I struggled to find PEM resources for my CT3 year, despite the variety of excellent resources out there. I hope this website will help point you in the right direction. I'm not a PEM expert, but am following the guidance CEM have issued (in the form of a syllabus) to put together this page. This page is not endorsed by CEM, and any mistakes are mine.

Please comment with corrections, additions and further suggestions.

All the information here is collected from the internet, and it might be out of date or inaccurate, so please use your judgement and adhere to your hospital's protocols. If you do notice any errors or omissions please comment so we can put them right!

To navigate, decide whether you want to start with a PMP or a PAP. You can then select which PMP or PAP you want to look at. You will then be taken to the summary page for that PMP, with links expanded topic collections. If you know what topic you want to look at already, click on the link on the right hand side.

Monday, 5 August 2013


Choking is in the PEM syllabus, and is a really easy thing to learn. Unfortunately, medics are often notoriously bad at basic first aid!

Resus Council Guidelines
Page 26
Paediatric Algorithm
Adult Algorithm
- Remember - 5 back blows first (the terminology is important to emphasize the force needed).
- Then 5 abdominal thrusts
- If the patient becomes unconscious, you should start chest compressions, even if they have a carotid pulse.

These excellent videos show why it is important to know how to deal with choking:

St John Ambulance Popcorn Video
St John Ambulance Helpless Video
St John Ambulance - Abigail

First Aid Advice:
St John written advice
St John video advice
Red Cross video advice
Excellent divisional summary from St John Ambulance

Choking Presentation

There is a good journal article here (Pediatrics 2013;132;275; originally published online July 29, 2013), listing what children commonly choke on. You won't be surprised to learn that sweets are a common culprit!

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