PEM Rules

PEM Rules (and I) will be taking a short break for July 2023. THANK YOU ALL for your support, your emails and interest. Will see you again on July 31st 2023. Hope everyone has a safe, restful, fun summer.

While some of us who take care of children for a living feel comfortable around sick kids' others disagree and get a bit nervous under the same circumstances. Why is that? and how can we change that? This is a discussion I had with my EM friends from the Podcast EM Over easy at the ACOEP scientific assembly.

I entertain the possibility of Colic in many patients but try to keep in mind it is a diagnosis of exclusion. It is important for me to follow some guidelines when I take care of patients and this is how I "know" (hopefully) the child in front of me has a none displaced (aka "splint and send") fracture.

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Sophia Wang is a PEM Fellow in Mississippi who applied the PEM Rules and wanted to share her story. Thank you, Sophia, for sharing your thoughts and thank you for listening to PEM Rules.

How did PEM Start? what is it like now? and where is it going? I discuss those questions and more with Dr. Jay Fisher, PEM Attending for almost 30 years.

Sometimes it is helpful to start thinking about patient disposition early so you can make plans appropriately. Here is what I teach parents about fever and what it really means and a very important rule for fracture reduction.

How has the training in PEM changed over the years and what makes a good PEM fellow or provider. I discuss those questions with Mel and Noel, two very influential individuals in my career.

What is a good starting point for treatment of most metabolic emergencies? How not to miss a serious diagnosis, and what to do with your team so you can all do a better job next time.

It is the General Pediatricians that often sends the child to the Pediatric ED. How the PCP and PEM doctor better communicate to help their patients.

I don't know what I would do without Ketamine. My favorite drug to use for procedures. Here is how I use it and what I tell the parents…