PEM Rules

This is how I make sure the abdomen is not surgical, what helps me with the disposition of children with bronchiolitis and how do I decide what ET tube size I need. 

Some of my favorite patients are those newborns with new parents who have many questions and concerns. I try to address the acute concerns of that encounter and take care of the issue (whatever it may be) but I always take the 10 minutes to give those parents my “Newborn Talk”.

Talking about ventilating a child using bag and mask, the way I go about conscious sedations and how I get ready, and recognizing the fact that some rules were meant to be broken.

My former scribe, Victoria, who is now an astute medical student and I discuss an evidence based approach to the treatment and management of anaphylactic reaction.

I love my job but rule number 64 is so important as a person, father and husband. I also discuss the importance of listening and paying attention to the PMH and HPI and why a chest x ray is a good idea on that child who had Pneumonia so many times

Probably one of the most researched diseases in Pediatrics. Bronchiolitis is an issue for us PEM physicians every winter. Here is my approach to the wheezing child with bronchiolitis.  

As an Emergency Physician, my biggest concern (and the first thing I need to address) is the airway. I like to think of the Pediatric airway as simple. Upper and lower. Viral croup is a very common upper airway obstruction.  

We all want to work in an ED that is running smoothly. We all want to have good relationships with our consultants and none of us want to see the same patient two days in a row. These rules help with all those issues.

Some more helpful rules to help you communicate to worried parents, consultants and trainees. I use these every day with great success, Most of the time

Communicating effectively to your colleagues, trainees, consultants and patients is a key element of what I do. Effective communication drives better patient care, patient satisfaction and simply makes the day better