - Coming Back Soon.

PEM Rules

My apologies to all of you who tried purchasing merchandise from Pickaso Guitar Bow and use PEM Rules Promo code. It came to my attention that the promo code stop working. Please be patient, check out the following link , decide what you want to buy and be on the lookout for a new method of getting a discount via PEM Rules. The Pickaso Guitar Bow is fun to have and use to enrich your musical skills.   

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Episode 71: Clinical Care Tips – When Things Don’t Work, Strikes and Endorphins. show art Episode 71: Clinical Care Tips – When Things Don’t Work, Strikes and Endorphins.

PEM Rules

What should you do when things don’t seem to work they you want them to, what happens when a patient visits the Peds ED 3 times (or more) in a short time interval and what endorphins can potentially be.

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Episode 70: PEM Education with Michael Mojica. show art Episode 70: PEM Education with Michael Mojica.

PEM Rules

What makes a good PEM teacher and how can we PEM providers be better educators for the next generation. I discuss this and More with Dr. Michael Mojica a PEM attending and educator for over 30 years.

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Episode 69: Clinical Care Tips – More About Fever and Making Recommendations  show art Episode 69: Clinical Care Tips – More About Fever and Making Recommendations

PEM Rules

Why fever in children does not really scare me much how I recommend you speak to the parents and what I do when the patient has had a fever for over 5 days. 

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More Episodes

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

https://ko-fi.com/pemrules