Em Pulse

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. Ju

***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, Lor

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

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.  

***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 Medicin

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 an

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 Pediatr

“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

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:

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

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. Reso

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, Profess

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?

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.

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 Prof

This is the fascinating story of Dr. Rory Stuart the Bronze Heart 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.

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

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. Cogn

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 Resourc

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