Em Pulse

Physician wellness is not JUST about going to a yoga class or two. In this episode we explore physician wellness from the perspective of the EM Chair of Stanford University.  On the personal level we should jump in and check on each other, help each other out! Make sure your leadership knows physician wellness is crucial to providing care 24/7/365. 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. Andra Blomkalns, Professor and Chair of the Department of Emergency Medicine at Stanford University Resources: ACEP Wellness Resources  (https://www.acep.org/life-as-a-physician/wellness/) SAEM Wellness Resources (https://www.acep.org/life-as-a-physician/wellness/) UC Davis Physician Health and Well-being Program (https://health.ucdavis.edu/psychiatry/education/fellowships/phwb/index.html)

In Emergency Medicine, we are all too familiar with death and dying, but how equipped are we really to provide compassionate end of life care? Dr. Conor Mcwade shares his experience caring for a patient with end stage cancer, and the challenges of respecting the patient’s wishes, even when the family wanted to pursue aggressive measures. Then, palliative care trained physicians, Dr. Rupi Chima and Dr. Cherie Ginwalla, help define some terms and offer advice on how to best care for our dying patients - from pediatric to geriatric - and their families, as well as ourselves.  How do you think we can improve care for the dying? Share your thoughts on social media at @empulsepodcast, or on our website, ucdavisem.com.  Please subscribe and rate us on iTunes - it helps us reach more people!  ***Registration is now open for UC Davis Emergency Medicine Update: Hot topics 2019! November 5-9 at the Kahala Hotel and Resort in Honolulu, Hawaii*** Hosts: Dr. Julia Magaña, Assistant Professor of Pediatric

What is military emergency medicine all about? Many of us know physicians who are in the US Armed Forces, but few of us really know what that really entails. Dr. Rod Fontenette is an Emergency Medicine and Critical Care Physician at UC Davis and a Lieutenant Colonel in the US Air Force. He joins us to talk about Military EM, including training, emergency and critical care on the front lines (and at 30,000 feet!), and some of the challenges and rewards of choosing this career path. We have so much respect for what Rod and his colleagues do! Would you (or have you) considered a career in military EM? Do the advantages and rewards outweigh the challenges and sacrifices? We’d love to hear what you think. Connect with us on social media at @empulsepodcast, or on our website, ucdavisem.com.  If you like what you hear, please subscribe and leave us a review on iTunes - it helps others discover us!  Hosts: Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Roderick

Hafa adai! Or "Hello" in Chamorro, the native language of Guam. I just got back from the US territory of Guam and loved working in such a beautiful place with it’s own set of unique challenges. We spoke with local emergency medicine physician Gabriel David to hear about practicing in an isolated island where many can’t or don’t seek medical care until really ill, and start chewing betel nut at 7-8 years old.   What atypical places have you  practiced in?  Share your experiences with us on social media, @empulsepodcast, or online at ucdavisem.com/em-pulse. Please subscribe and leave us a review on iTunes! It help more people discover us. Host: Dr. Julia Magana, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Gabriel David, Emergency Medicine Physician Guam Regional Medical City and Guam SDA Urgent Care Clinic Resources: Areca Nut (Betel nut) *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio

If you work in Emergency Medicine, you know that social and environmental factors greatly impact our patients’ health. This may not be a novel concept, but it is a relatively new field of study. Social Emergency Medicine is a growing branch of EM focused on identifying and studying how social factors affect health. We are especially interested in this topic as many of our episodes explore social issues, such as housing instability, substance use, firearm violence, and human trafficking. In this Heartbeat, we hear from Social EM expert, Dr. Harrison Altar, on what Social EM is all about. You might recognize Dr. Alter from a short segment on our WR SAEM Day 2 Wrap-up episode - now we’re back with his expended interview! What social factors most impact your patients? How do these issues affect you as a physician or provider? Send us your comments and feedback on social media at @empulsepodcast, or on our website, ucdavisem.com.  Please subscribe and leave us a review on iTunes - it helps others discover us

How do we teach our medical students and residents to be doctors? Surprisingly, there is no agreed upon, standard approach. Dr. Aaron Danielson, fellowship trained medical educator at UC Davis, takes us through some of the common strategies that medical schools employ. He explains that, although many aspects of medical education have evolved over the past several decades, some things haven’t changed in the over one hundred years since the “Flexner Report”. Dr. Mike Gisondi, Vice Chair of Education for the Department of Emergency Medicine at Stanford, takes us through his vision of how medicine is likely to change over the next several decades, and how medical education will need to adapt to train the doctors of the future. How do you see medical education changing over the next 30 years? What new methods and concepts should we embrace, and what should be done away with? We’d love to hear your thoughts. Send us your comments and feedback on social media at @empulsepodcast, or on our website, ucdavisem.com. 

What’s the craziest place you’ve ever worked? Few of us can top Dr. John Rose’s answer: the South Pole! John worked as the physician at Amundsen-Scott Station in Antarctica for four months during the austral summer of 2018-19. Taking care of a large crew of scientists and visitors in -70 degree weather at over 10,000 ft elevation is no easy feat! John tells us about his deployment, some of the common cases he saw, and the challenges of austere medicine.  Do you have a question for Dr. Rose? Or want to share your experience working in austere medicine? Send us your comments and feedback on social media at @empulsepodcast, or on our website, ucdavisem.com.  Please subscribe 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 Guests: Dr. John Rose, Professor of Emergency Medicine at UC Davis,  Resources: Amundsen-Scott South Pole Station ******************************** Registration is now

Dr. Matt Wetschler’s story represents the best and the worst of our healthcare system. Matt tells us about his near fatal injury, his miraculous recovery (thanks to modern medicine), and the complications with billing that plagued him for months after his accident. Matt’s story is one of several in the recent media highlighting the issue of “surprise billing”, and a subset of this issue referred to as “balance billing”. Drawing from his health policy background, Matt helps us understand balance billing and how patients are affected. Then, Dr. Tom Sugarman joins us to further explain the complexities of surprise billing. He shares how he and others are advocating at the national level to change the billing process, and offers some potential solutions going forward.  This is a hot button issue! Please remember that the opinions expressed in this podcast may not represent those of UC Davis or the University of California.  Have you had any experiences with surprise billing? As a health care provider, how d

Measles is a hot topic from your latest shift to the news measles is on everyone’s mind! Fortunately, Dr. Dean Blumberg an infectious disease physician and fellow podcast host walks us through the basics of measles from the standpoint of the emergency department.   Which patients do you screen for measles?  Have you seen any confirmed cases?  Share your thoughts with us on social media, @empulsepodcast, or online at ucdavisem.com/em-pulse. Please subscribe and leave us a review on iTunes! It help more people discover us. Host: Dr. Julia Magana, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Dean Blumberg, Associate Professor of Pediatrics at UC Davis, Chief of Pediatric Infectious Diseases and Host of Kids Considered. Resources: CDC’s Measles for Healthcare Providers (https://www.cdc.gov/measles/hcp/index.html) Kid’s Considered Podcast hosted by Dr. Dean Blumberg (https://blog.ucdmc.ucdavis.edu/twopedsinapod/) *************************************** Thank you

In our January episode, #thisisourlane, we spoke with Dr. Garen Wintemute about firearm violence, and discussed the immediate and passionate social media outpouring from physicians in response to an NRA tweet. In this episode, we dive deeper into the topic of physician advocacy, and, more specifically, the role of social media in advocacy. Our guest, Dr. Megan Ranney, is an emergency medicine physician, educator, and digital health and public health researcher, and is an avid social media user herself. She discusses the power of social media to affect change, and offers some tips for how to make your voice heard, and how to navigate some of the pitfalls. Listen through to the end for thoughts from some other well known EM physicians, including Drs. Mike Gisondi, Steve Bird, and Nikita Joshi. How do you use social media? What do you think about health care professionals using social media for advocacy? Tell us how you’re getting involved - or why you’re staying away! Find us on social media as @empulsepodca

What is it like to be an Emergency Physician in the ED during a mass shooting? Dr. Austin Johnson was a senior resident at the University of Colorado Hospital on the night a gunman opened fire in a movie theater in Aurora, Colorado. He shares his firsthand experience as a physician in the ED that night, and discusses the effects of the event on providers, and how the experience has shaped his practice.  Have you been a provider during a mass casualty event? How has the experience affected you?  Share your thoughts with us on social media, @empulsepodcast, or online at ucdavisem.com/em-pulse. Please subscribe and leave us a review on iTunes! It help more people discover us. Host: Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Austin Johnson, Assistant Professor is Emergency Medicine at UC Davis *************************************** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Au

EM Pulse Live Edition: WR SAEM Day 2 Wrap-up It was another exciting day at the Western Regional SAEM conference in Napa, CA! This episode recaps Day 2, including the Western EM Challenge and some fantastic plenary speakers. Highlights include time management for EM physicians, social emergency medicine, care for LGBTQI patients, the future of medical education, exercise in medicine, and building your social media brand. The conference is trending of social media - follow #WRSAEM19, @wrsaem19, and, of course, @empulsepodcast for all the details. How did we do? This is a new type of podcasting for us and we’d love your feedback! Hit us up on social media or at ucdavisem.com.  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. Linda Herman, Emergency Medicine Residency Program Director at Kaweah Delta  Dr. Harrison Alter, Research Director for the Highland Depart

This is a first for us! We’re podcasting live (or nearly live) from the 2019 Western Regional Society for Academic Emergency Medicine Annual Meeting in Napa, California. In this episode, we re-cap Day 1 of the conference, featuring the Advanced Airway Lab with Dr. Erik Laurin, Wellness in Academic EM with Dr. Andra Blomkalns, Experience in a Mass Shooting with Dr. Austin Johnson, The Value of Scholarship with Dr. Steve Bird, and much, much more! The conference is trending of social media - follow #WRSAEM19, @wrsaem19, and, of course, @empulsepodcast for all the details. 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. Erik Laurin, Professor of Emergency Medicine at UC Davis Dr. Andra Blomkalns, Professor and Chair of the Department of Emergency Medicine at Stanford University Dr. Austin Johnson, Assistant Professor is Emergency Medicine at UC Davis Dr. Steve

Heartbeat: The Mind of an Airway Enthusiast We sit down with EM legend and airway guru, Dr. Rich Levitan. Dr. Levitan is a self-proclaimed airway enthusiast who has published extensively on laryngoscopes and airway management. He currently works clinically, mainly in rural, critical care access hospitals, and travels the country and the globe speaking and teaching courses on airway management.  So how does Dr. Levitan approach the “difficult airway”? It starts with mindset.   Send us your questions and continue the conversation on social media@empulsepodcast or at ucdavisem.com. Host: Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Rich Levitan, Emergency Physician, Adjunct Professor at Dartmouth Geisel School of Medicine, Visiting Professor at the University of Maryland School of Medicine.  Resources: AirwayCam.com ********************************************************** Ski and CME! Join us for the,UC Davis Emergency Medicine Winter Confer

“Hot” Off the Press: Infant Fever Rule - Episode 15 Talking about neonatal fever makes most people hot under the collar! Fortunately, PECARN is on the case. Their latest paper was just published TODAY in JAMA Peds: A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. In this month’s episode, we learn about some the challenges of having a febrile infant - from a mom’s perspective. Then we discuss when, why, and how to apply the latest PECARN rule with the notorious DNK, also known as Dr. Nate Kuppermann!  What is your approach to the febrile infant? What are some of the hardest parts about providing care to our hot little ones? We want to know! Share your thoughts on social media, @empulsepodcast, or on our website, ucdavisem.com.  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. Nate Kuppermann, Ped

Treat others not as you want to be treated but as they want to be treated. Mai Lee, RN and Dan Colby join us to share some stories and talk about how culture can impact our care in the ED and what we can do about it. Let’s continue the conversation on social media @empulsepodcast or at ucdavisem.com. Host: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Guest: Dr. Daniel Colby, Assistant Professor of Emergency Medicine UC Davis Guest: Mai Lee, RN, UC Davis Emergency Medicine CN II Resources: NIH Cultural Respect: https://www.nih.gov/institutes-nih/nih-office-director/office-communications-public-liaison/clear-communication/cultural-respect ****************************************************************** Join us in Tahoe, March 4-8, at the 42nd Annual UC Davis Emergency Medicine Winter Conference! We’ll also be teaching and podcasting at the Western Regional SAEM Annual Meeting in Napa, CA, March 21-22. Hope to see you there! Thank you to the UC Da

#Thisismylane– Episode 14 If you work in the ED, you’ve likely seen your fair share of victims of gun violence. Though mass shootings have brought this issue into the public eye, firearm violence has been a public issue in our country for decades. In this episode, you’ll hear some powerful stories from providers about their experiences with people killed and injured by firearms. Then, we talk with researcher and expert, Dr. Garen Wintemute, about trends he’s seen, and discuss how we, as physicians and medical providers, can be part of the solution.  Clearly this is a charged and complex topic. Let’s respectfully share our thoughts on how we can help prevent gun violence. We want to know! Share your thoughts on social media, @empulsepodcast, or on our website, ucdavisem.com.  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. Garen Wintemute Professor of Emergency Medicine, Susan P. Baker-

2018 In review. Some of our favorite episodes.

Last Stand in Santa Rosa Imagine you’re working a shift in the Emergency Department when a fast moving wildfire hits. What would you do if you found out your home was burning? Or your family was in danger? And how do you react when the Fire Department tells you they are making a last stand a block away from your hospital? This situation is all too real for many physicians and providers affected by devastating wildfires in California. In this episode, we follow the story of the 2017 Santa Rosa fires from the perspective of three Emergency Physicians, Dr. Josh Weil, Dr. Suzy Fitzgerald, and Dr. Dane Stevenson. Their powerful story, and the lessons learned from their experience, are guaranteed to improve your personal and professional disaster preparedness.  Please also consider donating to ongoing relief efforts following the 2018 California wildfires through the Red Cross.  Do you know your hospital’s disaster plan? Do you have a personal plan? Have you lived through a disaster? Share your experience with us o

Camp Fire medicine What are the medical needs when your WHOLE town burns down? What is it like to walk into a shelter with over a thousand friends and family still missing? What if the evacuees you are caring for are your neighbors? The California wildfires have been huge part of our personal and professional lives at UC Davis. In this Heartbeat we spoke with an EM resident who volunteered at a shelter in Chico, CA. Dr. Molly Hallweaver discusses what she saw, treated, and learned taking care of the victims of the Camp Fire. Burn care and inhalation injuries were not the most common needs in the shelter. More often people needed a shoulder on which to cry and treatment of chronic medical needs.  We challenge you to think about what you would do if your community was burning down?  What if your hospital caught on fire? On our next episode we hear the story of Dane Stevenson, a Kaiser EM Physician, whose hospital caught on fire and the experts who can help the rest of us know what we can do to prepare for tho