19 | Fever Management in Children 3-36 Months: An Evidence-Based Approach with Andrea Perkins PA-C episode artwork

EPISODE · Feb 6, 2026 · 40 MIN

19 | Fever Management in Children 3-36 Months: An Evidence-Based Approach with Andrea Perkins PA-C

from PEM Chatt · host Toni Dobson

Fever Management in Children 3-36 Months: An Evidence-Based Approach Join host Toni Dobson and guest Andrea Perkins, PA-C, as they dive deep into the evidence-based management of fever in otherwise healthy children aged 3-36 months. This comprehensive episode covers everything from basic fever physiology to algorithmic approaches for both vaccinated and unvaccinated children. Key Topics Covered: Defining fever and understanding the pathophysiology The critical difference between fever and hyperthermia Vaccination status and risk stratification Comprehensive physical exam pearls Evidence-based algorithms for immunized vs. unimmunized children UTI risk assessment and when to obtain urine samples Laboratory workup guidelines based on vaccination status Fever management strategies and parent education Addressing fever phobia in families Resources: UTI Calculator: www.uticalc.com UpToDate management guidelines: UpToDate Link Andrea's algorithm: Link to Algorithm Next Episode: Dr. Margaret Wang joins us to discuss the return of vaccine-preventable illnesses and how we can prepare. 📺YouTube: https://www.youtube.com/@PEMChatt 🟢Spotify: https://open.spotify.com/show/6oaYDeq5AXIZGxBvEIxaTs 🍎 Apple Podcasts: https://podcasts.apple.com/us/podcast/pem-chatt/id1806882767

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19 | Fever Management in Children 3-36 Months: An Evidence-Based Approach with Andrea Perkins PA-C

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PEM Currents: The Pediatric Emergency Medicine Podcast Brad Sobolewski, MD, MEd PEM Currents: The Pediatric Emergency Medicine Podcast is an evidence-based podcast focused on the care of ill and injured children in the Emergency Department. The host is Brad Sobolewski, author of PEMBlog.com and a Professor of Pediatric Emergency Medicine at Cincinnati Children’s and the University of Cincinnati. Leve med ME Norges ME-forening «Leve med ME» er en podkast fra ME-foreningen. ME er en sykdom som rammer mange tusen mennesker og forskerne vet fortsatt ikke nok om sykdommen. Sykdommen rammer forskjellig, men er alvorlig også når den er mild. De friskeste har minst 50 prosent funksjonsnedsettelse, mens de sykeste knapt kan snakke. Sykdommen gir utmattelse, smerter, søvnvansker og kognitive problemer. Det mest karakteristiske symptomet er PEM - en forverring av alle symptomer etter anstrengelse. PEM kan vare i dager, uker eller måneder. I tillegg er det en rekke andre symptomer, som kan variere noe fra person til person. I denne podkasten vil vi gi nyttig informasjon om ME både for deg som har ME eller er interessert i å vite mer om sykdommen. Podkasten er i regi av ME-foreningen. Trykk abonner nå så får du med deg alle episodene når de blir lagt ut. Hosted on Acast. See acas The Joy Tax Podcast joytaxpodcast The Joy Tax Podcast is a conversation series for parents and caregivers raising a child or teen with complex, chronic conditions, such as dysautonomia, ME/CFS, Long COVID, PANS/PANDAs, MCAS. The normal parenting wisdom doesn’t fit the situations we are living through. This is a forum to share, affirm, and learn from each other. It’s also a window for allies to listen in and gain deeper insight into the world we inhabit.”The show is named for one of the key symptoms of ME/CFS: post exertional malaise or PEM, or what our family calls “joy tax” which is simply a worsening of symptoms after physical, cognitive, emotional, or social exertion. Sometimes, the resulting crash can be mild, while at other times, it can lower a person’s baseline for weeks, months, or even years.This podcast is not a substitute for medical guidance. We don’t endorse specific treatments, and we encourage you to always talk to your healthcare provider before making any medical decisions.If you have questions, com CHOP PEM Podcast nodderly A Pediatric Emergency Medicine Podcast to educate, enlighten and inform. Children’s Hospital of Philadelphia Pediatric Emergency Medicine Podcast - Robert Belfer MD, Jill Posner MD and the CHOP PEM Podcast Team

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