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). 

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What is the role of the PEM nurses in the Pediatric ED? and how do they help me do a better job? Who is the ideal PEM attending? I discuss this and other topics with one of our fantastic Pediatric EM nurses, Elizabeth  

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This episode is about knowing who (not what) to monitor, helping your team by pin-pointing and naming the problem and how to (hopefully) have good outcome in resuscitations by having the parents present. 

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Thank you all for listening to the podcast in the last 15 months. I am excited to announce that PEM Rules is now a column in the journal EP monthly. Please check out the link below to read the "PEM Rules Philosophy". 

http://epmonthly.com/article/you-dont-have-to-win-just-dont-lose/

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How to give yourself credit for all the work you do, what to “look at” during your shift and how to manage your time

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. 

It is not very often that I intubate an asthmatic but when I do I always think about PEM rule number 91. Rule Number 92 is meant to help me be more efficient and do what is right for my patients and rule number 93 helps me to things one step at a time. 

When you are faced with a problem try to keep it small, remember your patients are yours as long as they are in the department. And keep in mind, During the initial stages of resuscitations, you simply can’t go wrong

Thank you for listening to PEM Rules and for the emails and support. Please check out www.pemrules.com and consider supporting my educational project using the link below (or on the website) and sign up for the newsletter which is (finally) up and running. 

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Fever is one of the most common chief complaint in the Pediatric Emergency Department and tends to scare many parents, myself included. My previous scribe (and now an astute medical student) Victoria, researched what fever is? what it does? and answered the ultimate question, to treat or not to treat??