A healthy 9 month old presented to the ED 2 hours after being discharged with persistent vomiting (now spinach green in color). He was reported to be somewhat fussy at times and at other times sleepy. You obtain the following… Continue Reading
October 2018 – CASE 1 Each month, I will be featuring an ultrasound done by one of our fellows our faculty. This month is brought to you by one of our third year PEM fellows! Healthy 18 year old male presented with chest pain… Continue Reading
Many people spend inordinate amounts of time planning for their retirement. I applaud people who take time to plan for the future, but wondering how much money you need to retire is something that you can know reasonably well. Of… Continue Reading
Location (the city, proximity to family), the Job (your hours, colleagues, opportunities) and the Money ($$). Then pick two because that’s probably the best you’ll get. Continue Reading
CT imaging has been overused to evaluate children with blunt head trauma despite associated risks to patients and costs. PECARN developed prediction rules to determine which children are at very low risk for clinically important traumatic brain injury (ciTBI). But how do these rules compare to clinical suspicion? In cases when the clinician had a low suspicion for ciTBI but ordered a CT anyway, this study determined reasoning for obtaining the CT. Continue Reading
ALiEM.com recently hosted a Q&A on applying to PEM featuring several PEM fellowship directors from around the country. It covers topics like what exact IS pediatric emergency medicine, various career opportunities, applying from pediatrics or EM, and what makes a… Continue Reading
The White House released it’s budget proposal recently and it features a series of cuts to federal spending. While presidential budgets are not law and many lawmakers have already called it “Dead on Arrival”, it does set priorities for budget negotiations moving… Continue Reading
Maybelle Kou, MD is the PEM fellowship director at INOVA Children’s Hospital and a member of the AAP Society on Emergency Medicine Program Directors Committee. She addresses the basics of applying. So I’m interested in applying to Pediatric Emergency Medicine (PEM) Fellowships.… Continue Reading