Episode 74: Child Abuse in the Pediatric Emergency Department, How Can We Make Things Better?
Release Date: 11/06/2023
Episode 102: Adult Disease in the Pediatric Emergency Department
PEM Rules
It seems to me that due to the obesity epidemic more and more children suffer from "adult problems" such as Type 2 diabetes, hypertension etc. That is why I decided to bring Seth Ball, a PEM physician who is also trained in General EM to the show to discuss the management of those 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,...
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Episode 101: Discussion with Dr Rammy Assaf Who Has Some Great Rules of His Own.
PEM Rules
So apparently I am not the only one with "rules". Dr. Rammy Assaf contacted me via the PEM Rules website and wanted to share some of the rules and wisdom he has learned over the year. Thank you Rammy for coming on the show and sharing you knowledge.
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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.
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
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?
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
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
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
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.
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?
info_outlineAs 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.