Paediatric Emergency Medicine exists because children are physiologically, psychologically, and pharmacologically different. They deserve specialists who understand those differences.
Emergency departments across Malaysia see thousands of paediatric patients every year. Most are managed by physicians without subspecialty paediatric training. For common presentations, this works. For the critically ill child — the one with subtle signs of sepsis, the toddler with an unwitnessed ingestion, the neonate in shock — subspecialty expertise saves lives.
Paediatric pharmacokinetics, weight-based dosing, developmental anatomy, age-specific differentials — these aren’t footnotes in an EM textbook. They’re entire fields. PEM gives you the depth to master them.
As healthcare systems mature, the need for subspecialty-trained paediatric emergency physicians is accelerating. Hospitals are building dedicated paediatric EDs. Training programmes need faculty. Research needs investigators. The field needs leaders — and the pipeline starts with you.