Not particularly based on any evidence-base study I am aware of, but this is how I approach the Ill-appearing (previously well) newborn / baby in the Pediatric Emergency Department

Check out the following video I created to help you remember the EKG changes of hyperkalemia 

https://pemrules.com/hk/

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What makes a good PEM physician? (from a PICU standpoint) and how can we all work better together to benefit our patients? My former co resident, and now PICU attending Suzie Barry and I break it down.

As always, Please consider supporting PEM Rules by clicking below

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My nurses and my team often appreciate some of these rules and they are also the right thing to do for our patients.  

As always, Please consider supporting PEM Rules by clicking below

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Sometimes the people who help me the most in the ER are not even clinicians. They are the child life specialists who help my patients (and therefore me) have a better / easier experience. Jessie is one of our child life specialists who helps me be a more compassionate physician.

As always, Please consider supporting PEM Rules by clicking below

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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

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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  

As usual, Please consider supporting PEM Rules by clicking below

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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. 

As usual, Please consider supporting PEM Rules by clicking below

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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/

Also please consider supporting PEM Rules by clicking on the link below.

https://ko-fi.com/pemrules

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.