Taking a break from the Rules. Here I share my personal approach   to the pediatric patient including how I obtain history, perform physical exam and work up my patients.

Here are some rules that help with the assessment of patients, their plan of care and disposition. Remember, every patient needs an assessment and every patient needs a plan (that is actually one of the rules).

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Procedures are some of my favorite things to do and teach as a PEM physician. These rules are about approaching and performing procedures in the Pediatric ED. 

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Some more rules in the Clinical Care category that help with the assessment and plan of patients with musculoskeletal complaints and vomiting. These are two very common presentations to the Pediatric ED

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Despite being an emergency physician, it is uncommon for me to actually encounter true emergencies. As mentioned in previous episodes most of what I do is not emergent or even urgent and many times less is more. However, every once in a while, I do encounter true emergencies and find myself managing shock cardiac arrest as well as other emergent conditions. The next set of rules provide some advice when encountering such situations.

What constitutes constipation in a newborn? When is spitting up a concern? What is the most important detail to obtain in a newborn history? listen now and find out. 

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Here are the first five rules in the first category (Clinical Care Tips) starting with the most important of them all  "Its not the patient's job to prove that they are sick, it is your job to prove they are not"

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What is PEM Rules? what is it all about and what will come in the future? Let's get started. 

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