Category Name: PEM Playbook

PEM Playbook

PEM Playbook – GI Bleeding in Children

Blood in the vomit. Blood in the stool. Blood in the diaper. How far do I go in my investigation? What do I really have to worry about? The differential diagnosis of GI bleeding in children is broad.

PEM Playbook

PEM Playbook – Please Stop Limping

“She won’t walk“, or “He just looks like he’s limping“. So many things can be going on — how do we tackle this chief complaint? You’re dreading a big work-up. You almost want to tell the kid: please, STOP LIMPING…

PEM Playbook

PEM Playbook – Altered Mental Status in Children

Altered mental status in children can be subtle. Look for age-specific behaviors that range from irritability to anger to sleepiness to decreased interaction. In the altered child, anchoring bias is your biggest enemy. Keep your mind open to the possibilities, and be ready to change it, when new ...

PEM Playbook

PEM Playbook – Adventures in RSI

Pediatric airway management is a skill that integrates the three types of knowledge as described by the ancient Greeks: Episteme — theoretical knowledge Techne — technical knowledge Phronesis — practical wisdom — also called prudence. Here we’ll invoke each type of knowledge and unde...