EM Pulse Podcast™

UC Davis Emergency Department

Bringing research and expert opinion to the bedside

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If you’re an emergency physician, or have goals of becoming one, you have probably heard about ACEP’s workforce study. The findings first came out in April 2021, and were followed by a full paper in Annals of Emergency Medicine in August. The bottom line is that there is a predicted surplus of EM physicians of over 7,800 by 2030. How did we find ourselves here? What does this mean? And what should we do about it? We reached out to Emergency Physician and ACEP President Elect, Dr. Gillian Schmitz, to learn more.  What was your reaction to the workforce report? What do you think is the path forward for our specialty? Connect with us on social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guest: Dr. Gillian Schmitz, ACEP President Elect, Associate Professor of Emergency Medicine at the Uniformed Services University of Health Sciences, Emergency Physician at Brooke Army Medical Center Resources: ACEP EM Physician Workforce of the Future Reiter M, Allen BW. The Emergency Medicine Workforce: Shortage Resolving, Future Surplus Expected. J Emerg Med. 2020 Feb;58(2):198-202. doi: 10.1016/j.jemermed.2020.01.004. Epub 2020 Apr 3.  *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

18 nov

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By the end of October 2021, almost 6.4 million children tested positive for COVID-19…6.4 million. In our first ever crossover podcast we discuss with Kids Considered host and Peds ID Dr. Dean Blumberg we discuss the recently approved pediatric COVID-19 vaccine! We are planning to get our kids vaccinated. Are you? 💉 Share your questions and concerns with us  on social media,  @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Host: Dr. Julia Magaña, Associate Professor of Emergency Medicine at UC Davis Guests: Dr. Dean Blumberg, Professor and Chief of Pediatric Infectious Disease at UC Davis, Co-Host of the Kids Considered Podcast  Resources: Kids Considered Podcast: https://health.ucdavis.edu/blog/kids-considered Healthy Kids “The Science Behind COIVD-19 Vaccines: Parent FAQs”: https://www.healthychildren.org/English/health-issues/conditions/COVID-19/Pages/The-Science-Behind-the-COVID-19-Vaccine-Parent-FAQs.aspx AAP News “COVID-19 vaccine for children ages 5-11 receives final approval”: https://www.aappublications.org/news/2021/11/02/cdc-pfizer-covid-vaccine-children-110221 Children and COVID-19: State-Level Data Report: https://www.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/children-and-covid-19-state-level-data-report/ UC Davis “Experts answer parents’ questions about COVID-19 vaccine for kids ages 5-11”: https://health.ucdavis.edu/health-news/newsroom/experts-answer-parents-questions-about-covid-19-vaccine-for-kids-ages-5-11/2021/11

4 nov

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It’s no secret that COVID-19 hit the healthcare world hard, especially those on the frontlines. The best defense we have against this virus are vaccines. As you’ve heard on previous episodes, studies show the vaccines are safe and effective. Across the country, and especially in California, an overwhelming majority of ED physicians, and most ED nurses and support staff, have chosen to get vaccinated. But that still left many healthcare workers unvaccinated and at risk of getting sick or passing the virus to patients. So, the government stepped in to issue mandates.  In this episode, we explore the recent California state and U.S. federal mandates that require healthcare workers to be vaccinated, or apply for a medical or religious exemption. We hear from nurses with differing opinions on the mandate, get into the details of the mandate with Health Policy and Advocacy Fellow, Dr. Hunter Pattison, and talk with Director of Emergency Services at UC Davis, Rupy Sandhu, about the challenges of implementation and lessons learned from this experience.  How has your hospital or ED responded to the mandate? Share your questions, comments, and feedback with us on social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guest: Dr. Hunter Pattison, Emergency Medicine Health Policy Research Fellow at UC Davis and Advocacy Fellow for California ACEP Rupy Sandhu, RN, Executive Director of Emergency Services at UC Davis Resources: White House Path out of the Pandemic Vaccine mandates are working in California. Here’s what the numbers show. By Lara Korte. Sacramento Bee, Oct 3, 2021.  Thousands of N.Y. Health Care Workers Get Vaccinated Ahead of Deadline. By Sharon Otterman and Joseph Goldstein. New York Times, Sept 28, 2021. California vaccine mandate: most healthcare workers are complying, hospitals say. By Kristen Hwang. abc10, Sept 29, 2021.  COVID Vaccine Facts for Nurses survey results Year one COVID-19 Impact Assessment Survey by the American Nurses Foundation *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

18 oct

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Let’s talk about gender equality in PEM.  Our guests are two PEM physicians who are creating innovative solutions to workforce inequality.   Host: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Health Guests:   Dr. Lindsey Barrick, Assistant Professor at Cincinnati Children’s Hospital Medical Center, Vice-Chair of the Women in PEM AAP Subcommittee Dr. Mariju Baluyot, Pediatric Emergency Medicine Faculty, Riley Hospital for Children Simulation Fellow at Indiana University, Women in PEM Social Media Director, Co-leader for the Diversity, Equity and Inclusion Dissemination Outreach Group Resources: Women in PEM on Twitter: https://twitter.com/WomeninPEM Women in PEM: https://linktr.ee/WomeninPEM

30 sept

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TeamSTEPPS is a curriculum designed for health care professionals that emphasizes good communication and teamwork. This toolkit is evidence based and available for free from the AHRQ and we use it at UC Davis to improve communication, teamwork and patient safety. In this episode we talk with our TeamSTEPPS champions about the curriculum and how we can be better team members. Share with us on @empulsepodcast if you use team steps and if so what your favorite tool is.  Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guests:   Dr. David Barnes, Professor of Emergency Medicine at UC Davis, TeamSTEPPS Physician Champion Leigh Clary, RN, UC Davis Emergency Department TeamSTEPPS Nurse Champion Resources: Contact us @empulsepodcast to connect with Dr. David Barnes or Leigh. About TeamSTEPPS. Content last reviewed June 2019. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/teamstepps/about-teamstepps/index.html Morey, J. C., Simon, R., Jay, G. D., Wears, R. L., Salisbury, M., Dukes, K. A. (2002). Error reduction and performance improvement in the emergency department through formal teamwork training: Evaluation results of the MedTeams project.Health Services Research 37(6), 1553-81 Mazzocato, P., Forsberg, H., & Schwarz, U. (2011). Team behaviors in emergency care: a qualitative study using behavior analysis of what makes team work. Scandinavian Journal Of Trauma, Resuscitation And Emergency Medicine 19:70 Patel, P., & Vinson, D. (2005). Team assignment system: expediting emergency department care. Annals of Emergency Medicine 46(6), 499-506 Patterson, M. D., Geis, G. L., et al. (2013). In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Quality and Safety 22(6), 468-77 Turner, P. (2012). Implementation of TeamSTEPPS in the emergency department. Critical Care Nursing Quarterly 35(3), 208-12

17 sept

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Here we highlight lessons learned about youth violence prevention and what you can do now, on your next shift to prevent violent injuries in youth. Dr. Joe Wright is an accomplished leader in Pediatric Emergency Medicine Physician and is a compelling voice for violence prevention. Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Guest:   Dr. Joesph L. Wright, Senior Vice President and Chief Medical Officer, Capital Region Health/University of Maryland Medical System and Professor (adjunct), Pediatrics and Health Policy & Management, University of Maryland Schools of Medicine and Public Health Resources: American Academy Of Pediatrics election: https://www.aappublications.org/news/2021/08/01/electionguide080121 More information on the candidates: https://www.aap.org/elections Committee on Injury, Violence, and Poison Prevention. Policy statement--Role of the pediatrician in youth violence prevention. Pediatrics. 2009 Jul;124(1):393-402. doi: 10.1542/peds.2009-0943. Epub 2009 Jun 11. PMID: 19520726. Wright JL. Training healthcare professionals in youth violence prevention: closing the gap. Am J Prev Med. 2005 Dec;29(5 Suppl 2):296-8. doi: 10.1016/j.amepre.2005.08.025. PMID: 16376733.

29 ago

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The opioid epidemic gets a lot of attention, but methamphetamine use may actually affect more of our patients in the emergency department. Those of us who work in the ED are all too familiar with the agitated delirium that meth can cause, as well as the long term effects, like heart failure. In this episode, we hear one woman’s story of her experience with methamphetamines and how substance use nearly destroyed her life. Then our Toxicology colleagues, Dr. Kelly Owen and Dr. Dan Colby, walk us through how meth works, how to manage acute intoxication and other dangerous consequences, and how we can better care for our patients who use methamphetamines. We’d love to hear from you! Share your questions, comments, and feedback with us on social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guest: Dr. Dan Colby, Assistant Professor of Emergency Medicine, Medical Toxicologist and Addiction Medicine Specialist at UC Davis Dr. Kelly Owen, Associate Professor of Emergency Medicine and Medical Toxicologist at UC Davis Resources: DAWN and Methamphetamine Richards JR, Hamidi S, Grant CD, Wang CG, Tabish N, Turnipseed SD, Derlet RW. Methamphetamine Use and Emergency Department Utilization: 20 Years Later. J Addict. 2017;2017:4050932. doi: 10.1155/2017/4050932. Epub 2017 Aug 17.  The care of patients using methamphetamine in the emergency department: Perception of nurses, residents, and faculty  *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

18 ago

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In part 2 on workplace violence Brian describes when he was attacked at work and Dr. Aimee Moulin and Dr. Amy Barnhorst talk about how to cope with the threat of violence on a shift.  What can we do?  What do you do in your department to create a safe place? How do you protect yourself?  Share your experience with us on social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guests: Brian Stroben, Charge Nurse and Assistant Nurse Manager in the UC Davis Department of Emergency  Medicine Dr. Amimee Moulin, Professor of Emergency Medicine, Behavioral Health Director Dr. Amy Barnhorst, Associate Clinical Professor of Psychiatry at UC Davis, Vice Chair for Community Mental Health, Director of BulletPoints Project Resources: ACEP Emergency Department Violence Poll research Results September 2018 https://www.emergencyphysicians.org/globalassets/files/pdfs/2018acep-emergency-department-violence-pollresults-2.pdf Violence in the Emergency Department: Resources for a Safer Workplace – from the American College of Emergency Physicians (ACEP) Violence and it’s Impact on the Emergency Nurse – Emergency Nurses Association (ENA) Position Statement Stene J, Larson E, Levy M, Dohlman M. Workplace violence in the emergency department: giving staff the tools and support to report. Perm J. 2015;19(2):e113-e117. doi:10.7812/TPP/14-187 Understanding Agitation: De-escalation video by Dr. Scott Zeller *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

4 ago

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Recently, we’ve explored how violence can affect our patients. Now, let’s how explore how we as emergency medicine providers are affected by violence in our own department. In part I of this two part series, we talk with UC Davis ED Charge Nurse and Assistant Nurse Manager, Brian Stroben, about workplace violence - what it is, how it affects us, and some things we can do to mitigate risk and keep our teams safe.  Have you had a personal experience with workplace violence in your ED? Share your experience with us on social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guest: Brian Stroben, Charge Nurse and Assistant Nurse Manager in the UC Davis Department of Emergency  Medicine Resources: Understanding Agitation: De-escalation video by Dr. Scott Zeller Violence in the Emergency Department: Resources for a Safer Workplace - from the American College of Emergency Physicians (ACEP) Violence and it's Impact on the Emergency Nurse - Emergency Nurses Association (ENA) Position Statement Stene J, Larson E, Levy M, Dohlman M. Workplace violence in the emergency department: giving staff the tools and support to report. Perm J. 2015;19(2):e113-e117. doi:10.7812/TPP/14-187 *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

19 jul

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Do you have a similar program where you work, or are you interested in learning more about how to start one? Share your experiences and questions with us on social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Guest: Dr. Terry Klassen, Professor, Pediatrics & Child Health, University of Manitoba Resources: “Wraparound” EM Pulse Podcast published June 17, 2021. https://ucdavisem.com/2021/06/17/wraparound/ Snider CE, Jiang D, Logsetty S, Chernomas W, Mordoch E, Cochrane C, Mahmood J, Woodward H, Klassen TP. Feasibility and efficacy of a hospital-based violence intervention program on reducing repeat violent injury in youth: a randomized control trial. CJEM. 2020 May;22(3):313-320. doi: 10.1017/cem.2019.406. PMID: 31645229.  https://pubmed.ncbi.nlm.nih.gov/31645229/  *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

4 jul

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In the emergency department, we treat violently injured patients on nearly every shift. We can splint the broken bones, stitch up the cuts, and send seriously injured patients to the operating room with our surgical colleagues. We may be able to heal the physical wounds, but what about the emotional ones? And what happens to our patients when they go home to the same potentially unhealthy environments that led to the violent injury in the first place? The UC Davis Wraparound program addresses these issues and more. We talk with program Co-lead, Dr. Ian Brown, and Violence Intervention Specialist, Chevist Johnson, about how Wraparound works and why programs like these are so important.  Do you have a similar program where you work, or are you interested in learning more about how to start one? Share your experiences and questions with us on social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Ian Brown, Trauma Surgeon and Assistant Professor of Surgery at UC Davis; Co-Lead of the Wraparound Program Chevist Johnson, Violence Intervention Specialist with the Wraparound Program at UC Davis  Resources: UC Davis Wraparound Program UCSF Wraparound Program Health Alliance for Violence Intervention (HAVI) *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

18 jun

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***Trigger warning: this episode includes discussion of child abuse*** This is a follow up episode that dives deeper on why a bruised baby is worrisome, important aspects of a social history, and screening for abuse in the ED. Please listen to our first episode “It Could Have Been Different” for more!  Have you used TEN-4 FACESp to identify potential non-accidental trauma? Share your experience with us via social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Guest: Dr. Mary Clyde Pierce, Professor of Pediatrics at Northwestern University, Pediatric Emergency Physician and Director of Child Abuse Research at Laurie Children’s Hospital. Resources: “It Could Have Been Different” EM Pulse Podcast published April 17, 2021. https://ucdavisem.com/2021/04/17/it-could-have-been-different/ Pierce MC, Magana JN, Kaczor K, Lorenz DJ, Meyers G, Bennett BL, Kanegaye JT. The Prevalence of Bruising Among Infants in Pediatric Emergency Departments. Ann Emerg Med. 2016 Jan;67(1):1-8. doi: 10.1016/j.annemergmed.2015.06.021. Epub 2015 Jul 29. PMID: 26233923; PMCID: PMC4695295. Fingarson AK, Pierce MC, Lorenz DJ, Kaczor K, Bennett B, Berger R, Currie M, Herr S, Hickey S, Magana J, Makoroff K, Williams M, Young A, Zuckerbraun N. Who's Watching the Children? Caregiver Features Associated with Physical Child Abuse versus Accidental Injury. J Pediatr. 2019 Sep;212:180-187.e1. doi: 10.1016/j.jpeds.2019.05.040. Epub 2019 Jun 26. PMID: 31255388; PMCID: PMC6707841. Pierce MC, Kaczor K, Thompson R. Bringing back the social history. Pediatr Clin North Am. 2014 Oct;61(5):889-905. doi: 10.1016/j.pcl.2014.06.010. Epub 2014 Aug 12. PMID: 25242704; PMCID: PMC4171692. *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

3 jun

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Trauma Informed Care 101 Trauma informed care has become quite the buzz word in medicine, and especially in emergency medicine.  But what does it mean? Why should you care? How can you use it on a shift?  We’ll address these questions and more with experts, Dr. Angela Jarman, Dr. Bryn Mumma, and our own Dr. Julia Magaña. What is a way you incorporate trauma informed care into your practice? Share your experience with us via social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine and Co-Chair of the Human Trafficking Workgroup at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Angela Jarman, Assistant Professor of Emergency Medicine and Sex and Gender Researcher at UC Davis Dr. Bryn Mumma, Associate Professor of Emergency Medicine and Co-Chair of the Human Trafficking Workgroup at UC Davis  Resources: Fischer KR, Bakes KM, Corbin TJ, Fein JA, Harris EJ, James TL, Melzer-Lange MD. Trauma-Informed Care for Violently Injured Patients in the Emergency Department. Ann Emerg Med. 2019 Feb;73(2):193-202. doi: 10.1016/j.annemergmed.2018.10.018. Epub 2018 Nov 28. CA Bridge Trauma-Informed Care for Opioid Use Disorder Substance Abuse and Mental Health Services Administration. SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) 14-4884. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014. *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

18 may

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Our first EM Pulse podcast called “Pot Tarts” was on marijuana legalization in California and ingestion in kids. In this episode we circle back to THC in kids with Dr. James Chenoweth on a an update of what has happened since legalizations.   Have you seen an uptick in THC ingestions in children since legalization? Share your ideas and experiences with us on social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Guests: Dr. James Chenoweth , Assistant Professor of Emergency Medicine and Medical Toxicologist at UC Davis Resources:  First EM Pulse podcast episode “Pot Tarts” https://ucdavisem.com/2018/01/16/episode-1-pot-tarts/ *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.  

3 may

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***Trigger warning: this episode includes discussion of child abuse*** As emergency physicians, we are uniquely positioned to identify and address child abuse, or non-accidental trauma (NAT). It’s a challenging part of our job, but our vigilance can save a child’s life. Signs of abuse can often be subtle, but there are some very specific findings that should make us consider NAT. In this episode, we talk with expert, Dr. Mary Clyde Pierce, about her recently published paper, coauthored by our own Dr. Julia Magaña, validating the TEN-4 FACESp clinical decision rule to predict abuse in young children.  Have you used TEN-4 FACESp to identify potential non-accidental trauma? Share your experience with us via social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Mary Clyde Pierce, Professor of Pediatrics at Northwestern University, Pediatric Emergency Physician and Director of Child Abuse Research at Laurie Children’s Hospital. Resources: Pierce MC, Kaczor K, Lorenz DJ, Bertocci G, Fingarson AK, Makoroff K, Berger RP, Bennett B, Magana J, Staley S, Ramaiah V, Fortin K, Currie M, Herman BE, Herr S, Hymel KP, Jenny C, Sheehan K, Zuckerbraun N, Hickey S, Meyers G, Leventhal JM. Validation of a Clinical Decision Rule to Predict Abuse in Young Children Based on Bruising Characteristics. JAMA Netw Open. 2021 Apr 1;4(4):e215832. doi: 10.1001/jamanetworkopen.2021.5832. Lorenz DJ, Pierce MC, Kaczor K, Berger RP, Bertocci G, Herman BE, Herr S, Hymel KP, Jenny C, Leventhal JM, Sheehan K, Zuckerbraun N. Classifying Injuries in Young Children as Abusive or Accidental: Reliability and Accuracy of an Expert Panel Approach. J Pediatr. 2018 Jul;198:144-150.e4. doi: 10.1016/j.jpeds.2018.01.033. Epub 2018 Mar 15. PMID: 29550228; PMCID: PMC6019119. CDC Morbidity and Mortality Weekly Report: Trends in US Emergency Department Visits Related to Suspected or Confirmed Abuse and Neglect Among Children and Adolescents Aged <18 Years Before and During the COVID-19 Pandemic - United States, January 2019-September 2020 *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

18 abr

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Happy spring, everyone! This Heartbeat is all about joy and community, so come along with me to Macedonia Baptist Church in Sacramento, California, where community leaders, Pastor Jeffrey Johnson and Derrell Roberts, teamed up with Dr. Kevin Mackey, Medical Director for Sacramento Regional Fire, and UC Davis Emergency Medicine providers to offer COVID vaccinations to the local community. Equitable vaccine distribution is an ongoing concern across the US and, according to a recent CDC report (linked below), our most vulnerable communities are still under vaccinated. In Sacramento County and across the country, local physicians, administrators and community leaders are coming up with new strategies to reach these communities, including partnering with trusted community leaders. When things come together, the results are amazing, and the vaccine clinic at Macedonia Baptist is a shining example of this.  What innovative strategies have you seen in your community to work toward vaccine equity? Share your ideas and experiences with us on social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** And please pass the word along to your friends and colleagues! Host: Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Nate Kuppermann, Pediatric Emergency Physician, Professor and Chair of the UC Davis Department of Emergency Medicine Larry Gomez, NP, Nurse Practitioner in the Department of Emergency Medicine Dr. Kara Toles, Assistant Professor of Emergency Medicine and Director of Equity and Inclusion for the UC Davis Department of Emergency Medicine Pastor Jeffrey Johnson, Pastor at Macedonia Baptist Church in Sacramento, CA Macedonia Baptist Church community members Resources: Hughes MM, Wang A, Grossman MK, et al. County-Level COVID-19 Vaccination Coverage and Social Vulnerability - United States, December 14, 2020-March 1, 2021. MMWR Morb Mortal Wkly Rep. 2021 Mar 26;70(12):431-436. doi: 10.15585/mmwr.mm7012e1. PMID: 33764963. Vaccines are about to become a free-for-all. Here’s how to ensure it’s done equitably.  Opinion by Harald Schmidt, Lawrence O. Gostin and Michelle Williams. The Washington Post. March 30, 2021 Macedonia Baptist Church of Sacramento *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

4 abr

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Last month, Dr. Josh Elder spoke with us about how UC Davis Express Care allows patients to see a doctor via virtual urgent care visits. In this episode, we explore a different side of telemedicine: teleconsults. Dr. Jim Marcin is Director of the UC Davis Center for Health and a pioneer in telemedicine. As a Pediatric Critical Care Physician, Dr. Marcin has been facilitating teleconsults for physicians at rural hospitals to help provide the expertise needed for care for critically ill children. He explains the current model he and his colleagues are using, the data to support what works (and what doesn’t), and a glimpse into what he might expect in the future as telehealth becomes more widely available.  Have you tried telemedicine, either as a patient of provider? Share your experience with us via social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Jim Marcin, Professor of Pediatrics and Pediatric Critical Care, Vice Chair of Pediatric Clinical Research, and Director for the UC Davis Center for Health and Technology. Resources: UC Davis Center for Health and Technology CDC: About Rural Health Sauers-Ford HS, Hamline MY, Gosdin MM, Kair LR, Weinberg GM, Marcin JP, Rosenthal JL. Acceptability, Usability, and Effectiveness: A Qualitative Study Evaluating a Pediatric Telemedicine Program. Acad Emerg Med. 2019 Sep;26(9):1022-1033. doi: 10.1111/acem.13763. Epub 2019 May 2. PMID: 30974004; PMCID: PMC6732030. Marcin JP, Shaikh U, Steinhorn RH. Addressing health disparities in rural communities using telehealth. Pediatr Res. 2016 Jan;79(1-2):169-76. doi: 10.1038/pr.2015.192. Epub 2015 Oct 14. PMID: 26466080. Sauers-Ford HS, Marcin JP, Underwood MA, Kim JH, Nicolau Y, Uy C, Chen ST, Hoffman KR. The Use of Telemedicine to Address Disparities in Access to Specialist Care for Neonates. Telemed J E Health. 2019 Sep;25(9):775-780. doi: 10.1089/tmj.2018.0095. Epub 2018 Nov 3. PMID: 30394853. Rural Health Information Hub: Critical Access Hospitals *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

18 mar

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“He came in by ambulance short of breath...” This is how Dr. Taylor Nichols’ tweet thread began. It’s a line many of us could have written - typical of an encounter in the COVID era. But the thread goes on to tell a more complicated story about racism, a physicians duty, and the toll this pandemic has had on many frontline healthcare providers. Dr. Nichols shares his story with us, along with the aftermath of his viral tweet, and his reflections three months on.    Share your thoughts and reactions to Taylor’s story with us on social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** And please pass the word along to your friends and colleagues! Hosts: Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Taylor Nichols, Emergency Medicine Physician in Sacramento, CA, and former Health Policy Fellow at UC Davis. Resources: Twitter thread by Dr. Taylor Nichols Jewish doctor opens up about treating patient with Nazi tattoos (CNN) The pandemic was already testing me. Then a man covered in Nazi tattoos showed up in my ER. Washington Post  Pandemic patient with swastika tattoo leaves Nor Cal doctor questioning his compassion. (San Francisco Chronicle) *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

4 mar

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In our recent episode in the future of emergency medicine, several of our guests pointed to technological advances, including telemedicine, as key pieces in the evolution of our specialty. And, thanks in large part to the pandemic, the development and implementation of telemedicine has accelerated over the past year. In this episode, Dr. Josh Elder, Medical Director of Express Care at UC Davis, shares his experience creating a virtual urgent care. We discuss some of the advantages and disadvantages for both patients and providers, and explore how this service has proved to be a safe and efficient way to meet patients where they’re at.  Have you tried telemedicine, either as a patient of provider? Share your experience with us via social media, @empulsepodcast, or through our website, ucdavisem.com. Stay tuned for next month’s episode when we explore another side of telemedicine - specialty consults for physicians! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Josh Elder, Assistant Professor of Emergency Medicine and Medical Director of Express Care at UC Davis Health. Resources: Express Care at UC Davis Health Zimiles, A. Four new statistics that prove telemedicine isn’t just a pandemic fad. Medical Economics. Jul 8 2020 Chou E, Hsieh YL, Wolfshohl J, Green F, Bhakta T. Onsite telemedicine strategy for coronavirus (COVID-19) screening to limit exposure in ED. Emerg Med J. 2020 Jun;37(6):335-337. Golinelli, D., Boetto, E., Carullo, G., Landini, M. P., & Fantini, M. P. (2020). How the COVID-19 pandemic is favoring the adoption of digital technologies in healthcare: a rapid literature review. medRxiv. May 18, 2020.  Bokolo Anthony Jnr. Use of Telemedicine and Virtual Care for Remote Treatment in Response to COVID-19 Pandemic. J Med Syst. 2020 Jun 15;44(7):132. *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

18 feb

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The COVID-19 pandemic has forced us all to become more comfortable with virtual engagement. From faculty and group meetings to conferences to kids’ school to social events - it seems everything is online these days. And while we may finally be getting used to this after many months, most of us still have a lot to learn in terms of how to best present ourselves in the virtual space. We’ll discuss our favorite tips and tricks, as well as some audiovisual equipment that can help you look and sound better, without breaking the bank. Happy Zooming! Share your favorite tips and tricks with us on social media @empulsepodcast, or through our website, ucdavisem.com! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Resources and Recommended Equipment: Microphones: Shure MV7 Podcast Microphone Shure MV5C Home Office Microphone Shure MV88+ Video Kit Digital Stereo Condenser Microphone Beyerdynamic FOX USB Studio Microphone Headphones: Beyerdynamic DT 770 Pro Headphones (32 ohm model) SONY  MDR-7506  Professional Headphones Apple AirPods Pro Lights: Dracast Halo Plus Series LED100 Lume Cube Litra *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

4 feb

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The COVID-19 pandemic has affected all of us, and with vaccines starting to roll out, I think we’re all looking forward to getting past it. But some people who have had COVID-19, getting past it hasn’t been easy. In this Heartbeat, we talk with infectious disease expert, Dr. Larissa May, about “Long haul COVID”, or “Long COVID” - a syndrome that affects about 10% of people who have had COVID-19.  Have you had long-haul COVID? We’d like to know how it affected you and what you’ve don’t to get through it. Share your story with us on social media, @empulsepodcast, or through our website, ucdavisem.com. And please pass the word along to your friends and colleagues! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Larissa May, Professor of Emergency Medicine with a Masters in Emerging Infectious Diseases, and Director of Emergency Department Antibiotic Stewardship at UC Davis. Resources: Information and resources for COVID-19 long-haulers at UC Davis LongCOVID.org support, information and resources (UK based) The Body Politic COVID-19 support group  Rubin R. As Their Numbers Grow, COVID-19 "Long Haulers" Stump Experts. JAMA. 2020 Sep 23. doi: 10.1001/jama.2020.17709. Epub ahead of print. PMID: 32965460. Townsend L, Dowds J, O'Brien K, Sheill G, Dyer AH, O'Kelly B, Hynes JP, Mooney A, Dunne J, Ni Cheallaigh C, O'Farrelly C, Bourke NM, Conlon N, Martin-Loeches I, Bergin C, Nadarajan P, Bannan C. Persistent Poor Health Post-COVID-19 Is Not Associated with Respiratory Complications or Initial Disease Severity. Ann Am Thorac Soc. 2021 Jan 8. doi: 10.1513/AnnalsATS.202009-1175OC. Epub ahead of print. PMID: 33413026. Lehner, G.F., Klein, S.J., Zoller, H. et al. Correlation of interleukin-6 with Epstein–Barr virus levels in COVID-19. Crit Care 24, 657 (2020). *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

18 ene

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It’s 2021, and we couldn’t be happier to leave 2020 behind and start a new year. In the past few months, we’ve talked about the past and present of emergency medicine. In this episode, we’ll explore the future. We welcome back some of our specialty’s visionary leaders, Dr. Aimee Moulin, Dr. Gillian Schmitz, Dr. Cherri Hobgood, and Dr. J Adrian Tyndall, to discuss what’s ahead for EM. How has the pandemic changed things? What role will technology play? What should healthcare and insurance look like in the future? Listen and learn along with us.  What do you think lies ahead for emergency medicine or the health system in general? Share your thoughts with us on social media @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Aimee Moulin, Professor of Emergency Medicine and Psychiatry, and Behavioral Health Director, at UC Davis; previous California ACEP President, Director of California Bridge Gillian Schmitz, Associate Professor of Emergency Medicine at the Uniformed Services University of Health Sciences, Emergency Physician at Brooke Army Medical Center Dr. Cherri Hobgood, Professor and Past Chair of Emergency Medicine at Indiana University Form Chair of the Board of ACEP, and previous President of SAEM Dr. Joseph Adrian Tyndall, Professor and Chair of Emergency Medicine at the University of Florida College of Medicine, Interim Dean of the College of Medicine, Associate Vice President for Academic and Strategic Affairs for University of Florida Health, and Immediate Past Chair of the Florida chapter of ACEP Resources: The Alexandria Plan The State of EM Buntin, MB. A brief window to rethink emergency care. JAMA Health Forum. Published online October 14, 2020. doi:10.1001/jamahealthforum.2020.1297 Sklar DP, Handel DA, Hoekstra J, Baren JM, Zink B, Hedges JR. The future of emergency medicine: an evolutionary perspective. Acad Med. 2010 Mar;85(3):490-5. doi: 10.1097/ACM.0b013e3181ccb628. PMID: 20182124. Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

4 ene

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I think we can all agree that this has been a long year. For those of us working in the emergency department, the stress of treating patients with COVID-19, while trying to keep our families and ourselves safe, has been overwhelming at times. But there is finally a light at the end of this tunnel - in the form of vaccines! Infectious disease specialist, Dr. Dean Blumberg, talks with us about how the coronavirus vaccines work, and answers questions about their safety, the approval process, side effects, and much more.  We got our vaccines, will you? 💉 Share your questions and concerns with us  on social media,  @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Host: Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Dean Blumberg, Professor and Chief of Pediatric Infectious Disease at UC Davis, Co-Host of the Kids Considered Podcast  Resources: The New York Times Coronavirus Vaccine Tracker CDC vaccine information page Rubin EJ, Longo DL. SARS-CoV-2 Vaccination - An Ounce (Actually, Much Less) of Prevention. N Engl J Med. 2020 Dec 10. doi: 10.1056/NEJMe2034717. Epub ahead of print. PMID: 33301245. Mutambudzi M, Niedwiedz C, Macdonald EB, Leyland A, Mair F, Anderson J, Celis-Morales C, Cleland J, Forbes J, Gill J, Hastie C, Ho F, Jani B, Mackay DF, Nicholl B, O'Donnell C, Sattar N, Welsh P, Pell JP, Katikireddi SV, Demou E. Occupation and risk of severe COVID-19: prospective cohort study of 120 075 UK Biobank participants. Occup Environ Med. 2020 Dec 9:oemed-2020-106731. doi: 10.1136/oemed-2020-106731. Epub ahead of print. PMID: 33298533. Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

dic 2020

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Open notes or the 21st Century Cures ACT introduces a brave new world of sharing the whole medical record immediately with our patients. In this episode we discuss with an informatics specialist what this mandate is, what the exceptions are, and why this can be good for us and our patients.  Let us know how Open Notes is going for you and your tips for other note writers. Follow us on social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Host: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Guest: Dr. Scott MacDonald, Internal Medicine Physician, and the Medical Director for Clinical Informatics and the Electronic Health Record System at UC Davis Resources: https://www.opennotes.org/ Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

dic 2020

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In our September episode, The Alexandria Plan, we journeyed back through the fascinating history of Emergency Medicine with some of the founders of our specialty. This month’s episode follows on, exploring the present state of EM. We talk with current leaders and visionaries, Dr. Aimee Moulin, Dr. Gillian Schmitz, Dr. Cherri Hobgood, and Dr. J Adrian Tyndall, about the role of EM and how the COVID-19 pandemic has changed us. We then delve into some of the major issues facing our specialty, and where we go from here. Stay tuned for part three of this series where we’ll discuss the future of emergency medicine! How has COVID changed EM for you, and what do you see as the big issues facing our specialty? Share your thoughts with us on social media @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Aimee Moulin, Professor of Emergency Medicine and Psychiatry, and Behavioral Health Director, at UC Davis; previous California ACEP President, Director of California Bridge Gillian Schmitz, Associate Professor of Emergency Medicine at the Uniformed Services University of Health Sciences, Emergency Physician at Brooke Army Medical Center Dr. Cherri Hobgood, Professor and Past Chair of Emergency Medicine at Indiana University Form Chair of the Board of ACEP, and previous President of SAEM Dr. Joseph Adrian Tyndall, Professor and Chair of Emergency Medicine at the University of Florida College of Medicine, Interim Dean of the College of Medicine, Associate Vice President for Academic and Strategic Affairs for University of Florida Health, and Immediate Past Chair of the Florida chapter of ACEP Resources: The Alexandria Plan COVID-19: Emergency Medicine Physician Empowered to Shape Perspectives on This Public Health Crisis. Gaeta C, Brennessel R. Cureus. 2020 Apr 1;12(4):e7504. doi: 10.7759/cureus.7504. PMID: 32257730; PMCID: PMC7117614. Anyone, Anything, Anytime - a History if Emergency Medicine (2nd edition) by Dr. Brian Zink

nov 2020

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This is the fascinating story of Dr. Rory Stuart the Bronze Star recipient for his fight against COVID in Afghanistan. He shares what it was like to be blindsided by COVID in the Middle East and the lessons we can apply  stateside. Follow us on social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Host: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Guest: Dr. Rory Stuart, Associate Professor of Emergency Medicine at UC Davis Resources:  Facebook live discussion with Dr. Rory Stuart. Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

nov 2020

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The November 2020 election is right around the corner, and yet many Americans still aren’t registered to vote. Voting is not always a priority when people are struggling to meet their basic needs, yet the voices of people in underrepresented groups are essential to shaping policy that benefits everyone. We talk with Dr. Katren Tyler about VotER, a program started at Massachusetts General Hospital that helps ED physicians encourage interested patients to register, and provides easy ways to help them do so. Julia tells us about similar efforts promoted by the American Academy of Pediatrics that encouraged census completion, as well as voter registration. Finally, we talk with Dr. Taylor Nichols, an Emergency Physician and expert in health policy, about how policy has important downstream implications for health. He also gives us some things to think about when you cast your vote next month. (Incidentally, the last day to register online or by mail is 10/19, but you can register in person through 11/3) What do you think about programs like VotER? We’d love your feedback. Connect with us on social media @empulsepodcast, or through our website, ucdavisem.com. ***Have we earned your vote? Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Katren Tyler, Professor of Emergency Medicine and Vice Chair of Wellness for the UC Davis Department of Emergency Medicine  Dr. Taylor Nichols, Emergency Physician, former UC Davis EM Health Policy Fellow, and California ACEP Board Member Resources: VotER  ACEP Now article on VotER AAP News article on encouraging completion of the 2020 census Breonna Center for Justice article on voter registration decline ( Liggett A, Sharma M, Nakamura Y, et al. Results of a voter registration project at 2 family medicine residency clinics in the Bronx, New York. Ann Fam Med. 2014;12(5):466-469. *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

oct 2020

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A new PECARN study found just a single episode of moderate-severe DKA impacts cognition! This game changing article challenges what we thought about glucose and the brain and really makes a case for aggressive DKA treatment and glucose control! Let us know what you think @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Host: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Guest: Dr. Nicole Glaser, Professor of Pediatric Endocrinology at UC Davis Dr. Simmona can you help meGhetti (@sghetti1) Professor Department of Psychology and Center for Mind and Brain at UC Davis   Resources:  Ghetti S, Kuppermann N, Rewers A, Myers SR, Schunk JE, Stoner MJ, Garro A, Quayle KS, Brown KM, Trainor JL, Tzimenatos L, DePiero AD, McManemy JK, Nigrovic LE, Kwok MY, Perry CS 3rd, Olsen CS, Casper TC, Glaser NS; Pediatric Emergency Care Applied Research Network (PECARN) DKA FLUID Study Group. Cognitive Function Following Diabetic Ketoacidosis in Children With New-Onset or Previously Diagnosed Type 1 Diabetes. Diabetes Care. 2020 Sep 22:dc200187. doi: 10.2337/dc20-0187. Epub ahead of print. PMID: 32962981. https://care.diabetesjournals.org/content/early/2020/09/10/dc20-0187.long *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

oct 2020

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Ever wondered how the specialty of Emergency Medicine came about? We take it for granted that we have emergency departments staffed 24/7 with board certified EM physicians, but this wasn’t always the case. Join us for a trip down memory lane, with the help of Dr. Brian Zink. Dr. Zink collected stories and audio recordings from some of the founders of our specialty. He shares several of these with us to give us a feel for what it was like in those early days.  What did you think of this episode? We’d love your feedback. Connect with us on social media @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Brian Zink, Professor of Emergency Medicine and Senior Associate Dean for Faculty and Faculty Development at the University of Michigan Resources: Anyone, Anything, Anytime - a History if Emergency Medicine (2nd edition) by Dr. Brian Zink In Memory of Dr. Peter Rosen, a Founder of Emergency Medicine.  George Podgorny, MD, Advocate and  Architect  of Emergency Medicine  Rosen P. The biology of emergency medicine. JACEP. 1979;8(7):280-283. doi:10.1016/s0361-1124(79)80226-9 Emergency Physicians Gear up for Specialty Approval. Originally published in Hospital Practice in October, 1975 *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

sept 2020

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It’s that time of year again - residency recruiting season! But this year, things will look very different, thanks to the COVID-19 pandemic. We talk with Dr. David Barnes, Emergency Medicine Residency Program Director at UC Davis, about some of the challenges for both applicants and residency leadership. He also offers some sound advice for students applying in EM - most importantly, be yourself and be flexible; this format is new to everyone.  Do you have questions or concerns about the residency application and interview process this year?  Send us your thoughts on social media @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. David Barnes, Professor of Emergency Medicine and Emergency Medicine Residency Program Director Equity at UC Davis Resources: UC Davis Emergency Medicine Residency Program Hammoud MM, Standiford T, Carmody JB. Potential Implications of COVID-19 for the 2020-2021 Residency Application Cycle [published online ahead of print, 2020 Jun 3]. JAMA. 2020;10.1001/jama.2020.8911. doi:10.1001/jama.2020.8911 ACEP Concensus Statement on the 2020-2021 Residency Application Process for U.S. Medical Students Planning Carter’s in Emergency Medicine in the Main Residency Match *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

sept 2020

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“Less Lethal” Crowd Control You may have heard of “non-lethal” or “less lethal” weapons used for crowd control. These include things such as pepper spray, tear gas, bean bags, and rubber bullets. But, while these may be less lethal than standard weapons and bullets, they still cause serious harm and even death. As protests raged across the U.S. this summer, we have seen many injuries associated with these methods. Dr. James Chenoweth, an emergency physician and toxicologist, joins us to explain what these weapons are and what kind of damage they can cause, as well as some tips for treating these injuries. Dr. Kara Toles worked as a street medic in the recent protests in Sacramento. She shares her experience, including key supplies she carries in her pack, and what it’s like to be in the middle of a peaceful protest turned violent. As physicians, we should be concerned about the physical injuries these crowd control methods cause, as well as the psychological effects.   Have you treated patients with injuries from so called non lethal crowd control methods?  Share your thoughts and experiences with us on social media @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Kara Toles, Assistant Professor of Emergency Medicine and Director of Diversity Equity and Inclusion for the Department of Emergency Medicine at UC Davis Dr. James Chenoweth , Assistant Professor of Emergency Medicine and Medical Toxicologist at UC Davis Resources: This Week in Toxicology Tear Gas, Pepper Spray, and Rubber Bullets: A Primer Penetrating Injuries from “Less Lethal” Beanbag Munitions. Correspondence in the New England Journal of Medicine, by Dr. Kristofor A. Olson et al. August 14 2020.  Sacramento Street EMS Sacramento Anti Police-Terror Project *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

ago 2020

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Has MIS-C changed the way you approach a febrile child? I know I struggle to understand this new disease. Fortunately Dr. Natasha Nakra, a Pediatric Infectious Disease Specialist, joins us this month to clarify what we know about MIS-C, when we should think about it, and what we should do. Have you seen a child with MIS-C? What tipped you off? Send us your answer via on social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Host: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Guest: Dr. Natasha Nakra, MS Associate professor of pediatrics, Pediatric Infectious Disease Specialist at UC Davis  Resources:  Nakra, N.A.; Blumberg, D.A.; Herrera-Guerra, A.; Lakshminrusimha, S. Multi-System Inflammatory Syndrome in Children (MIS-C) Following SARS-CoV-2 Infection: Review of Clinical Presentation, Hypothetical Pathogenesis, and Proposed Management. Children 2020, 7, 69. CDC Multi-inflammatory syndrome: for healthcare providers. https://www.cdc.gov/mis-c/hcp/index.html

ago 2020

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Welcome back to EM Pulse. It’s no secret that black, indigenous, and people of color are underrepresented in medicine and academics. This is largely due to structural or institutionalized racism, which is a massive topic for another time. While it may be difficult to swallow, white people have benefited from this system, and many of us are still learning just how our my privilege afforded us. This can be unnerving and even embarrassing at times, as we start to really appreciate the struggle our BIPOC friends and colleagues have faced, and continue to face. We want to be allies; we want to do something. This month’s heartbeat is geared specifically to people who want to be better allies in this fight. It is absolutely crucial to listen to voices of people of color and follow their lead, but, as we will discuss, it is not our non-white colleagues’ job to educate us! With that in mind, our guest is Dr. Colleen Sweeney, a Professor of biochemistry and molecular medicine at the UC Davis School of Medicine, who recently gave a talk on taking allyship to the next level.  We are still learning to be better advocates and welcome your comments and feedback. Connect with us on social media,  @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Host: Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Colleen Sweeney, Professor of Biochemistry and Molecular Medicine at the UC Davis School of Medicine Resources:   Ibram X. Kendi, author of How to be an Anti-Racist, Stamped from the Beginning: the Definitive History of Racist Ideas in America, and others books Tervalon M, Murray-García J. Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education. J Health Care Poor Underserved. 1998;9(2):117-125. doi:10.1353/hpu.2010.0233 Award winning documentary From the Community to the Classroom AAMC MedEdPortal: Antiracism in Medicine Collection AAMC: Racism and Health UC Davis Office of Diversity, Equity & Inclusion *** Register now for the 17th annual Emergency Medicine Update: Hot Topics 2020, November 3rd through 7th at the Fairmont Kea Lani in Maui! Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

jul 2020

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In the first half of our episode on surge, we heard first hand accounts of how COVID-19 impacted EDs and ICUs in hard hit areas. In the second half, we explore emergency preparedness at a more macro level. Experts, Dr. John Rose and Dr. Dan Colby, join us to discuss how county emergency medical services, hospital administration, and emergency departments are planning for a potential surge of COVID-19 cases. As new infections and hospitalizations are rising across most of the country, they offer some practical advice to help us manage the surge. . Has your hospital experienced a COVID surge? How did you handle it, or how are you preparing for a potential surge? Share your thoughts and experiences with us on social media @empulsepodcast, or through our website, ucdavisem.com. And stay tuned for Part 2, when we’ll talk practical preparedness strategies from EMS, administration, and ED operations points of view - coming July 3rd! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. John Rose, Professor of Emergency Medicine at UC Davis and Medical Director for Yolo Emergency Medical Services Agency (YEMSA) Dr. Daniel Colby, Assistant Professor of Emergency Medicine and member of the ED Clinical Operations Team at UC Davis Resources: California Hospital Association Emergency Preparedness Hospital Incident Command System (HICS) Pediatric Overflow Planning Contingency Response Network (POPCoRN) ********************************************************************************************* Register now for the 17th annual Emergency Medicine Update: Hot Topics 2020, November 3rd through 7th at the Fairmont Kea Lani in Maui! Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

jul 2020

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As we watched the novel coronavirus spread through China and Italy, we knew it was just a matter of time before a wave of illness hit the US. The surge struck early in New York and New Orleans, threatening to overwhelm health care resources, including PPE, ventilators, ICU beds, and hospital staff. We hear from Dr. Leslie Palmerlee, an emergency physician in New Orleans, about her experience there. Then we go in depth with Dr. Alfredo Astua, a critical care physician at one of New York’s hardest hit hospitals. We explore how they prepared for and managed the COVID-19 surge, how it affected every level of the health care system, and what they learned along the way. Has your hospital experienced a COVID surge? How did you handle it, or how are you preparing for a potential surge? Share your thoughts and experiences with us on social media @empulsepodcast, or through our website, ucdavisem.com. And stay tuned for Part 2, when we’ll talk practical preparedness strategies from EMS, administration, and ED operations points of view - coming July 3rd! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Leslie Palmerlee, Assistant Professor of Emergency Medicine at LSU/University Medical Center in New Orleans, LA Dr. Alfredo Astua, Chair of Pulmonary Critical Care and Sleep Medicine at Elmhurst Hospital, Mount Sinai Services in Queens, NY Resources: US Department of Health and Human Services public health emergency preparedness resources  ACEP National Strategic Plan for Emergency Department Management of Outbreaks of COVID-19 ********************************************************************************************* Register now for the 17th annual Emergency Medicine Update: Hot Topics 2020, November 3rd through 7th at the Fairmont Kea Lani in Maui! Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

jun 2020

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What are you seeing in your hospital? How did your system prepare for a surge? Send us your answer via on social media, @empulsepodcast, or through our website, ucdavisem.com. And stay tuned for the June 17 episode on SURGE. We will hear from the critical care doctor who managed the surge from the provider standpoint with other experts on how we can prepare for a SURGE. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Host: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Guest: Dr. Alex Schmaltz, Senior Emergency Medicine Resident  at UC Davis *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.  

jun 2020

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COVID was supposed to be the great equalizer, but in reality not all of us are affected the same. Vulnerable populations experience higher rates of infection and death, and worse social outcomes. Access to healthcare is not equitable. In this episode we dive into why this is a thing and what we can do about this as providers. What are you seeing in your hospital? What are you or your systems doing to reduce implicit bias? Send us your answer via on social media, @empulsepodcast, or through our website, ucdavisem.com. And stay tuned for the June 3 Heartbeat on what is it like to work in a hospital in the bronx and lessons learned. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Kara Toles (@kat04747), Assistant Professor of Emergency Medicine at UC Davis and the Director of Equity and Inclusion in the Department of Emergency Medicine. Dr. Makini Chisholm-Straker, Assist Professor of Emergency Medicine at The Icahn School of Medicine, and works at Mt. Sinai Hospital, NYC Resources: Chisholm-Straker, M. COVID-19 is Our Chance at Rebirth. Medium.com. Accessed on May 18, 2020. https://medium.com/undercurrents-press/rebirthviacovid-369e073d7654 Wadhera RK, Wadhera P, Gaba P, et al. Variation in COVID-19 Hospitalizations and Deaths Across New York City Boroughs [published online ahead of print, 2020 Apr 29]. JAMA. 2020;e207197. doi:10.1001/jama.2020.7197  https://jamanetwork.com/journals/jama/fullarticle/2765524?guestAccessKey=bea1171d-1ecd-49df-a55f-2e11ed68ec40&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jama&utm_content=olf&utm_term=042920 Miller, H. Navajo Nation 3rd highest “state” per capita infections. Huffpost online May 14, 2020. https://m.huffpost.com/us/entry/us_5e94b532c5b6a50d4ae6d7e7 Kara, H. The coronavirus pandemic is hitting black and brown Americans especially hard on all fronts. CNN online. May 8, 2020.  https://www.cnn.com/2020/05/08/us/coronavirus-pandemic-race-impact-trnd/index.html Racial Data Transparency: States that have released breakdowns of COVID-19 data by race. Johns Hopkins Coronavirus Resource Center. Accessed on May 16, 2020. https://coronavirus.jhu.edu/data/racial-data-transparency Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

may 2020

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How do you treat the pain of pediatric long bone fractures? Is it equitable? In this episode the authors of Racial and Ethnic Differences in Emergency Department Pain Management of Children With Fractures of Pediatrics May 2020 discuss if our care is equitable and why it may not be. It is an important discussion that pushes us to think about our perception of pain and how race and ethnicity impact our approach. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Host: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Guests: Dr. Monika Goyal, Associate Professor of Pediatrics and Emergency Medicine at the George Washington University School of Medicine. Associate Division Chief of Emergency Medicine and Trauma Services and Director of Academic Affairs and Research at Children's National Hospital. Dr. Tiffani Johnson, Assistant Professor of Pediatric Emergency Medicine at UC Davis Resources: Goyal MK, Johnson TJ, Chamberlain JM, et al. Racial and Ethnic Differences in Emergency Department Pain Management of Children With Fractures [published online ahead of print, 2020 Apr 20]. Pediatrics. 2020;e20193370. doi:10.1542/peds.2019-3370  https://pubmed.ncbi.nlm.nih.gov/32312910/ Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

may 2020

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This is a challenging time for physicians and the entire healthcare workforce. That’s putting it mildly. The coronavirus pandemic is affecting all of us, physically and emotionally. In emergency medicine, we are used to dealing with stressful situations, but this pandemic brings new personal and professional challenges. We are managing severe illness for which we have no proven treatment, watching patients suffer and die alone, and living with constant worry of infecting our loved ones or even dying of the virus ourselves. Some of us are doing this in overwhelmed healthcare systems with limited resources, including personal protective equipment (PPE). How can we manage this new level of stress?   In this miniseries, we’ll dive deeper into some of the moral challenges we are facing, and explore some ways to cope. Dr. Wendy Lau, an EM physician and wellness expert, has been studying at the Upaya Institute and Zen Center. She emphasizes the power of human connection, and offers a framework, using the mnemonic GRACE, to help us think through and prepare for difficult moral dilemmas. How are you coping with the stress of the coronavirus pandemic? Did you find this miniseries helpful? Connect with us and share your thoughts and experiences, on social media @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Wendy Lau, Emergency Medicine Physician, Wellness Expert and Yoga Instructor, with a background in Zen Buddhism. Resources: Dr. Wendy Lau’s Website, including Physician Pandemic Support Roshi Joan Halifax, Abbot at Upaya Institute and Zen Center in Santa Fe, New Mexico Rushton, Cynda. Moral Resilience: Transforming Meal Suffering in Healthcare. Oxford University Press, October 2018.  Rushton, CH. Principled Moral Outrage: An Antidote to Moral Distress? AACN Advanced Critical Care 2013 Jan-Mar;24(1):82-9  Turner K, Rushton CH. “Why Are We Doing This?” Creating New Narratives to Meet Futility With Integrity. AACN Adv Criti Care. Summer 2019;30(2):198-203 Rushton CH. Cultivating Moral Resilience. Am J Nurs. 2017 Feb;117(2 Suppl 1):S11-S15 *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

abr 2020

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In this episode of our miniseries, EM physician and wellness expert, Dr. Wendy Lau, returns with a guided meditation, using the GRACE framework. This practice helps us breathe, relax, and cope with the stress we are all feeling during the coronavirus pandemic. Get comfortable, close your eyes, and meditate with us.  How are you coping with the stress of the coronavirus pandemic? Did you find this miniseries helpful? Connect with us and share your thoughts and experiences, on social media @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Wendy Lau, Emergency Medicine Physician, Wellness Expert and Yoga Instructor, with a background in Zen Buddhism. Resources: Dr. Wendy Lau’s Website, including Physician Pandemic Support Roshi Joan Halifax, Abbot at Upaya Institute and Zen Center in Santa Fe, New Mexico Rushton, Cynda. Moral Resilience: Transforming Meal Suffering in Healthcare. Oxford University Press, October 2018.  Rushton, CH. Principled Moral Outrage: An Antidote to Moral Distress? AACN Advanced Critical Care 2013 Jan-Mar;24(1):82-9  Turner K, Rushton CH. “Why Are We Doing This?” Creating New Narratives to Meet Futility With Integrity. AACN Adv Criti Care. Summer 2019;30(2):198-203 Rushton CH. Cultivating Moral Resilience. Am J Nurs. 2017 Feb;117(2 Suppl 1):S11-S15 *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

abr 2020

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In these uncertain times, poets, artists, musicians, psychiatrists, philosophers, and others, have stepped forward to offer inspiration, compassion, advice, and hope. In this episode of our miniseries, we share some of the words and art we found helpful. Thank you to the authors and artists featured, and to all those who are contributing positive energy during this time.  What art, words, or music have you found helpful or inspiring during the coronavirus pandemic? Please share them with us - on social media @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Featured: Fr. Richard Hendrick. Lockdown. Posted on Facebook March 13, 2020.  Dr. Peter Yellowlees “Good Stuff - Volume 45”, March 31, 2020. Received by Julia Magana, March 31, 2020. Rachmaninoff's Six Pieces, Op. 11: VI. Slava (Glory) performed by Dr. Andrew Wong and Dr. Gilbert Wong. Posted to Facebook on March 28, 2020. #songsofcomfort Resources: Dr. Wendy Lau’s Website, including Physician Pandemic Support *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

abr 2020

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We’re in the midst of a global pandemic and, of course, everyone’s attention is focused on COVID-19. Other podcasts have excellent coverage of this situation. In this episode, we’ll be discussing other important infections that continue to affect our communities: HIV, hepatitis C, and syphilis. Over the past year, the UC Davis ED implemented a massive screening effort to identify patients who have become infected. Dr. Larissa May explains how the screening works and some of the surprising trends we’ve seen. Infection rates were higher than expected and many patients had no idea they were infected! One patient tells us how screening positive for HIV, and being connected to care, changed his life.  This topic, as with so many issues we cover, brings up the broader question: what is the role of the emergency department in the healthcare system? We will explore this further in an upcoming episode and we would love to hear from YOU.  What do YOU see as the role of the emergency department in the broader health system? Send us your answer via on social media, @empulsepodcast, or through our website, ucdavisem.com. And please pass the word along to your friends and colleagues! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Larissa May, Professor of Emergency Medicine with a Masters in Emerging Infectious Diseases, and Director of Emergency Department Antibiotic Stewardship at UC Davis. Resources: ACEP Policy Statement on HIV testing and screening in the ED Centers for Disease Control and Prevention (CDC) resources: Ending the HIV Epidemic: A Plan for America. HIV Nexus Clinician Resources Haukoos JS, Lyons MS, Rothman RE. The Evolving Landscape of HIV Screening in the Emergency Department. Ann Emerg Med. 2018 Jul;72(1):54-56. doi: 10.1016/j.annemergmed.2018.01.041. Epub 2018 Feb 17. PubMed PMID: 29459057; Leblanc J, Hejblum G, Costagliola D, Durand-Zaleski I, Lert F, de Truchis P, Verbeke G, Rousseau A, Piquet H, Simon F, Pateron D, Simon T, Crémieux AC; DICI-VIH (Dépistage Infirmier CIblé du VIH) Group. Targeted HIV Screening in Eight Emergency Departments: The DICI-VIH Cluster-Randomized Two-Period Crossover Trial. Ann Emerg Med. 2018 Jul;72(1):41-53.e9. doi: 10.1016/j.annemergmed.2017.09.011. Epub 2017 Oct 31. *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

mar 2020

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If you’ve ever watched a patient, friend, or family member have a seizure, you know how scary and stressful it can be for everyone involved. It’s even more stressful when you can’t get the seizure to stop - this is called status epilepticus. Usually, benzodiazepines are our first line medication. If benzos don’t work, we all have our favorite second, and even third line agents to try to break seizures. But how well do they really work? Is one better than another? Or safer?  This episode starts with a personal story told by parents of a child who suffers from epilepsy. Then we welcome guest host, Dr. Jason Woods of the Little Big Med podcast, to help us answer these questions. Dr. Jim Chamberlain is the pediatric principal investigator for the ESETT trial, in which he and his colleagues studied three common second line anti epileptic medications. He shares some of the novel statistical methods they used and the results that were recently published in the New England Journal of Medicine. Then we speak with our own Dr. Daniel Nishijima, general EM physician and site Co-PI for the trial, about the implications for adults and how the results have (or have not?) changed his practice.   What are your favorite first and second line medications for status epilepticus? When do you decide to intubate? We’d love to hear how you practice. Connect with us on social media, @empulsepodcast, or at ucdavisem.com.  *** Registration is still open for the 43rd annual UC Davis Emergency Medicine Winter Conference, February 24th-29th at the Ritz Carlton in Lake Tahoe! *** Hosts: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Dr. Jason Woods, Assistant Professor of Pediatric Emergency Medicine at Children’s Hospital Colorado, Host of the Little Big Med podcast Guests: Dr. Jim Chamberlain, Professor of Pediatrics and Emergency Medicine at George Washington University and Children’s National Hospital, Pediatric Principal Investigator for the ESETT trial Dr. Daniel Nishijima, Associate Professor of Emergency Medicine at UC Davis, Site Co-Pricipal Investigator for the ESETT trial Resources: SAEM seizure and status epilepticus resources Kapur J, Elm J, Chamberlain J, et al. Randomized Trial of Three Anticonvulsant Medications for Status Epilepticus. N Engl J Med. 2019;381(22):2103-2113. Little Big Med Podcast Glauser T, Shinnar S, Gloss D, et al. Evidence-based guideline: treatment of convulsive status epilepticus in children and adults: report of the Guideline Committee of the American Epilepsy Society. Epilepsy Curr 2016;16: 48–61.  Dalziel SR, Borland ML, Furyk J, et al. Levetiracetam versus phenytoin for second-line treatment of convulsive status epilepticus in children (ConSEPT): an open-label, multicentre, randomised controlled trial. Lancet 2019; published online April 17. Lyttle MD, Rainford NEA, Gamble C, et al. Levetiracetam versus phenytoin for second-line treatment of paediatric convulsive status epilepticus (EcLiPSE): a multicentre, open-label, randomised trial. Lancet 2019; published online April 17. Connor JT, Elm JJ, Broglio KR, ESETT and ADAPT-IT Investigators. Bayesian adaptive trials offer advantages in comparative effectiveness trials: an example in status epilepticus J Clin Epidemiol 2013;  Zaccara G, Giannasi G, Oggioni R, et al. Challenges in the treatment of convulsive status epilepticus. Seizure. 2017;47:17-24.  Ilvento L, Rosati A, Marini C, L’Erario M, Mirabile L, Guerrini R. Ketamine in refractory convulsive status epilepticus in children avoids endotracheal intubation. Epilepsy Behav. 2015;49:343-346.  Niquet J, Baldwin R, Norman K, Suchomelova L, Lumley L, Wasterlain C. Midazolam-ketamine dual therapy stops cholinergic status epilepticus and reduces Morris water maze deficits. Epilepsia. 2016;57(9):1406-1415.  ***

feb 2020

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Happy National Women Physicians Day and National Wear Red Day, promoting awareness of heart disease in women! In this month’s Heartbeat, we have the privilege of speaking with the brilliant and visionary Dr. Alyson McGregor. Dr. McGregor is an emergency physician who specializes in sex and gender emergency medicine. She spoke with us about heart disease - the number one killer of women in the US - and how our current algorithms, diagnostic tests, and treatments are flawed. We’ll hear more from Alyson in an upcoming episode, so stay tuned! We’d love to hear from you! Connect with us on social media, @empulsepodcast, or on our website, ucdavisem.com.  *** Register now for the 43rd annual UC Davis Emergency Medicine Winter Conference, February 24th-29th at the Ritz Carlton in Lake Tahoe! *** Please subscribe and leave us a review on iTunes - it helps others discover us!  Host: Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Alyson McGregor, Associate Professor of Emergency Medicine and Director of the Division of Sex & Gender in Emergency Medicine at Brown University. Resources: Sex & Gender Specific Health - a project supported by the Texas Tech University Health Sciences Center Office of the President, Offices of the Deans of the Schools of Medicine, Pharmacy, Health Professions and Nursing, and the Laura W. Bush Institute for Women’s Health. Pre-order Dr. McGregor’s book on her website! Sex Matters: How Male-Centric Medicine Endangers Women’s Health and What We Can Do About It by Alyson J. McGregor, MD Ms. Diagnoseddocumentary film teaser Sex as a Biological Variable in Emergency Medicine Research and Clinical Practice: A Brief Narrative Review. McGregor AJ, Beauchamp GA, Wira CR 3rd, Perman SM, Safdar B. West J Emerg Med. 2017 Oct;18(6):1079-1090. doi: 10.5811/westjem.2017.8.34997. Epub 2017 Oct 6. Review. *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services. Dr. Alyson McGregor

feb 2020

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Happy 2020! Well, that’s a wrap on another year of EM Pulse. Our podcast continues to grow, as does our audience. We published another 25 new episodes this year and now have listeners in 114 countries around the world! We also did our first live podcast from the Western Regional SAEM Conference. There are more exciting things to come this year! In 2020, we are kicking off our Advisory Panel, a group of diverse physicians, and some non-physicians, to keep EM Pulse fresh and focused, and also add an element of peer review. We’ve also partnered with Cal ACEP to create an in-depth mini series on medication assisted treatment of opioid use disorder. More on that soon! So what were our favorite highlights from the 2019 season? Take a listen to find out! What were your most memorable moments? We want to know! What topics would you like to see us tackle this year? Connect with us on social media, @empulsepodcast, or at ucdavisem.com.  *** Register now for the 43rd annual UC Davis Emergency Medicine Winter Conference, February 24th-29th at the Ritz Carlton in Lake Tahoe! *** Hosts: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Episodes Referenced: Just Another Mass Shooting #thisismylane With Great Power Comes Great Responsibility The ED is my Doctor Futurecasting Medical Education “Hot” off the Press: Infant Fever Rule The Last Touchpoint EM Far Forward Operation Deep Freeze *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services. Dr. Matthew WetscherDr. Megan RanneyDr. Garen WintemuteRecording on locationDr. Mike GisondiRecording Dr. Rod FontenetteRecordingDr. Julia MagañaDr. Sarah MedeirosRecording on location

ene 2020

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Welcome back and happy new year! If you are an EM or peds provider you likely know the name PECARN (Pediatric Emergency Care Applied Research Network).  This powerhouse was the first federally funded pediatric emergency medicine research network in the US and generates quality studies like nobody’s business.  We have reviewed three landmark PECARN studies: Hot off the Press infant fever rule, DKA it’s not about the fluids, A Cool Tool. And in the next few months we will discuss seizure management and talk about PERN.  So we thought this was a good time to really understand the machine of PECARN that is affecting us shift to shift. What is the history, why is it important, and what does the future look like?  In this podcast Dr. Nate Kuppermann tells it all. What is the best way investigators can get evidence into your hands?  How do you keep up with the onslaught of data being generated?  Lectures/conferences? Tweets? Podcasts? Friends? Let’s continue the conversation on social media @empulsepodcast or at ucdavisem.com. Please subscribe and rate us on iTunes – it helps us reach more people!  Host: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Guest: Dr. Nate Kuppermann, Pediatric Emergency Physician, Professor and Chair of the UC Davis Department of Emergency Medicine, Founding Chair of the PECARN Steering Committee Resources: Academic Life in Emergency Medicine (ALiEM) P3 App: https://www.aliem.com/p3-app-pecarn-publication-prospectus/ PECARN’s home website: https://www.pecarn.org ***REGISTER for the 43rd annual UC Davis Emergency Medicine Winter Conference, February 24th-28th at the Ritz Carlton in Lake Tahoe*** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services. Dr. Nate KuppermannDr. Julia Magana

ene 2020

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Global health can be an amazing adventure or an unsettling disappointment. We can make a big difference in the lives of people around the world or drain local resources and have a feel good vacation. In this episode we hear meaningful international impact stories and from global health experts on how we can make a meaningful impact as well. Have you worked internationally? Send us your story - it might even be featured in our global health mini series! Connect with us on social media at @empulsepodcast, via email at empulsepodcast@gmail.com, or on our website, ucdavisem.com. Please subscribe and leave us a review on iTunes - it helps us reach more people! *** Register now for the 43rd annual UC Davis Emergency Medicine Winter Conference. February 24th-29th at the Ritz Carlton in Lake Tahoe! *** Hosts: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis  Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Nathan Kuppermann, Pediatric Emergency Physician and Chair of the Department of Emergency Medicine at UC Davis Dr. Christine McBeth, Assistant Professor of Emergency Medicine at UC Davis; Completed the Global Ultrasound Fellowship at UC Davis Dr. Michael Schick, Associate Professor of Emergency Medicine and Director of Global Ultrasound at UC Davis; Director of Ultrasound for Global Emergency Care Dr. Shakira Bandolin, Assistant Professor of Emergency Medicine at Director of the Global Health Fellowship at UC Davis. Resources: ACEP International Ambassador Map ACEP Free international resources The practitioner’s guide to global health course: FREE! Dr. Schick's Website: sonostuff.com  Idealist is a website that posts international opportunities. A variety of NGOs regularly post job listings on these sites: Global Emergency Medicine Fellowship listings Health Volunteers International: This is an organization Dr. Bandolin partnered with on projects in the past and is a great reference organization for medical providers who are interested in joining a ongoing project overseas. They offer a variety of placements ranging from 1 month to years. Sacred Valley Health is the NGO that Shakira work closely with and referenced during the interview. University of Wisconsin reference list for global health resources. Dr. Shakira BandolinDr. Christine McBethDr. Nate KuppermannDr. Michael SchickDr. Julia MaganaDr. Sarah Medeiros **** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

dic 2019

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Last month we explored leveraging tech for life long learning. In this heartbeat we discuss tech as a teaching tool with Dr. Emily Andrada, an amazing teacher who has mastered using technology for teaching. Hear about the ups and downs of using technology for education, Emily’s favorite tools, and a new resource available on www.ucdavisem.com - Unschooling Time. What is your favorite tech teaching tool? How do you leverage tech as a teacher? Let’s continue the conversation on social media @empulsepodcast or at ucdavisem.com. Please subscribe and rate us on iTunes – it helps us reach more people!  Host: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Guest: Dr. Emily Andrada, Professor of Pediatric Emergency Medicine at UC Davis Resources: Tech savvy educators twitter handles mentioned: @cultofpedagogy, @jmattmiller, @ericcurts, @alicekeeler Unschooling Time - Resource page ***Save the date for the 43rd annual UC Davis Emergency Medicine Winter Conference, February 24th-29th at the Ritz Carlton in Lake Tahoe*** Dr. Emily AndradaDr. Julia Magana Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

dic 2019

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The amount of information we are expected to learn in medical school, residency, and beyond can be overwhelming - like drinking from a firehose! In this episode, we explore some ways in which physicians can leverage technology to help manage all of this information and facilitate life long learning. Several residents and attendings discuss what works for them, including using apps and online resources, and listening to podcasts. We then talk with Dr. Ryan Ribeira and Dr. Adam Dougherty of SimX about how they are using augmented and virtual reality to revolutionize medical simulation. Next, we talk with with Dr. Dina Wallin, creator of the Leader’s Library, on how she uses Slack to create a learning community of physicians across the globe. Finally, we discuss with education researcher, Dr. Jeff Riddell, about how and why physicians are turning to podcasts for learning and staying up to date, including some of the benefits and potential caveats.  Do you use technology for lifelong learning? Tell us how you do - or why you don’t! Connect with us on social media at @empulsepodcast, or on our website, ucdavisem.com.  Subscribe and rate us on iTunes - it helps us reach more people!  ***Save the date for the 43rd annual UC Davis Emergency Medicine Winter Conference, February 24th-29th at the Ritz Carlton in Lake Tahoe*** Hosts: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Adam Dougherty, Emergency Medicine Physician at Sutter Medical Center in Sacramento, CA; Chief Medical Officer at SimX Dr. Ryan Ribeira, Clinical Assistant Professor of Emergency Medicine at Stanford University; Founder and Chief Executive Officer of SimX Dr. Dina Wallin, Assistant Clinical Professor of Emergency Medicine and Pediatrics at UCSF Benioff Children’s Hospital; Creator of the ALiEM Leader’s Library Dr. Jeff Riddell, Education Researcher and Assistant Professor of Clinical Emergency Medicine at the University of Southern California Keck School of Medicine Resources: SimX VR and AR digital simulation ALiEM Leader’s Library A Survey of Emergency Medicine Residents' Use of Educational Podcasts. Riddell J, Swaminathan A, Lee M, Mohamed A, Rogers R, Rezaie SR. West J Emerg Med. 2017 Feb;18(2):229-234. doi: 10.5811/westjem.2016.12.32850. Epub 2017 Jan 30. Independent and Interwoven: A Qualitative Exploration of Residents' Experiences with Educational Podcasts. Riddell J, Robins L, Brown A, Sherbino J, Lin M, Ilgen JS. Acad Med. 2019 Sep 10. doi: 10.1097/ACM.0000000000002984. [Epub ahead of print] Dr. Jeff RidellDr. Julia MagañaDr. Sarah MedeirosDr. Ryan Ribeira and Dr. Adam Dougherty *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

nov 2019

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In this heartbeat we do something a little different. We discuss the story behind EM Pulse and three lessons we learned in our creative pursuit. These three lessons can be applied to other creative pursuits as well. We would love to hear how you express your passion and what you have learned as well! Let’s continue the conversation on social media @empulsepodcast or at ucdavisem.com. Please subscribe and rate us on iTunes – it helps us reach more people!  Hosts: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Resources:  Citing Audio and Video Publications on Your CV ALiEM Blog, Jan 18, 2018. (https://www.aliem.com/author/jessica-mason/) Save the date for the 43rd Annual UC Davis Emergency Medicine Winter Conference February 24-28 at the Ritz Carlton, Lake Tahoe (https://ces.ucdavis.edu/confreg/?confid=1094) Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

nov 2019

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