PEM Chatt

In this episode of PEM Chatt, Toni talks with Dr. Whitney Buss about Diabetic Ketoacidosis (DKA) in children. Dr. Buss, a pediatric emergency medicine doctor and type 1 diabetic herself, shares her personal experience with DKA and her expert advice on how to recognize, diagnose, and treat DKA. They discuss how DKA can show up in both kids with newly diagnosed diabetes and those already living with the c...

Episode Summary:

In this two-part series, we sit down with Dr. Chuck Gomez, a pediatric orthopedic surgeon, and John Appel, PA, a seasoned emergency medicine provider, to discuss common pediatric orthopedic emergencies. In Part 1, we cover upper extremity injuries, including forearm fractures, supracondylar fractures, lateral condyle fractures, nursemaid’s elbow, elbow dislocations, and clavicle fractures. Dr. Gomez and John share ...

In this episode of PEM Chatt, we explore common pediatric orthopedic emergencies with Dr. Chuck Gomez, a pediatric orthopedic surgeon, and John Appel, PA, an experienced emergency medicine provider. We discuss why children's bones differ from adult bones, how this affects fracture patterns, and the best approaches for diagnosis and treatment. Our conversation focuses on upper extremity injuries, including forearm fractures, supraco...

Toni sits down with the ever-popular Dr. Beachgem, a pediatric emergency medicine physician and social media sensation, to discuss managing pneumonia and other respiratory illnesses in children. They highlight this year’s unique respiratory illness trends, such as a surge in mycoplasma cases and challenges in managing pertussis and flu-related complications.

Dr. Beachgem shares practical insights from her experience and emphasizes ...

Jennifer Stanfield, PA, with more than 20 years of experience talks about the very important and serious topic of child sexual abuse and sexual assault. Jennifer explains that 1 out of 4 girls and 1 out of 6 boys will face sexual abuse before they turn 18. She shares that most of the time, the person who hurts the child is someone they already know and trust. Jennifer talks about how abusers can trick families and kids (this is cal...

Jennifer Stanfield , PA, a pediatric emergency medicine provider with over 21 years of experience, talks about the important topic of childhood physical abuse, focusing on non-accidental trauma (NAT). She explains that there were 3 million cases of child abuse reported in the U.S. in 2022 and shares tools like the TEN4 FACES-P rule to help spot sentinel injuries that could lead to more serious harm. Jen stresses how important it is...

Kaley Mounce, a nurse practitioner specializing in pediatric neurology, discusses febrile seizures. The episode covers the basics, including their causes, symptoms, and classification into simple and complex categories. Practical advice is offered on assessing and managing children who present with febrile seizures in the emergency room. The discussion provides insights into history taking, physical examination, appropriate diagnos...

In this episode of PEM Chatt, Dr. Jordan Foutch discusses the approach to evaluating a limping child in the pediatric emergency department. He emphasizes the importance of considering septic arthritis as a possibility, especially when fever is present. Dr. Foutch outlines the initial workup, including physical examination techniques, lab tests like CBC, inflammatory markers, and imaging studies. He explains the Kocher criteria for ...

Dr. Tamarrah Davis, a pediatric emergency medicine physician, joins PEM Chatt to discuss the diagnosis and management of preceptal and orbital cellulitis in children. This episode covers key differences between the two conditions, examination techniques, treatment options, and important considerations for emergency advanced practice providers. Throughout the episode, Dr. Davis shares practical advice on communicating with families ...

Dr. Shelley Murphy discusses evidence-based bronchiolitis management in pediatric patients. She explains that bronchiolitis is a viral infection affecting the airways, commonly caused by RSV, rhinovirus, or human metapneumovirus. Key points include the importance of nasal suctioning as primary treatment, using a scoring system to assess severity and guide management, avoiding unnecessary treatments like albuterol or steroids unless...