PEM for Dummies

Pediatric Emergency Medicine is an interesting sport. Really very broad, and really quite narrow too! There are a handful of presenting complaints that keep us busy most of the time, the same few recurring clinical scenarios – narrow. And then there is everything else, a happy hunting ground for generalists, with loads of undifferentiated problems – broad. I recently prepared a little...

March 10th, 2013 by colinparker 

Just Awful

Here’s a bit of fun… And some lessons for Pediatric Emergency Medicine, from 1971. It’s a kid’s book, about a boy who hurts his finger at school, and has to see the school nurse. ¬†James feels Just Awful – until after the 3-part treatment. We learn about assessing, cleaning and dressing wounds, and gain some insights into a child’s perspective of being a patient. Enjoy. ...

December 15th, 2011 by colinparker 

Septic Arthritis, or Transient Synovitis?

There must be a combination of clinical features and/or tests that can help us figure out whether the limping child has a benign, self-limiting “irritable hip” or the scary and serious condition of pus in the joint: septic arthritis. It turns out that Dr Kocher has been working on this for years, and a few other investigators have worked at validating the results of the original 1999 study. Our...

May 4th, 2011 by colinparker 

PEMcasts Launched

Hello and welcome to an exciting phase for us here at We are proud to bring you a bit of Pediatric Emergency Medicine in audio format.  These podcasts will aim to review the basics for those of us who get a bit rusty on the essentials from time to time, and then delve a bit deeper into more current or complex topics. Please note that this podcast is for healthcare professionals, for educational...

May 30th, 2010 by colinparker 

LP and SPA

Performing a septic screen in a febrile neonate or young infant requires rapid sampling of CSF and urine. This short clip outlines some of the basics of doing the LP and SPA.
February 5th, 2010 by colinparker 


Welcome to, a humble little EM and PEM webucation shack.
January 30th, 2010 by colinparker