Shows
PEM Currents: The Pediatric Emergency Medicine PodcastNight TerrorsNight terrors are dramatic but benign episodes that can leave caregivers frightened and confused. In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, we explore the clinical features of night terrors, how to differentiate them from other nocturnal events, and when to consider further evaluation such as polysomnography. We also discuss management strategies that center on sleep hygiene, reassurance, and safety, with a special look at the role of scheduled awakenings and when medication is appropriate.
Learning Objectives
By the end of this episode, listeners will be able to:
Describe the typical clinical presentation...
2025-11-1709 minPEM Currents: The Pediatric Emergency Medicine PodcastPenicillin Allergy?Is that penicillin or amoxicillin allergy real? Probably not. In this episode, we explore how to assess risk, talk to parents, and refer for delabeling. You’ll also learn what happens in the allergy clinic, why the label matters, and how to be a better antimicrobial steward.
Learning Objectives
Describe the mechanisms and clinical manifestations of immediate and delayed hypersensitivity reactions to penicillin, including diagnostic criteria and risk stratification tools such as the PEN-FAST score.
Differentiate between low-, moderate-, and high-risk penicillin allergy histories in pediatric patients and identify appropriate candidates for direct oral challenge or al...
2025-09-2410 minPEM Currents: The Pediatric Emergency Medicine PodcastThe Limping ChildLimping is a common complaint in pediatric emergency care, but the differential is broad and the stakes are high. In this episode, we walk through a detailed, age-based approach to the evaluation of the limping child. You’ll learn how to integrate the Kocher criteria, when imaging and labs are truly necessary, and how to avoid being misled by small joint effusions on ultrasound. We also highlight critical mimics like appendicitis, testicular torsion, and malignancy—and remind you why watching a child walk is one of the most valuable parts of the exam. Whether it’s transient synovitis, septic arthri...
2025-09-0412 minPEM Currents: The Pediatric Emergency Medicine PodcastManaging Pain in Sickle Cell Vaso-Occlusive CrisesVaso-occlusive pain episodes are the most common reason children and adolescents with sickle cell disease present to the Emergency Department. Prompt, protocol-driven management is essential starting with early administration of IV opioids, reassessment at 15–30 minute intervals, and judicious hydration. Understanding the patient’s typical pain pattern, opioid history, and psychosocial context can guide more effective care. This episode walks through the pathophysiology, clinical presentation, pharmacologic strategy, discharge criteria, and complications to watch for helping you provide evidence-based, compassionate care that improves outcomes.
Learning Objectives
Describe the pathophysiology of vaso-occlusive crises in children and adolescents with sickle cell disease and h...
2025-07-2810 min
Sarasota SpeaX#109 - Mark Sobolewski, Head Baseball Coach of Riverview High SchoolThis week, the guys sit down with local baseball legend, and former ball player, Mark Sobolewski. Mark was recently named the Head Baseball Coach for Riverview High School. Mark shares his time playing with Sarasota High through the University of Miami, and eventually into the pros. He also shares his experience as an Assistant under the legendary Hall of Fame Coach, Clyde Metcalf. Now, Mark is ready to lead Riverview to new heights as the head coach.This was a fun one, especially since we got to chat to him before his first season starts. We look forwa...
2025-07-2847 minPEM Currents: The Pediatric Emergency Medicine PodcastPenetrating Neck InjuriesPenetrating neck injuries in children are rare—but when they happen, the stakes are high. In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, we explore the clinical pearls behind “no-zone” management, how to distinguish hard and soft signs, when to image versus operate, and why airway always comes first. Get ready for a focused, evidence-based deep dive into pediatric neck trauma.
Learning Objectives
Understand the shift from zone-based to “no-zone” management in pediatric penetrating neck injuries and describe the rationale behind this transition.
Apply ATLS principles to the initial assessment and stabilization of children with penetrating n...
2025-06-2509 minPEM Currents: The Pediatric Emergency Medicine PodcastAdvanced Imaging of Children in the ED: Ultrasound, CT, and MRIIn this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, Brad Sobolewski discusses advanced imaging in pediatric emergency care with Dr. Jennifer Marin (jennifer.marin@chp.edu) from UPMC Children’s Hospital of Pittsburgh. They explore the evidence behind ultrasound, CT, and MRI, strategies to reduce low-value imaging, and the role of shared decision-making in selecting the appropriate diagnostic test.
Learning Objectives
Demonstrate the ability to use shared decision-making strategies when discussing imaging options with families of pediatric patients presenting to the Emergency Department. (Bloom’s: Apply; Kirkpatrick Level 2 – Learning)
Evaluate the risks and benefits of ultrasound, CT, and...
2025-05-2029 minPEM Currents: The Pediatric Emergency Medicine PodcastParvovirus B19 (Fifth Disease)In this episode, we tackle the clinical mischief of Parvovirus B19, a common viral infection with a surprisingly wide range of manifestations—from the classic “slapped cheek” rash of erythema infectiosum to aplastic crises in children with hemolytic anemias and fetal hydrops in pregnant contacts. We’ll break down the virology, epidemiology, clinical presentation, and complications of Parvovirus B19. You’ll also learn how to manage exposures in the emergency department, especially when the child has a pregnant caregiver, and why isolation isn’t always necessary once the rash shows up.
Learning Objectives
Describe the classic and atypical clinical pre...
2025-04-3011 minPEM Currents: The Pediatric Emergency Medicine PodcastThe Unvaccinated Child with FeverThis episode of PEM Currents: The Pediatric Emergency Medicine Podcast focuses on the approach to unvaccinated or undervaccinated children aged 3–36 months presenting to the ED with fever. Host Brad Sobolewski reviews differences in immune response, risk for serious and invasive bacterial infections, and outlines evaluation strategies including labs, imaging, and empiric antibiotics. He highlights data showing increased interventions in this population and calls for local guideline development. The episode emphasizes thoughtful, individualized care in the context of rising vaccine hesitancy and declining immunization rates.
Learning Objectives
Compare the clinical presentation of bacterial infections in unvaccinated and undervaccinated children vers...
2025-04-0321 minPEM Currents: The Pediatric Emergency Medicine PodcastMycoplasma pneumoniaeIn this episode we dive into the resurgence of Mycoplasma pneumoniae—an atypical bacterial cause of community-acquired pneumonia that’s making waves in pediatric emergency medicine. We’ll cover its clinical presentation, epidemiology, diagnostic approach, and management, including why standard beta-lactam antibiotics won’t work. Plus, we’ll discuss whether M. pneumoniae even needs to be treated in the first place!
Learning Objectives
Describe the clinical presentation, epidemiology, and complications of Mycoplasma pneumoniae infections in pediatric patients, including its atypical manifestations.
Differentiate Mycoplasma pneumoniae pneumonia from typical bacterial and viral pneumonia based on history, physical exam findings, and diagnostic...
2025-02-2810 minPEM Currents: The Pediatric Emergency Medicine PodcastInhalant Misuse: From Glue to Galaxy GasIn this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, we explore the complex and often underrecognized issue of inhalant misuse. From the early days of glue sniffing to the recent rise of nitrous oxide misuse, fueled by brands like Galaxy Gas and viral trends on TikTok and Instagram, inhalant misuse has evolved into a growing concern among adolescents.
We’ll dive into the clinical presentations, including acute and chronic symptoms, the dangers of “sudden sniffing death,” and the specific risks associated with nitrites, hydrocarbons, and nitrous oxide. Learn how to recognize and manage cases in the em...
2025-01-1609 minPEM Currents: The Pediatric Emergency Medicine PodcastPertussisIn this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, we explore pertussis, also known as whooping cough – a disease that remains a public health challenge despite widespread vaccination efforts. We will review the clinical presentation, diagnostic strategies, management protocols, infection control practices, and vaccination updates. This episode also covers what healthcare providers need to know about post-exposure prophylaxis, respiratory precautions, and managing occupational exposures.
Learning Objectives
Understand the clinical progression of pertussis through its three distinct stages and identify key symptoms, including age-specific presentations in infants and older children.
Implement effective management strategies for pertussis, including su...
2024-12-0411 minPEM Currents: The Pediatric Emergency Medicine PodcastAgitation Episode 5: The boarded ED patientWe are in the midst of a staggering mental health crisis. Thousands of children and adolescents spend days at time in Emergency Departments waiting for definitive mental health disposition. This podcast episode hosted by Brad Sobolewski (@PEMTweets) and co-authored by Dennis Ren (@DennisRenMD) is all about what we should consider when boarding children in the […]
2023-06-1413 minPEM Currents: The Pediatric Emergency Medicine PodcastAgitation Episode 4: Safe prehospital transportThere are protocols in place that assist highly trained Emergency Medical Service providers in assuring that agitated children are safely transported to their destination. This podcast episode hosted by Brad Sobolewski (@PEMTweets) and co-authored by Dennis Ren (@DennisRenMD) is all about what pre-hospital providers should do to get these agitated children safely to the ED. […]
2023-06-0715 minPEM Currents: The Pediatric Emergency Medicine PodcastAgitation Episode 3: Pharmacologic managementWhen we think of managing agitated patients we think of medicines – but that shouldn’t be our first option. However, medications can be adjuncts to non-pharmacologic means to help keep agitated children safe from harm. This podcast episode hosted by Brad Sobolewski (@PEMTweets) and co-authored by Dennis Ren (@DennisRenMD) is all about age-appropriate pharmacologic management […]
2023-05-3119 minPEM Currents: The Pediatric Emergency Medicine PodcastAgitation Episode 2: Non-pharmacologic managementAgitated children should always be treated with dignity and respect. This entails utilizing the least invasive non-pharmacologic means of assisting them, before moving to physical or chemical restraints. This podcast episode hosted by Brad Sobolewski (@PEMTweets) and co-authored by Dennis Ren (@DennisRenMD) is all about age-appropriate non pharmacologic management strategies for agitated children. It is […]
2023-05-2417 minPEM Currents: The Pediatric Emergency Medicine PodcastAdolescent sexual and reproductive health in the EDThis episode features three members of the Pediatric Emergency Care Applied Research Network (PECARN) Adolescent Sexual Health Working Group. PECARN is a network that performs multicenter research related to the emergency care of children. The Adolescent Sexual Health Working Group is focused on researching topics of interest around sexual and reproductive health in the ED. […]
2021-06-0224 minPEM Currents: The Pediatric Emergency Medicine PodcastMagnet IngestionsThis episode focuses on high-powered magnet ingestions in children and was a collaboration with Elizabeth Curtis – @egcurtismd and Libby Ireson – @LibbyIreson, two Categorical Pediatrics Residents at Cincinnati Children’s who served as producers and guest hosts. These rare earth magnets were briefly removed from the market because children swallowed them and, when two magnets attracted […]
2021-05-1913 minPEM Currents: The Pediatric Emergency Medicine PodcastDrowningWith the warm weather upon us here in the Northern Hemisphere it will soon be time for the pools to open. This episode is therefore incredibly timely, and focuses on the spectrum of submersion injuries and their management. Learn about drowning physiology, when to admit to the hospital, and how to assess the child who […]
2021-05-1232 minPEM Currents: The Pediatric Emergency Medicine PodcastToxicology Season 2 Episode 3: NicotineThis is Season 2 of the Toxicology podcast series that Seattle Childrens’ Toxicologist Suzan Mazor, MD and I put together. This three episode season turns its focus to drugs of abuse – continuing with this episode on nicotine toxicity – the final episode of this #ToxTuesdays season. I am now proud to offer CME through […]
2021-03-1611 minPEM Currents: The Pediatric Emergency Medicine PodcastToxicology Season 2 Episode 2: MarijuanaThis is Season 2 of the Toxicology podcast series that Seattle Childrens’ Toxicologist Suzan Mazor, MD and I put together. It is a joint effort so to speak. This three episode season turns its focus to drugs of abuse – continuing with this episode on marijuana toxicity. So, let’s weed out the bad information, hash […]
2021-03-0911 minPEM Currents: The Pediatric Emergency Medicine PodcastToxicology Season 2 Episode 1: OpioidsThis is Season 2 of the Toxicology podcast series that Seattle Childrens’ Toxicologist Suzan Mazor, MD and I put together. This three episode season turns its focus to drugs of abuse – beginning with this episode on opioid toxicity. So, slow your breathing, constrict your pupils, and focus in for the return of #ToxTuesdays. I […]
2021-03-0214 minPEM Currents: The Pediatric Emergency Medicine PodcastReturn to sports following COVID-19Even though we won’t be “clearing” patients in the ED we still need to be familiar with return to sports recommendations for children and adolescents who have had COVID-19. Remember, these are just recommendations and are based off of practice patterns at many centers and on the AAP guideline. Consult with your local hospital and […]
2021-02-0406 minPEM Currents: The Pediatric Emergency Medicine PodcastHypertrophic pyloric stenosisHypertrophic pyloric stenosis results from progressive thickening of the pyloric muscle, which leads to gastric outlet obstruction and vomiting in newborns. It is a can’t miss diagnosis and one of the most common surgical problems in newborns. Learn more about the diagnosis and management in this episode of PEM Currents: The Pediatric Emergency Medicine Podcast. […]
2020-11-1211 minPEM Currents: The Pediatric Emergency Medicine PodcastToxicology Season 1 Episode 4: SalicylatesThis is episode four of season one of the Toxicology series that Suzan Mazor, the Medical Director for Toxicology at Seattle Children’s, and I are putting together. This episode focuses on a worrisome intentional and accidental ingestion – salicylates. Learn about diagnosis, management, and more! PEMBlog.com Follow me on Twitter @PEMTweets Check out the Facebook […]
2020-10-1314 minPEM Currents: The Pediatric Emergency Medicine PodcastToxicology Season 1 Episode 3: AcetaminophenThis is episode three of season one of the Toxicology series that Suzan Mazor, the Medical Director for Toxicology at Seattle Children’s, and I are putting together. This episode focuses on one of the most common intentional ingestions – Acetaminophen. For those of you from across the ocean – this episode tackles paracetamol, and for […]
2020-10-0613 minPEM Currents: The Pediatric Emergency Medicine PodcastToxicology Season 1 Episode 2: Decontamination and EliminationThis is episode 2 of season one of the Toxicology series that Suzan Mazor, the Medical Director for Toxicology at Seattle Children’s, and I are putting together. This follow up episode focuses on a decontamination and elimination in the poisoned pediatric patient and offers many pearls that will serve as a foundation for upcoming episodes […]
2020-09-2912 minPEM Currents: The Pediatric Emergency Medicine PodcastToxicology Season 1 Episode 1: General approach to the poisoned patientThis is episode 1 of season one of the Toxicology series that Suzan Mazor, the Medical Director for Toxicology at Seattle Children’s, and I are putting together. This premiere episode focuses on a solid general approach to the poisoned pediatric patient and offers many pearls that will serve as a foundation for upcoming episodes. Follow […]
2020-09-2217 minPEM Currents: The Pediatric Emergency Medicine PodcastMastoiditisDoes mastoiditis always present with the classic triad of swelling behind the ear, otalgia, and protrusion of the auricle? Do you need to get a CT to make the diagnosis? What is the exact relationship with acute otitis media? Can swimmer’s ear turn into mastoiditis? These questions and more are why I recorded this episode […]
2020-07-1415 minPEM Currents: The Pediatric Emergency Medicine PodcastDeliriumYes, PEM Currents is a Pediatric Emergency Medicine podcast, but during the COVID-19 pandemic we may be tasked with seeing patients outside of our area of expertise. Plus, there’s a lot we can learn from big people that we can extrapolate to children. I have partnered with POPCoRN, the Pediatric Overflow Planning Contingency Response Network to deliver […]
2020-06-0915 minPEM Currents: The Pediatric Emergency Medicine PodcastMultisystem Inflammatory Syndrome in ChildrenMultisystem Inflammatory Syndrome in Children (MIS-C) is an evolving clinical entity that is occurring, possibly in association with or following a COVID-19 infection. This episode of PEM Currents expands upon a recent PEMBlog post, as well as includes information from two studies published in The Lancet as well as included in a recent CDC webinar. […]
2020-05-2115 minPEM Currents: The Pediatric Emergency Medicine PodcastPulmonary EmbolismYes, PEM Currents is a Pediatric Emergency Medicine podcast, but during the COVID-19 pandemic we may be tasked with seeing patients outside of our area of expertise. Plus, there’s a lot we can learn from big people that we can extrapolate to children. I have partnered with POPCoRN, the Pediatric Overflow Planning Contingency Response Network to deliver […]
2020-05-1419 minPEM Currents: The Pediatric Emergency Medicine PodcastVasopressorsVasopressor use in the Pediatric Emergency Department has been a moving target for my entire career. Back when I was a resident and fellow we used Dopamine. Then we went to epinephrine because it can be given through a peripheral IV because norepinephrine was too dangerous to run peripherally. But maybe that’s not entirely true. […]
2020-05-0519 minPEM Currents: The Pediatric Emergency Medicine PodcastStroke in AdultsYes, PEM Currents is a Pediatric Emergency Medicine podcast, but during the COVID-19 pandemic we may be tasked with seeing patients outside of our area of expertise. Plus, there’s a lot we can learn from big people that we can extrapolate to children. I have partnered with POPCoRN, the Pediatric Overflow Planning Contingency Response Network to deliver […]
2020-04-2213 minPEM Currents: The Pediatric Emergency Medicine PodcastStatus EpilepticusStatus epilepticus can be very stressful in the Pediatric Emergency Department. This episode of PEM Currents: The Pediatric Emergency Medicine Podcast focuses on management, and will guide you through the treatment process, starting with benzodiazepines, followed by a discussion of the recent evidence for second line therapy between fosphenytoin, levetiracetam, and valproate. Follow me on […]
2020-03-2508 minPEM Currents: The Pediatric Emergency Medicine PodcastHemophiliaFactor First! OK, did I get your attention? Hopefully I did, because giving replacement factor to children with hemophilia presenting to the Emergency Department as soon as possible is the most important thing that you can do to positively impact outcomes. This episode of PEM Currents focuses on the different bleeding complications seen in Hemophilia […]
2020-02-1815 minPEM Currents: The Pediatric Emergency Medicine PodcastTalking with patients and families about the fluI recently had the pleasure of sitting down with the always delightful Dr. Patricia Chambers to talk about influenza. In our conversation we reviewed how to discuss testing or not for the flu, as well as why antivirals are not always indicated. I firmly believe that perhaps the most important thing that we do in […]
2019-12-2012 minPEM Currents: The Pediatric Emergency Medicine PodcastDisaster PreparednessThis episode of PEM Currents: The Pediatric Emergency Medicine Podcast is all about disaster medicine. I interviewed Brent Kaziny, Disaster Medicine and Preparedness expert who was in training during Hurricane Katrina and lead efforts in Houston during Hurricane Harvey. Brent shares practical tips on how you can get involved and how you can learn what […]
2019-10-2516 minPEM Currents: The Pediatric Emergency Medicine PodcastFoot FracturesDon’t toe the line when it comes to your education. Step up, don’t be a heel, and listen to this episode of PEM Currents: The Pediatric Emergency Medicine Podcast focusing on fractures of the feet and toes. Learn all about metatarsal fractures, including the Jones fracture, Lisfranc injuries, why you should worry about a fracture […]
2019-09-2715 minPEM Currents: The Pediatric Emergency Medicine PodcastFemur FracturesThe fifth episode of the Fracture Season of PEM Currents, the Pediatric Emergency Medicine podcast focuses on fractures of the tibia and fibula, including the ankle. This episode also features a review of the neurovascular assessment of the lower extremity. I am now proud to offer CME through Cincinnati Children’s. To claim CME & ABP […]
2019-09-2012 minPEM Currents: The Pediatric Emergency Medicine PodcastTibia and Fibula FracturesThe fifth episode of the Fracture Season of PEM Currents, the Pediatric Emergency Medicine podcast focuses on fractures of the tibia and fibula, including the ankle. This episode also features a review of the neurovascular assessment of the lower extremity. I am now proud to offer CME through Cincinnati Children’s. To claim CME & ABP […]
2019-09-1320 minPEM Currents: The Pediatric Emergency Medicine PodcastHand FracturesThis is the 4th episode in the Fracture Season of PEM Currents. You will learn about carpal fractures – especially the dreaded scaphoid fracture, metacarpal fractures, and fractures of the phalanges. I am now proud to offer CME through Cincinnati Children’s. To claim CME & ABP MOC Part 2, visit Cincinnati Children’s Online Courses and search ‘PEM […]
2019-09-0622 minPEM Currents: The Pediatric Emergency Medicine PodcastHumerus FracturesThis episode in the Fracture Season of PEM Currents, the Pediatric Emergency Medicine podcast focuses on humerus fractures. The humerus is a super duper forgiving bone in pediatrics that almost never requires reduction or surgeries if there is a mid shaft or proximal shaft fracture. Don’t forget to listen to the Forearm and Wrist Episode […]
2019-08-3007 minPEM Currents: The Pediatric Emergency Medicine PodcastElbow FracturesThis episode in the Fracture Season of PEM Currents, the Pediatric Emergency Medicine podcast focuses on elbow fractures. Did you know that the elbow has there joints? Did you know that supracondylar fractures can happen after a fall from something other than monkey bars? Don’t forget to listen to the Forearm and Wrist Episode if […]
2019-08-2311 minPEM Currents: The Pediatric Emergency Medicine PodcastForearm and Wrist FracturesThis summer, in honor of the 7th anniversary of PEMBlog and PEM Currents I will be releasing a mini-season of fracture focused podcasts. This episode focuses on radius and ulna fractures, including buckle, greenstick, physis and more! learn about the neurovascular assessment of the upper extremity and general management pearls for some of the most […]
2019-08-1618 minPEM Currents: The Pediatric Emergency Medicine PodcastSVTThree of my favorite letters in the Pediatric Emergency Department are S, V and T. This episode of PEM Currents, the Pediatric Emergency Medicine Podcast focus on the diagnosis and management of paroxysmal supraventricular tachycardia in the ED. I discuss preparation, vagal maneuvers, cardioversion, disposition and more! PEMBlog.com @PEMTweets on Twitter Facebook References Appelboam, et […]
2019-06-0421 minPEM Currents: The Pediatric Emergency Medicine PodcastMeaslesI never thought that this particular disease would make a comeback in the United States. But here we are. Measles. As of May 2019 there have been cases reported in over 20 states. Declining vaccine rates and international travel to areas with local measles epidemics have led to a sharp rise in the number of […]
2019-05-1418 minPEM Currents: The Pediatric Emergency Medicine PodcastConstipationConstipation is an incredibly common problem in the Pediatric Emergency Department and amongst children who visit the Emergency Department with complaints of abdominal pain. This episode of PEM Currents, the Pediatric Emergency Medicine podcast features an interview with Danny Mallon, a Gastroenterologist from Cincinnati Children’s @dannymallon24 who is an expert in managing pediatric constipation. Our discussion […]
2019-03-1317 minPEM Currents: The Pediatric Emergency Medicine PodcastAnaphylaxis: Admit or Discharge?You will no doubt see a child with anaphylaxis in the Emergency Department. Recognition, management and disposition are all key questions that feel incredibly fluid at this juncture. I had the pleasure of interviewing Tim Dribin, an Emergency Medicine Attending from Cincinnati Children’s who recently published a paper in PLUS ONE focusing on admissions for […]
2019-02-2008 minPEM Currents: The Pediatric Emergency Medicine PodcastSinusitisDid you know that up to 9% of URIs are eventually complicated by acute sinusitis in children? This episode of PEM Currents, the Pediatric Emergency Medicine podcast focuses on making the diagnosis of acute bacterial rhinosinusitis clinically and when to pull the antibiotic prescription trigger. PEMBlog.com @PEMTweets References Chow AW, Benninger MS, Brook I, Brozek […]
2019-01-3012 minPEM Currents: The Pediatric Emergency Medicine PodcastTesticular PainAcute testicular pain is a common presenting complaint in the Pediatric Emergency Department. In this episode of PEM Currents you will learn about testicular torsion, epididymitis, torsion of the appendix testis and appendix epididymis, inguinal hernias and more. And remember, first and foremost, time is testicle! PEMBlog.com @PEMTweets References Jefferies MT, Cox AC, Gupta A, […]
2019-01-2216 minPEM Currents: The Pediatric Emergency Medicine PodcastProbiotics for GastroenteritisThis episode of PEM Currents features an in-depth interview with the lead author on the recent New England Journal paper on the use of probiotics in gastroenteritis. David Schnadower was kind enough to sit down with me and James Gray, a Pediatric Emergency Medicine Fellow from Cincinnati Children’s to talk about the study and its […]
2018-12-1207 minPEM Currents: The Pediatric Emergency Medicine PodcastIntranasal KetamineI am delighted to bring you this special episode of PEM Currents, the Pediatric Emergency Medicine podcast. It’s all about intranasal ketamine and its use for acute pain management in the Pediatric Emergency Department. I had the pleasure of interviewing Theresa Frey, Assistant Professor from the Division of Emergency Medicine at Cincinnati Children’s. Theresa is […]
2018-11-0223 minPEM Currents: The Pediatric Emergency Medicine PodcastPelvic Avulsion FracturesPop goes the apophysis! In teenage athletes the apophyseal cartilage is the weak point along the pelvic rim. Learn about these common injuries in this edition of PEM Currents, the Pediatric Emergency Medicine podcast. Find more great educational content at PEMBlog Follow me on Twitter @PEMTweets References Kocher MS, Tucker R. Pediatric athlete hip disorders. R.Clin Sports […]
2018-10-1905 minPEM Currents: The Pediatric Emergency Medicine PodcastAcute Flaccid MyelitisAcute Flaccid Myelitis is a rare but serious disease characterized by rapid onset of muscle weakness. Diagnosis also requires an MRI with lesions in multiple spinal levels or CSF pleocytosis. cases have been reported over the past several years and though a specific cause is unknown strains of enterovirus are suspected culprits. Check out more […]
2018-10-1806 minPEM Currents: The Pediatric Emergency Medicine PodcastOtitis ExternaWith summer pool season in full swing allow me to freestyle a little on a common topic that many Emergency Departments and Urgent Cares seem to be swimming in every summer. This episode of PEM Currents dives right into Otitis Externa – AKA Swimmer’s Ear and reviews diagnosis and treatment. If you were treading water […]
2018-07-2513 minPEM Currents: The Pediatric Emergency Medicine PodcastKawasaki DiseaseKawasaki Disease, AKA Mucocutaneous Lymph Node Syndrome, is one of the most common vasculitides of childhood. The hallmark is fever ≥5 days plus 4/5 of the following; mucous membrane changes, conjunctivitis, polymorphous rash, extremity changes and lymph node enlargement. It can also lead to coronary artery aneurysms, which is why its so important to make […]
2018-05-1515 minPEM Currents: The Pediatric Emergency Medicine PodcastAcute Otitis MediaOK, so this is the least exciting topic in Pediatric Emergency Medicine… With that being said, you will all see it. And we need to be good at looking at ears, diagnosing acute otitis media, and appropriately choosing when and which antibiotic to prescribe. Follow @PEMTweets on Twitter References Karma PH, et al., Pneumatic otoscopy […]
2018-04-1320 minPEM Currents: The Pediatric Emergency Medicine PodcastDental InfectionsTo tell you the tooth you’ll probably see quite a few kids with dental related complaints in the Pediatric Emergency Department. This can range from cavities to invasive infections. Brush up on all things dental infections in this episode of PEM Currents. And yes, those puns were intentional. I must’ve flossed my mind! PEMBlog Briefs: […]
2018-02-2007 minPEM Currents: The Pediatric Emergency Medicine PodcastTesting for InfluenzaYou don’t need a flu test to diagnose the flu! But there are situations where rapid antigen testing or PCR is valuable. Listen to this episode of PEM Currents, the Pediatric Emergency Medicine podcast, to learn more about the test characteristics of common assays and when to obtain testing when prevalence rates for the flu […]
2018-01-2910 min
Little Big MedEpisode 5: Establishing an Education Brand with Brad Sobolewski<p>Host Jason Woods MD chats with Brad Sobolewski MD, on how he established his own brand as a medical educator, with advice for new medical educators just starting on this path.</p>
<p>The post <a rel="nofollow" href="http://www.littlebigmed.com/educationbranding/">Episode 5: Establishing an Education Brand with Brad Sobolewski</a> appeared first on <a rel="nofollow" href="http://www.littlebigmed.com">Little Big Med</a>.</p>
2018-01-1100 minPEM Currents: The Pediatric Emergency Medicine PodcastHyperkalemiaHyperkalemia is more than just peaked T-waves on an EKG. Learn why an elevated serum potassium level can put patients in the danger zone and how to acutely manage patients in a goal directed manner. Check out more great educational content on PEMBlog.com Follow me on Twitter @PEMTweets
2017-12-2713 minPEM Currents: The Pediatric Emergency Medicine PodcastBronchiolitisI’m sure that you’ll probably see a case of bronchiolitis this winter. Call it a hunch. In this episode of PEM Currents you’ll learn why suctioning and ensuring hydration are still the mainstays of therapy, and why albuterol, racemic epinephrine, steroids and more don’t have a place in routine cases. And if you read any […]
2017-11-0121 minPEM Currents: The Pediatric Emergency Medicine PodcastRapid Sequence IntubationThis episode of PEM Currents, featuring Preston Dean – @prestonndean on Twitter, a senior Pediatric Resident at Cincinnati Children’s, is about all things Rapid Sequence Intubation. You’ll learn about equipment, techniques, drugs and more! PEMBlog.com
2017-09-2916 minPEM Currents: The Pediatric Emergency Medicine PodcastCommunity Acquired PneumoniaFever, tachypnea and rales – it must be a community acquired pneumonia… right? Learn more about the diagnosis and management of this common problem in the Pediatric Emergency Department. Essential Reading Bradley JS, Byington CL, Shah SS, Alverson B, Carter ER, Harrison C, Kaplan SL, Mace SE, McCracken GH Jr, Moore MR, St Peter SD, […]
2017-09-2025 minPEM Currents: The Pediatric Emergency Medicine PodcastCSF Shunt ComplicationsVentricular CSF shunts are very common – many kids have them. The most common complications are malfunction and infection. This episode of PEM Currents reviews the basics and how you can assess for complications in CSF shunts in kids. PEMBlog.com Boyle, Kimia, Nigrovic. Validating a Clinical Prediction Rule for Ventricular Shunt Malfunction. Pediatric Emergency Care, 2017. […]
2017-08-1814 minPEM Currents: The Pediatric Emergency Medicine PodcastVocal Cord DysfunctionVocal cord dysfunction, AKA paradoxical vocal fold motion is more common than you might think. Patients often present to the Emergency Department in respiratory distress and “wheezing.” Learn about the diagnosis itself, different phenotypes and what treatment options are out there. References Christopher KL, Wood RP 2nd, Eckert RC, Blager FB, Raney RA, Souhrada JF. Vocal-cord dysfunction […]
2017-05-2515 minPEM Currents: The Pediatric Emergency Medicine PodcastManagement of Elevated ICPGet ahead of your peers and listen to this episode of PEM Currents, the Pediatric Emergency Medicine podcast where you’ll learn all about the management of acutely elevated intracranial pressure. You’ll learn about common maneuvers such as optimizing the ABCs, Keeping the head elevated and midline as well as thermoregulation. I also discuss osmotic therapies […]
2017-05-0517 minPEM Currents: The Pediatric Emergency Medicine PodcastBreath Holding SpellsDon’t hold you breath while listening to this podcast – because you’d be doing so for longer than 20 seconds – and you will have apnea. Do however, listen to learn more about cyanotic and pallid breath holding spells so that you can be prepared to diagnose and manage them in the Emergency Department. Check […]
2017-03-2208 minPEM Currents: The Pediatric Emergency Medicine PodcastSerum sicknessWhat does the combination of erythema multiforme, fever and swollen joints equal? If you answered a visit to the Emergency Department you’re only partially correct. Serum sickness like reaction is a delayed type hypersensitivity reaction that often occurs 7-10 days after starting a course of antibiotics. Learn how you can recognize it and differentiate it […]
2017-01-3107 minPEM Currents: The Pediatric Emergency Medicine PodcastKidney StonesIt’s an epidemic! OK, so not quite, but we are seeing a rise in the number of kidney stones recently and we’re not quite sure why. This episode of PEMCurrents will focus on diagnosis and treatment of stones and answer such questions as; Which pain medicine should I order first? and which is the better imaging […]
2017-01-0320 minPEM Currents: The Pediatric Emergency Medicine PodcastHemorrhagic Ovarian CystsCheck out the latest episode of PEM Currents the Pediatric Emergency Medicine podcast where I talk about hemorrhagic (AKA ruptured) ovarian cysts. I delve into diagnosis and management and suggest strategies for obtaining a diagnostic ultrasound. Check out more great educational content on PEMBlog.com
2016-12-1309 minPEM Currents: The Pediatric Emergency Medicine PodcastInterview with Ben Kerrey about Pediatric Rapid Sequence IntubationBen Kerrey is a rising star in Pediatric Emergency Medicine and is the point man for an ongoing initiative at Cincinnati Children’s centered around improving safety and limiting complications during rapid sequence intubation. I recently sat down with Ben to talk about the state of RSI in pediatric patients, the difference between a checklist and a […]
2016-10-2125 minPEM Currents: The Pediatric Emergency Medicine PodcastRabiesThis edition of PEM Currents is a bite-sized rundown on rabies, or more accurately rabies post-exposure prophylaxis since most of you will never see it clinically, but will encounter a kid who meets an unscrupulous animal.
2016-09-2308 minPEM Currents: The Pediatric Emergency Medicine PodcastHematemesis in the NewbornHematemesis in the newborn period is scary for parents but fortunately it is most often due to benign causes such as swallowed maternal blood or GERD. learn more about this surprisingly common problem on this edition of PEMCurrents, the Pediatric Emergency Medicine Podcast.
2016-09-0608 minPEM Currents: The Pediatric Emergency Medicine PodcastHeat IllnessThe heat is on! With warm weather comes a plethora of heat-related problems in the ED. That’s why I’m sharing this edition of PEM Currents, the Pediatric Emergency Medicine Podcast. The focus is on heat illness in its many forms. Learn about everything from the benign prickly heat, to life threatening heat stroke. Stay cool and learn […]
2016-06-2112 minPEM Currents: The Pediatric Emergency Medicine PodcastSwallowed Foreign BodiesKids eat stuff they’re not supposed to. Most of the time foreign bodies pass harmlessly through the GI tract. Occasionally they will get stuck. It is your job to figure out who has an impacted foreign body, and how to diagnose and manage it. Check out more Pediatric Emergency Medicine content at PEMBlog.com Follow me […]
2016-06-1014 minPEM Currents: The Pediatric Emergency Medicine PodcastTorticollisAcquired torticollis must be differentiated from more serious symptoms and remains a common presenting complaint in the Pediatric Emergency Department. Learn more about it in this episode of PEMCurrents the Pediatric Emergency Medicine podcast.
2016-05-0308 minPEM Currents: The Pediatric Emergency Medicine PodcastStrep PharyngitisThis may be a bit hard to swallow, but not every disease process in the Emergency Department is exciting. Streptococcal pharyngitis is an incredibly common condition, especially in the Pediatric Emergency Department and I wanted to take this opportunity to answer some common questions. Who knows, perhaps after listening to this edition of PEM Currents you […]
2016-02-2413 minPEM Currents: The Pediatric Emergency Medicine PodcastRespiratory DistressTake a deep breath and PEEP this – PEM Currents, the Pediatric Emergency Medicine podcast proudly brings you an episode dedicated to the initial assessment and management of respiratory distress. Whether you’ve been practicing in the field for 20 years or are fresh out of medical school it is important to recognize key symptoms in […]
2015-11-1714 minPEM Currents: The Pediatric Emergency Medicine PodcastITPThis edition of PEM Currents, the Pediatric Emergency Medicine Podcast™ reviews the diagnosis and management of Immune Thrombocytopenia, formerly known as Idiopathic Thrombocytopenia Purpura. You will definitely see this common acute hematologic conditions in the ED, and should be able to differentiate it from acute leukemia, meningococcemia and other concerning conditions.
2015-10-0609 minPEM Currents: The Pediatric Emergency Medicine PodcastUnexplained Bruising in the Young ChildThis edition of PEM Currents, the Pediatric Emergency Medicine podcast briefly addresses which bruises are concerning in children under the age of 4, and what the ensuing workup should entail. You can also read more on a companion PEMBlog post.
2015-09-0805 minPEM Currents: The Pediatric Emergency Medicine PodcastThe Febrile NewbornThis episode of PEM Currents tackles a bread and butter issue in Pediatric Emergency Medicine, the newborn with fever. I discuss management, specifically how it differs for babies under 28 days of age as well as when to get labs and how to interpret them. I also reference procalcitonin, and touch on its emerging role. […]
2015-07-0610 minPEM Currents: The Pediatric Emergency Medicine PodcastUpper Gastrointestinal Tract BleedsThis episode focuses on upper GI bleeds. Serious UGI bleeds – you know, the ones with shock, massive transfusions and more – are fortunately rare in the Pediatric Emergency Department. However, there is a growing population of patients with chronic diseases that can lead to portal hypertension, varies and other causes of bleeding from the […]
2015-06-0213 minPEM Currents: The Pediatric Emergency Medicine PodcastAn interview with Todd Florin on bronchiolitis, hypertonic saline and moreI’m delighted to share the latest PEM Currents podcast! I recently sat down with Todd Florin, one of the faculty physicians at Cincinnati Children’s Hospital Medical Center and talked about bronchiolitis, delving into the controversies around the use of hypertonic saline, albuterol and more. Todd also recommended that all of my listeners check out the […]
2015-03-1018 minPEM Currents: The Pediatric Emergency Medicine PodcastParotitisWith the recent influenza epidemic you may have also seen a rise in the number of cases of parotitis. This should not be a surprise, as acute parotitis is usually viral, self-limited and treated with supportive measures – just like the flu! Learn more by listening to this edition of PEM Currents, which is all […]
2015-01-1405 minPEM Currents: The Pediatric Emergency Medicine PodcastTopical AnestheticsPEM Currents returns with a look at topical anesthetics used in the Emergency Department. Specifically this edition of the podcast will focus on LET, EMLA and LMX and discuss typical use.
2014-10-1207 minPEM Currents: The Pediatric Emergency Medicine PodcastConvulsive syncopeDon’t swoon with excitement because the latest episode of PEM Currents, the Pediatric Emergency Medicine podcast is here! The focus is on convulsive syncope – essentially patients who faint and have movements that could be construed as seizures. You’ll learn how common convulsions with syncope are and what to do if you encounter them in […]
2014-08-1108 minPEM Currents: The Pediatric Emergency Medicine PodcastAcetaminophen versus IbuprofenThis edition of PEM Currents, the Pediatric Emergency Medicine podcast, reviews the safety and comparative efficacy of acetaminophen and ibuprofen. If you work in a Pediatric Emergency Department you’ll certainly have broken a sweat over this hot debate time and time again.
2014-05-2911 minPEM Currents: The Pediatric Emergency Medicine PodcastOndansetron for vomiting in acute gastroenteritisThis edition of PEMCurrents echoes a recent post on the PEMBlog and reviews the use of ondansetron in acute gastroenteritis. Specifically highlighting the reduction in risk of further episodes of emesis, need for intravenous fluids and immediate admission to the hospital.
2014-05-0307 minPEM Currents: The Pediatric Emergency Medicine PodcastClavicle FracturesThis edition of PEMCurrents takes a crack at clavicle fractures. The old dictum about broken collarbones states that if both ends of the bone are in the same room it’ll heal fine. For the most part this is true – at least in prepubescent patients. New literature in adults has suggested that outcomes are better […]
2014-04-2805 minPEM Currents: The Pediatric Emergency Medicine PodcastAntibiotic Therapy for OsteomyelitisRecognizing osteomyelitis can be challenging. Treating it doesn’t have to be – especially in the Pediatric ED. This edition of PEM Currents reviews the current evidence surrounding the initial choice of antibiotic, monitoring treatment response and overall therapeutic duration.
2014-03-1310 minPEM Currents: The Pediatric Emergency Medicine PodcastAntiemetics for MigrainesThis edition of PEM Currents focuses on the use of antiemetics to treat status migrainosus in the Pediatric ED. Prochlorperazine and Metoclopramide are safe and effective agents with a low incidence of self limited side effects that when given in combination with ketorolac result in over 90% of patient being headache free at 3 hours. […]
2014-03-0307 minPEM Currents: The Pediatric Emergency Medicine PodcastRetropharyngeal AbscessesTed Brenkert sticks his neck out to educate you on retropharyngeal abscesses. RPAs can be an especially worrisome diagnosis in young children who will present with fever, sore throat and limitation of neck movement. Check out pemblog.com for more educational content
2013-12-1211 minPEM Currents: The Pediatric Emergency Medicine PodcastHigh FlowThis episode of PEMCurrents is narrated by Brad Sobolewski and focuses on the use of high flow in bronchiolitis. Learn about the application of high flow nasal cannulas, the mechanism behind their generation of positive airway pressure, as well as some of the literature behind its beneficial effects. Check out pemblog.com for more educational content
2013-12-0511 minPEM Currents: The Pediatric Emergency Medicine PodcastDental TraumaPEM Currents cuts to the tooth of the matter in an effort to help you brush up on dental trauma. Ted Brenkert has been chomping at the bit to fill the cavities in your brain with useful knowledge.
2013-09-2713 minPEM Currents: The Pediatric Emergency Medicine PodcastForearm fracturesGrab your BBFF (or BFF) and FOOSH your way on over to PEM Currents for a discussion surrounding forearm fractures, one of the most common Orthopedic injuries seen in the Pediatric ED.
2013-08-0907 minPEM Currents: The Pediatric Emergency Medicine PodcastKetamineSummertime is in full swing – so you know what that means. Lacerations, broken bones, other stuff – and a lot of sedations to do. This edition of PEM Currents focuses on Ketamine and its use as the primary agent for procedural sedation in the Pediatric ED.
2013-07-2508 minPEM Currents: The Pediatric Emergency Medicine PodcastSummer Penile SyndromePEM Currents returns with a second episode focusing on a rather “private” matter. Summer penile syndrome is a hypersensitivity reaction to an insect bite (usually a chigger) that causes pruritis and edema to the skin of the penile shaft. This episode reviews the diagnosis and management of this surprisingly common clinical entity.
2013-07-1104 minPEM Currents: The Pediatric Emergency Medicine PodcastGrudge match! Dexamethasone versus prednisone in acute asthmaWelcome to the first podcast in the PEMCurrents series. Ted Brenkert discusses the use of dexamethasone versus prednisone in acute asthma exacerbations in the ED. You can access the podcast on iTunes, or if you’d like download the file directly. We welcome any and all feedback in the comments section. Here are links to pdf […]
2013-01-0812 min