Shows
PEM RulesClinical Care Tips: Fever, Triage and Best Way To Learn (And Teach)What is fever? and do we always have to treat it? how much attendant should the triage level get and what can we do to learn (and teach) better? 2025-06-2311 min
PEM RulesFamily Medicine Physician Practicing PEMWhat happens when you are a "general practitioner" but are passionate about Emergency Medicine or PEM. Listen to Dr. Allen Herman's story on practicing Emergency Medicine despite completing his training in Family Medicine. 2025-06-0932 min
PEM RulesEpisode 113: The Challenge of Teaching PEM to EM Residents with Dr. Steven NazarioThough teaching is something I love doing, sometimes teaching PEM to an ED resident is challenging (for many reasons). Dr. Steven Nazario has been a physician and an educator for many years which is why I invited him on the show to talk about the challenges of teaching PEM to EM residents. Here is the link to the Video Stephen was referring to. The EKG Changes of hyperkalemia. https://pemrules.com/hk/ Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pem...2025-05-2629 min
PEM RulesBest way to Examine a Newborn and Keeping Things SimpleNewborns are small and examining them the “right way” does not take much and is worth doing, and why it is important (and helpful) to look at Pediatric Emergency Medicine as Simple.2025-05-1210 min
PEM RulesPrimary Care Practice In The ED. What To Do (or Not) and How To Reassure Those Very Worried Parents.The further away I am from my general pediatric training the more I forget how to manage chronic complaints and “primary care like” presentations. That is why I brought Dr. Noah Makovsky again to help us (PEM clinicians) do a better job with those patients. 2025-04-2829 min
PEM RulesEnemas, Making Decisions and What to Do After IntubationsSometimes enemas are not just for treatment only. Why is it important to keep making decision and not dwell and contemplate for too long and what is the best thing to do after intubations.2025-04-1409 min
PEM RulesPEM Hero- An inspiring story from a Peds Hospitalist (Who Is Also a PEM physician)We all meet some people in our life that inspire us to do better. For me Dr. Ellen Fitzpatrick is one of those people. Listen to her truly amazing life story. 2025-03-3119 min
PEM RulesClinical Care Tips – Consulting with Parents, Avoiding Some Tests and (Not) Trying To Make Everyone HappyWhy is it useful to sometimes “consult” with your patient’s parents. What tests you should really never do and why cant we just make everyone happy2025-03-1713 min
PEM RulesMy List of I Never Want to Miss It with Dr. Jay Fisher - IntussusceptionIn this new segment of PEM Rules Dr. Jay Fisher, who has been practicing PEM since 1992 is back to discuss intussusception and how can we all do a better job identifying those children among the sea of children with constipation. 2025-03-0325 min
PEM RulesOphthalmological Emergencies and Some Other Eye Problems We See (No Pun Intended )With the exception of corneal abrasions and conjunctivitis, ophthalmological presentations always make me a bit nervous. That is why I invited Dr. Mitchell Strominger to talk about some common ophthalmological emergencies. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advice to treat any medical conditions in either yourself or others, including, but not limited to, patients that you...2025-02-1730 min
PEM RulesClinical Care Tips - Distracting Injuries, "Funky" Neurological Complaints and More.Distracting injuries can be tricky but should always be taken into account. What should you think about in a child with LLQ abdominal pain and odd Neurological complaints and more about giving yourself a break. 2025-02-0311 min
PEM RulesPEM Rules - Winter Break AnnouncementThank you all for listening and supporting PEM Rules. I will be taking a short winter break to collect more material and enjoy the cold Nevada Winter (which I love). PEM Rules will be back in four weeks with more information, more medicine, more rules and, of course more music. 2024-12-3101 min
PEM RulesWhat Does a Pediatric Surgeon Think About The Rule of 6?I (finally) got a pediatric surgeon to come and talk on the show. Most importantly I was curious to know what he thinks about my Rule of 6. Listen to Dr. Erik Pearson and his wonderful advice. Here is the link to Erik's Website https://www.citizensurgeon.com/recourses consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to u...2024-12-3035 min
PEM RulesClinical Care Tips – Preparedness, Trainees and TimeHow prepared should you be? Maybe Over-prepared? What to do with your trainees and why it wise to buy time (if you can).2024-12-1610 min
PEM RulesAdult Disease in the Pediatric Emergency DepartmentIt seems to me that due to the obesity epidemic more and more children suffer from "adult problems" such as Type 2 diabetes, hypertension etc. That is why I decided to bring Seth Ball, a PEM physician who is also trained in General EM to the show to discuss the management of those children. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to u...2024-12-0232 min
PEM RulesDiscussion with Dr Rammy Assaf who has some great rules of his own.So apparently I am not the only one with "rules". Dr. Rammy Assaf contacted me via the PEM Rules website and wanted to share some of the rules and wisdom he has learned over the year. Thank you Rammy for coming on the show and sharing you knowledge. 2024-11-1819 min
PEM RulesFinding the Best EM Job for You. Some Rules for Optimizing Where You Land.The goal of our long (and exhausting) training is to find the ultimate job. Here are some tips from Dr. Rick Saladino (my fellowship mentor and the inspiration behind PEM Rules) on the process.2024-11-0434 min
PEM RulesClinical Care Tips – History, Expectations and Calling Consultants.What is the “best way” to take history, talking about patients expectations and what you must do before calling your consultants.2024-10-2112 min
PEM RulesPediatric Neurology In the Peds ED. Discussion with Dr. Amy GoldsteinChildren with Neurological complaints represent a significant portion of what we see in the Peds ED. From Status Epilepticus to febrile seizures to the child who (maybe) had a seizure at home. This is a discussion I had with Dr. Amy Goldstein, a Pediatric Neurologist at CHOP. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advice to tr...2024-10-0830 min
PEM RulesEBM Review with Sophia Wang, Are Steroids Necessary for Anaphylaxis?There are many “unanswered” questions in Pediatric EM where the scientific literature does not have a good, definitive answer. Whether to use or not to use steroids in anaphylaxis is one of them. Sophia Wang (our PEM fellow from previous episodes) looked into it. Here are some of the articles Sophia used in her research Alqurashi W, Ellis AK. Do Corticosteroids Prevent Biphasic Anaphylaxis?. J Allergy Clin Immunol Pract. 2017;5(5):1194-1205. doi:10.1016/j.jaip.2017.05.022 Gaffney LK, Porter J, Gerling M, Schneider LC, Stack AM, Shah D, Michelson KA. Safely Reducing Hospitalizations for Anaphy...2024-09-2318 min
PEM RulesClinical Care Tips- Having a Discussion and Understanding Your PatientsSometimes it is good to give your patients (or parents) some options regarding their care (some people call it shared decision making). How a short conversation can help you better understand your patients and their needs.2024-09-0911 min
PEM RulesPEM Rules Online StoreAfter many months of work and some requests I am excited to open my online PEM Rules Store where listeners can order some fun PEM Rules merchandise. Please click the link below to check out the store and maybe purchase a T-shirt, a hat or whatever product you like. Thank you for all the support, the downloads, comments and requests. Yaron Ivan PEM Rules Online Store. https://www.redbubble.com/shop/ap/164385928 www.pemrules.com 2024-09-0301 min
PEM RulesAchieving Wellness: Discussion With Dr. Jake Snow On How We Can Treat Ourselves BetterEvery once in a while I meet a physician who does a great job “taking care of himself / herself”. He or she are engaged in multipule activities or hobbies and don’t seem to be suffering “burnout”. Listen to my discussion with Dr. Snow and his advice on how to achieve wellness. 2024-08-2623 min
PEM RulesFinding reasons (or not), Failing, and the Most Important Vital Sign.Having a goal before you see the patient is crucial and it should not be to find a diagnosis. It is ok to fail but not so ok not to try and what about the patient's mental status? 2024-08-1212 min
PEM RulesNew Affiliate Program with Guitar CoachIf you are like me you probably do most of your guitar learning online or using videos. So here is an opportunity to learn some classic guitar riffs and get a discount via this link. Check out Guitar Coach and all the resources they have and use the link below to get a discounted price for the 42 All-Time Classic Guitar Riffs program using muscle memory. It's a great way to up your guitar playing game. bit.ly/3Wv6R72 Please consider contributing to PEM Rules at https://ko-fi.com/pem...2024-08-0102 min
PEM RulesInterview with Joshua Washington, a Physician Coach from Orlando FLLike most professionals, physicians and clinicians can always use a good advice. Especially on approach to the challenging patient when you seem to be doing everything right but nothing seems to work. That is why I invited Josh to the show. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advice to treat any medical conditions in either yourself or o...2024-07-2921 min
PEM RulesStatistics Comfort and Being CuriousWhy knowing statistics is important for us EM providers, what is the “best” way to treat the patient and being curious. Here are the studies I speak of in the episode https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5359077/ https://pubmed.ncbi.nlm.nih.gov/20627219/ Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advice to tr...2024-07-1512 min
PEM RulesPEM Rules Survey - How to Get Hired in PEMOn episode 100 coming this November, Dr. Saladino will be discussing his advice on how to maximize your chances of finding the best job in PEM, EM or just in medicine. Please take a minute to fill up this survey so Dr. Saladino and I can have a beneficial discussion for the listeners. https://www.surveymonkey.com/r/8WP7DQB Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC DISCLAIMER 2024-07-0803 min
PEM RulesThe Tik-Tok ChallengesNone accidental ingestions and overdoses are common scenarios in the Pediatric Emergency Department. Now (unfortunately) driven by some social media posts. Knowing how to recognize and manage these patients is critical. That is why I invited Dr. Daria Falkowitz to discuss some of these common Tik-Tok Challenges2024-07-0122 min
PEM RulesFacebook page updatedPlease check out PEM Rules on Facebook and become a follower. I finally found the time to put some educational material for you to learn from. https://www.facebook.com/PEMRules 2024-06-2201 min
PEM RulesApproach to The Child With (possible) Toxic IngestionToxic ingestions are always on my differential diagnosis of any child with acute onset "odd symptoms". That is why I invited Dr. Brian Schultz to discuss this important (and often challenging) topic.2024-06-1725 min
PEM RulesClinical Care Tips – Normal Exam, Worst Case Scenarios and Taking RisksSometimes (it is not often), a normal physical exam is actually more concerning, why it is a good idea to be pessimistic? and how to be comfortable with risks? 2024-06-0313 min
PEM RulesWhat Are PEM Facility Directors Look for In Their Teams Members They Hire and What Are Their ChallengesWhat do our “future bosses” look for in their candidate and how can we become a more competitive applicants for our next job?. I discuss that and other important questions with Dr. Todd Zimmerman a PEM attending in Las Vegas. 2024-05-2017 min
PEM RulesClinical Care Tips - Testing, Asking the Right Questions and What Not To DoSometimes there are "odd reasons" for using a test, Getting a good history is key and some questions are more important than others and a bit about knowing what not to do. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advice to treat any medical condition...2024-05-0611 min
PEM RulesEmergencies in the Primary Care Office. What to Do and When to Send?Just like I lost many of my “primary care” skills many primary care pediatrician feel uncomfortable treating emergencies or urgencies in their office. That is why I had a discussion with Dr. Noah (from a previous PEM Rules episode) about what to do when these situations arise. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not t...2024-04-2232 min
PEM RulesClinical care Tips – Intermittent Conditions, being a Trainee and Starting with The BasicsWhat do you do when the patient in front of you has no symptoms (at the moment). Why you should enjoy being in training and what all of us PEM clinicians should know very well. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advice to treat any medical conditions in either yourse...2024-04-0809 min
PEM RulesInteresting Case In the Peds ER. By Codey PedersenWhat do you do when a teenager with odd (and concerning) neurological symptoms walks into you ER and how do you apply the PEM Rules to work him up step by step?2024-03-2514 min
PEM RulesClinical Care Tips – Your Limited Exam, the Patient’s Trust and Your CompassionOften times I see none verbal patients (be it newborns or children who are neurologically devastated) who come in by EMS or perhaps their parents / caregiver. In those situations, I find it important to be more conservative. How do I gain the parent’s trust? Simple gain the child’s first. 2024-03-1111 min
PEM RulesOff Schedule Episode: (Another) Case of Pediatric Acute PneumoniaHours after last weeks episode was published I heard from Dr. Jay Fisher about a very similar (and unfortunate) case one of his APP's had in their ED. I decide to bring Jay to the show (again) to discuss the case so we can all learn from this experience. Below is the link to the patient's Chest X rays. https://pemrules.com/pneumonia-patient/ Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM R...2024-03-0416 min
PEM RulesThe “Fever for Over 5 days Patient”. What to Do, What to Think About and How to Make Sure You Are Not Missing Anything”?What is the appropriate differential diagnosis for a well appearing child with fever for over 5 days and what is the best way to work these patients up? I discuss this important Issue with my Former colleague Dr. Fatma Levent, a pediatric Infectious Disease Attending.2024-02-2619 min
PEM RulesClinical Care Tips – Addressing “Issues”, Pin-Pointing The Syndromes and Adjusting Your CareThere is a certain way to address the chief complaint in the ED and it is often advantageous to do it this way. Why is it important to know what syndrome the child has? and how can we all give better care to our patients?2024-02-1214 min
PEM RulesHow to Handle Neurosurgical Emergencies in the Peds ER? Interview with a Pediatric Neurosurgeon Dr. Todd HankinsonAs a PEM Physician, I get to take care of children with neurosurgical problems fairly often. Sometimes it is children with known issues such as hydrocephalus with a shunt and sometimes it is a patient with traumatic injury. Pediatric neurosergeons are often life savers in those situations. Here is a conversation I had with Dr. Todd Hankinson, a Pediatric Neurosurgeon at Children’s Hospital of Colorado. 2024-01-2923 min
PEM RulesClinical Care Tips - What to Do with Your Team, What To Look For and How To Learn From Each of Your Patients.As a good leader there are certain ways you can work with your team to let them excel. How do we work up our patients “appropriately”? and what can we learn from our patients?2024-01-1510 min
Yaron Brook ShowIván Carrino (Argentinian Economist) & Yaron Discuss Milei's Economic Program | Yaron InterviewsIván is an economist located in Buenos Aires, Argentina. He is an associate researcher for Faro at Universidad del Desarrollo in Chile and a professor at the Universidad de Buenos Aires, in Argentina. / ivancarrino / @ivancarrinook Show is Sponsored by The Ayn Rand Institute https://www.aynrand.org/starthereandExpress VPN https://www.expressvpn.com/yaronJoin this channel to get access to perks: https://www.youtube.com/@YaronBrook/joinLike what you hear? Like, share, and subscribe to stay updated on new videos and h...2024-01-051h 27
PEM RulesInterview with Jason Zamkoff, a Pediatric Hospitalist In Denver CO.Probably the Pediatric Sub-specialists I interact with the most are the pediatric hospitalists. Not only they accept my admissions but often give advice about the work up that the patient needs and serve as an extension of the Pediatric Emergency Department. That is why I invited Jason Zamkoff, a Pediatric Hospitalist from Denver CO to talk about the relationship between PEM Clinicians and the Peds Hospitalists. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rule...2024-01-0119 min
PEM RulesClinical Care Tips – Consultants, Boxes and AntibioticsIt is important to communicate to your consultants and hospitalists the way they want to be communicated to and “speak their language”. Why is it important not to think linearly and when is it “Not OK” to use antibiotics.2023-12-1812 min
PEM RulesDealing with Acute (and Chronic) Pain in the Pediatric Emergency DepartmentAs a PEM physician, treating pain is a big part of my life and sometimes it is easier said than done. This why I invited Dr. Alan Bielskay, a Pediatric Anesthesiologist (and pain expert) from Denver CO to talk about pain treatment in children. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advice to t...2023-12-0429 min
PEM RulesClinical Care Tips – Making Decisions, Testing for Bacteremia and “Going with Your Gut”Sometimes decisions are hard to make, nonetheless, in the ED world it is important to make a decision and sometimes sooner rather than later. Why getting a blood culture (without giving antibiotics) makes no sense to me and more about going with your gut feeling. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advi...2023-11-2010 min
PEM RulesChild Abuse in the Pediatric Emergency Department, How Can We Makes Things Better?As a PEM Physician, child abuse, sexual abuse and child neglect cases are those cases I never want to miss or overlook. That is often easier said than done. This is a discussion I had with Dr. Stephen Boos, a child abuse doctor in Western MA.2023-11-0628 min
PEM RulesClinical Care Tips – Taking care of yourself and Making Big Deals Small ones.Probably the best advice I got in my career was to take care of myself before I take care of any patients and how I address some over-medicalized issues.2023-10-2307 min
PEM RulesThe PEM Rules Facebook PageI am excited to announce the launch of the PEM Rules Facebook page. Please visit, become a follower and communicate what you like, wish to hear or just keep in touch. Here is the link to the page https://www.facebook.com/PEMRules Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as me...2023-10-1901 min
PEM RulesThe Medicolegal World of PEM With Brady PregersonWhat medicolegal aspects of medicine should we PEM Providers be familiar with and how can we all better protect ourselves while providing excellent care for our patients? I discuss these question and more with Dr. Brady Pregerson an expert in the field. Copyright PEM Rules LLC DISCLAIMER By listening to this podcast, you agree not to use these resources as medical advice to treat any medical conditions in either yourself or others, including, but not limited to, patients that you are treating. Consult your own physician for any medical issues that yo...2023-10-0926 min
PEM RulesPickaso Guitar Bow Promo Code - Coming Back SoonMy apologies to all of you who tried purchasing merchandise from Pickaso Guitar Bow and use PEM Rules Promo code. It came to my attention that the promo code stop working. Please be patient, check out the following link https://www.pickasobow.com , decide what you want to buy and be on the lookout for a new method of getting a discount via PEM Rules. The Pickaso Guitar Bow is fun to have and use to enrich your musical skills. 2023-09-2902 min
PEM RulesClinical Care Tips – When Things Don’t Work, Strikes and Endorphins.What should you do when things don’t seem to work they you want them to, what happens when a patient visits the Peds ED 3 times (or more) in a short time interval and what endorphins can potentially be.2023-09-2508 min
PEM RulesPEM Education with Michael Mojica.What makes a good PEM teacher and how can we PEM providers be better educators for the next generation. I discuss this and More with Dr. Michael Mojica a PEM attending and educator for over 30 years.2023-09-1212 min
PEM RulesClinical Care Tips – More About Fever and Making RecommendationsWhy fever in children does not really scare me much how I recommend you speak to the parents and what I do when the patient has had a fever for over 5 days. 2023-08-2810 min
PEM RulesChild Psychiatry In the Pediatric ED. Interview With Dr. Victor FornariDue to the pediatric Mental Health Crisis and increase in psychiatric presentations to the Pediatric Emergency Departments across the nation, I decide to have this off-schedule / bonus episode and interview Dr. Victor Fornari, an experienced Child Psychiatrist from New York. If you liked the outro and the sound of the guitar check http://www.pickasobow.com/pemrules and you will receive 10% discount on anyting you buy using the promo code PEMRULES Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com 2023-08-2128 min
PEM RulesApplying The rules, A PEM Fellow Experience (2.0) and What Emergencies Can Be Revealed By The Growth Chart?Sophia Wang is a PEM Fellow in Mississippi who has been on the show once before and told us how she applied the PEM Rules in her clinical work as a PEM Fellow. She returned to share some more interesting stories about the times she applied other PEM Rules. 2023-08-1415 min
PEM RulesClinical Care Tips – Having Another Way, Tips on Management of (most) Knee Injuries, and "Going All the Way"In the Pediatric ER (like in life) there is always more than one way to do things. I try to remind that to myself. How do I manage (almost) all knee injuries, and what I try to be always be prepared for.2023-07-3111 min
PEM RulesPEM Rules Special Announcement - Pickaso Guitar Bow Collaboration with PEM RulesI am excited to announce my new collaboration with Pickaso Guitar Bow. This item is a really cool tool that makes your guitar sound like a violin or a cello. It’s a lot of fun and you will be hearing it soon on some of my outros as I get better at using it. If you like playing guitar (or know someone who does) this is a really cool way to expand your guitar sound and it makes a great gift. Please use my affiliate link below or simply use the promo co...2023-07-2401 min
PEM Rules2023 July / Summer Break AnnouncementPEM Rules (and I) will be taking a short break for July 2023. THANK YOU ALL for your support, your emails and interest. Will see you again on July 31st 2023. Hope everyone has a safe, restful, fun summer. 2023-07-0401 min
PEM RulesWhy Do Children Make General EM Providers Nervous? a Discussions with My Friends at The EM Over Easy PodcastWhile some of us who take care of children for a living feel comfortable around sick kids’ others disagree and get a bit nervous under the same circumstances. Why is that? and how can we change that? This is a discussion I had with my EM friends from the Podcast EM Over easy at the ACOEP scientific assembly.2023-07-0322 min
PEM RulesClinical Care Tips – What Is Colic, What Is The “Best Way" to Take Care of Patients, and a Bit More About Fractures.I entertain the possibility of Colic in many patients but try to keep in mind it is a diagnosis of exclusion. It is important for me to follow some guidelines when I take care of patients and this is how I “know” (hopefully) the child in front of me has a none displaced (aka "splint and send") fracture. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC2023-06-1912 min
PEM RulesApplying The rules, a PEM Fellow ExperienceSophia Wang is a PEM Fellow in Mississippi who applied the PEM Rules and wanted to share her story. Thank you, Sophia, for sharing your thoughts and thank you for listening to PEM Rules.2023-06-0521 min
PEM RulesPEM Past Present and Future with Jay FisherHow did PEM Start? what is it like now? and where is it going? I discuss those questions and more with Dr. Jay Fisher, PEM Attending for almost 30 years. 2023-05-2222 min
PEM RulesClinical Care Tips – Where Is A Good Place to Start, How to Think Of Fever And When Do Children Need ReductionSometimes 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.2023-05-0813 min
PEM RulesEpisode 61: Interview With Noel Spears and Mel Tavarez Who Trained Me Back At the Children’s Hospital of PittsburghInterview Noel Spears and Mel Tavarez who trained me back at the Children’s Hospital of PittsburghHow 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.2023-04-2425 min
PEM RulesWhat 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.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. 2023-04-1010 min
PEM RulesInterview with Noah Makovsky, Primary Care Pediatrician in Denver, ColoradoIt 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.2023-03-2720 min
PEM RulesClinical Care Tips – Ketamine Sedation, The Doctor and The Parent Perspective.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…2023-03-1313 min
PEM RulesHelping a PEM Fellow With a Research ProjectDear 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...2023-03-0602 min
PEM RulesClinical Care Tips – All About My Favorite Procedure. Suturing Those LacerationsProbably 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.2023-02-2712 min
PEM RulesInterview With My Favorite Pediatric Dermatologist, Dr. Tace RicoRashes 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. 2023-02-1320 min
PEM RulesThe Art of Talking To ConsultantsTalking 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 LLC2023-01-3010 min
PEM RulesClinical Care Tips – Documentation, Important S&S and Dealing with Parents and traineesThere 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 2023-01-1611 min
PEM RulesInterview with My Favorite Pediatric Anesthesiologist Adam AdlerWhat is the best approach to the patient with the difficult airway? and how can we improve our sedations? I discuss these topics (and others) with Dr. Adam Adler, a pediatric Anesthesiologist and a friend. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC 2023-01-0238 min
PEM RulesQuick Announcement - Thank You For All Your SupportPEM Rules will be taking a short winter vacation for the month of December. Really appreciate everyone's support over the last 2 years. Will see you again in the new year.2022-11-2801 min
PEM RulesClinical Care Tips – Some More Rules About Vomiting and PO Challenge, and Having a GooDoes every child who is vomiting need Zofran? What is the “best” thing to do for a vomiting child and how do we set our PO challenge for success? What do we do when things don’t go as planned? Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC 2022-11-2111 min
PEM RulesEBM Review with Victoria. All about BronchiolitisDespite so much research and evidence there are still so many questions and uncertainties. Victoria and I review the clinical presentation, diagnosis, current and future treatment. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC 2022-11-0722 min
PEM RulesClinical Care Tips – Talking About True Emergencies, Hypoglycemia, and Importance of Knowing the Epidemiology.As a PEM physician I must worry (and therefore rule out and treat) the true emergencies first. That is why I first check for what is emergent and what I can fix. Since my patient population varies greatly with regards to age I find it very important to know the epidemiology, in other words, what is the most common cause of X based on the patient’s age. Please consider contributing to PEM Rules at https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC 2022-10-2410 min
PEM RulesPEM Research. Why, How, What and When...Research is one of the most intimidating aspects of medicine for us clinicians. Why is that ? and where is a good place to start? I discuss these topics and much more with Dr. Bob Hickey from the Children's Hospital of Pittsburgh Please consider contributing to PEM Rules on https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC 2022-10-1014 min
PEM RulesClinical Care Tips – More About Mistakes, Smiling Children and the Precious IV accessWhat is the best way to view mistakes and how to reap some benefits from them. How I go about "working up" smiling children and what to do first with that IV access. Please consider contributing to PEM Rules on https://ko-fi.com/pemrules And check out www.pemrules.com Copyright PEM Rules LLC 2022-09-2610 min
PEM RulesInterview With My Favorite Pediatric Nephrologist, Dr. Craig Woda.My Nephrology professor in Medical school used to say that “The kidney is an easy organ to master, but you truly need to understand it”. My friend Craig Woda (an astute Pediatric Nephrologist) helps me better understand how we can do a better job identify nephrological issues in children. As usual, Please consider supporting PEM Rules by clicking below https://ko-fi.com/pemrules And make sure to check out www.pemrules.com Copyright PEM Rules LLC 2022-09-1224 min
PEM RulesSpecial Announcement: Research Article Published and Some MoreHope you like the news I have to share and check out the link below. As usual please check out www.pemrules.com and consider contributing by clicking below. https://ko-fi.com/pemrules Best, Yaron Ivan PEM Rules LLC. 2022-09-0501 min
PEM RulesApplying The Rules - Thank you Jaron SmithJaron Smith is a PEM Fellow in Dallas Texas who applied the PEM Rules and wanted to share his story. Thank you Jaron for sharing your thoughts and thank you for your music request. 2022-08-2911 min
PEM RulesInterview with My Favorite Pediatric Cardiologist Dr. Kelvin LeeWhat are the red flags for cardiological presentations and how can we better identify children with cardiological issues in the Pediatric Emergency Department. I discuss that and more with my good friend and colleague, Dr. Kelvin Lee. As always, Please consider supporting PEM Rules by clicking below https://ko-fi.com/pemrules 2022-08-1519 min
PEM RulesClinical Care Tips - Words of Wisdom From Dr. Bob Hickey.Some words of wisdom I learned from Dr. Bob Hickey, one of my favorite Attendings in fellowship. A clinician and avid researcher. As always, Please consider supporting PEM Rules by clicking below https://ko-fi.com/pemrules 2022-08-0108 min
PEM RulesMy Approach to the Ill Appearing BabyNot 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/ As always, Please consider supporting PEM Rules by clicking below https://ko-fi.com/pemrules 2022-07-1828 min
PEM RulesInterview with My Favorite Pediatric Intensivist, Dr. BarryWhat 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 https://ko-fi.com/pemrules 2022-07-0419 min
PEM RulesClinical Care Tips – Some More Tips About Resuscitations and “Partially Treated Disasters”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 https://ko-fi.com/pemrules 2022-06-2011 min
PEM RulesChild Life in the Pediatric ERSometimes 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 https://ko-fi.com/pemrules 2022-06-0615 min
PEM RulesClinical Care Tips – All About Premature Closure and the Rule I Have for ItPremature 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 https://ko-fi.com/pemrules 2022-05-2310 min
PEM RulesPEM Nursing in the Pediatric EDWhat 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 https://ko-fi.com/pemrules 2022-05-0913 min
PEM RulesClinical Care Tips -Who to Monitor, Pin-pointing Problems, and How to Have Better Outcome In ResuscitationsThis 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 https://ko-fi.com/pemrules 2022-04-2512 min
PEM RulesSpecial Announcement - PEM Rules Is Also a Monthly ColumnThank 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 2022-04-1802 min
PEM RulesClinical Care Tips – About You, Part 6How to give yourself credit for all the work you do, what to “look at” during your shift and how to manage your time2022-04-1110 min
PEM RulesPhysician Assistants, Nurse Practitioners (AKA APP’s) in the Pediatric Emergency Department.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. 2022-03-2815 min
PEM RulesClinical Care Tips – How to Be Ready For Intubation, How To Use Your Resources Well And Why You Should Do Things Step By StepIt is not very often that I intubate an asthmatic but when I do I always think about PEM rule number 91. Rule Number 92 is meant to help me be more efficient and do what is right for my patients and rule number 93 helps me to things one step at a time. 2022-03-1411 min
PEM RulesClinical Care Tips – What to Do With “Problems”, How Often to Evaluate Your Patients and Remembering That Sometimes You Just Can’t Go Wrong.When you are faced with a problem try to keep it small, remember your patients are yours as long as they are in the department. And keep in mind, During the initial stages of resuscitations, you simply can’t go wrong2022-02-2809 min
The Medical Muse PodcastEp 10 - Dr. Yaron Ivan, MDDr. Yaron Ivan is a Pediatric Emergency Medicine physician who completed medical school in Israel, General Pediatrics Residency at Baystate Children’s Hospital in Massachusetts, and Pediatric Emergency Medicine Fellowship at UPMC’s Children’s Hospital in Pittsburgh. Dr. Ivan currently works in the emergency department for Advent Health Orlando. Check out Dr Ivan’s PEM RULES PODCAST: https://pemrules.com—Hosts: Daniel Epstein & Raj KavadiProducer: Timothy CroweCreative Director: Anja Von Der OstenMusic: Foximusic.com2022-02-101h 00