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PEM Rules

Release Date: 11/28/2022

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”? show art 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.

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Episode 81: Clinical Care Tips – Addressing “Issues”, Pin-Pointing The Syndromes and Adjusting Your Care show art 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?

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Episode 80:  How to Handle Neurosurgical Emergencies in the Peds ER? Interview with a Pediatric Neurosurgeon Dr. Todd Hankinson show art 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.    

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Episode 79: Clinical Care Tips - What to Do with Your Team, What To Look For and How To Learn From Each of Your Patients. show art 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?

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Episode 78: Interview with Jason Zamkoff, a Pediatric Hospitalist In Denver CO. show art 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...

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Episode 77: Clinical Care Tips – Consultants, Boxes and Antibiotics show art 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.

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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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PEM Rules will be taking a short winter vacation for the month of December. Really appreciate everyone's support over the last 2 years. Will see you again in the new year.