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…

Dear Listener,

If you are a PEM provider in the US in a Pediatric ER that has rotating residents and/or fellows please take a moment and click on the link below and help Sophia Wang (a PEM fellow in the University of Mississippi Medical Center) with her research project regarding patient handoff during transition of care.

Sophia is an active contributor to PEM Rules who has produced several episodes of the podcast (coming up this summer).

Thank you in advance,

Yaron Ivan, PEM Rules

Link to PEM Rules and the survey below

https://pemrules.com/news/

Probably the most common procedure I perform in the Pediatric ER and one I particularly like. Suturing. Which rules do I use and what is my anticipatory guidance for these parents.

Rashes always makes us, none dermatologist worry and maybe a bit anxious. Which rashes are worrisome? and what should we look for as the red flags of pediatric rashes. I discuss this and more With Dr. Tace Rico our Pediatric Dermatologist.

Talking to a consultant so your patient can benefit the most is an art and a science. Here are some rules  I have already discussed (and some new ones) that help me make the best of those contestations on the phone.

Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com  Copyright PEM Rules LLC

There is a certain art to how to document to your advantage? And what s&s should scare you more. Are Bilateral complaints really worse? Most importantly, how to speak to parents and trainees.

Please consider contributing to PEM Rules at

https://ko-fi.com/pemrules

And check out www.pemrules.com 

Copyright PEM Rules LLC