For most physicians, talk of court, lawyers, or subpoenas brings on a rush of anxiety. The medical and legal worlds can overlap in many ways. In this five part series, we’ll cover everything from the basics, to being a percipient or expert witness, to the dreaded malpractice lawsuits. Joining us as Guest Host, is Dr. John Rose, Professor of Emergency Medicine at UC Davis. In the fifth and final episode of our series, we explore the role of expert witness with our own experts, Dr. Jim Holmes and Dr. David Barnes. We get into what it takes to be a medical expert and what to expect when you meet with the legal team and work through a case. There are benefits to being an expert witness, but it can also be a stressful and time consuming endeavor. Is it right for you? Have you acted as an expert witness? What advice to you have for others? Please share! Tag us on social media, @empulsepodcast, or reach out via email [email protected], or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***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 Host: Dr. John Rose, Professor of Emergency Medicine and EMS Fellowship Director at UC Davis Guest: Dr. David Barnes, Professor of Emergency Medicine at UC Davis Dr. James Holmes, Professor of Emergency Medicine at UC Davis Resources: Expert Witness Guidelines for the Specialty of Emergency Medicine, ACEP Policy Statement NIH NLM StatPearls: Expert Witness, by Yasmyne Ronquillo, Kenneth J. Robinson, and Patricia P. Nouhan *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

For most physicians, talk of court, lawyers, or subpoenas brings on a rush of anxiety. The medical and legal worlds can overlap in many ways. In this five part series, we’ll cover everything from the basics, to being a percipient or expert witness, to the dreaded malpractice lawsuits. Joining us as Guest Host, is Dr. John Rose, Professor of Emergency Medicine at UC Davis. In the fourth episode of our series,  we continue our conversation with Tom Doyle highlighting what EM physicians should know about being sued and living through a lawsuit. We delve into the importance of charting, including how the EMR can both help and hurt you.  And we address how to handle it when mistakes are made.  Have you had to deal with a malpractice lawsuit? What advice to you have for others? Please share! Tag us on social media, @empulsepodcast, or reach out via email [email protected], or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***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 Host: Dr. John Rose, Professor of Emergency Medicine and EMS Fellowship Director at UC Davis Guest: Thomas J. Doyle, Partner at Schuering, Zimmerman & Doyle in Sacramento, CA. Resources: Law 101 for Experts: Understanding Jury Trials, by Dani Alexis Ryskamp, JD 1 in 3 physicians has been sued; by age 55, 1 in 2 hit with suit, by Kevin B. O’Reilly, News Editor, AMA Getting Sued: A Resident's Perspective (ACEP) Malpractice Litigation Stress: Doctors Beware, presentation by Dr. Gillian Schmitz (ACEP) Things I Want You to Know About Malpractice Litigation, by Dr. Stacia Dearmin, founder of Thrive, for the ACEP section American Association of Women Emergency Physicians  *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

For most physicians, talk of court, lawyers, or subpoenas brings on a rush of anxiety. The medical and legal worlds can overlap in many ways. In this five part series, we’ll cover everything from the basics, to being a percipient or expert witness, to the dreaded malpractice lawsuits. Joining us as Guest Host, is Dr. John Rose, Professor of Emergency Medicine at UC Davis. In the third episode of our series, we get into what we all dread - being sued. We explore the ins and outs of a malpractice lawsuit with Tom Doyle, a Partner at Schuering, Zimmerman & Doyle who has 40 years of experience in the field.  Have you had to deal with a malpractice lawsuit? What advice to you have for others? Please share! Tag us on social media, @empulsepodcast, or reach out via email [email protected], or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***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 Host: Dr. John Rose, Professor of Emergency Medicine and EMS Fellowship Director at UC Davis Guest: Thomas J. Doyle, Partner at Schuering, Zimmerman & Doyle in Sacramento, CA. Resources: 1 in 3 physicians has been sued; by age 55, 1 in 2 hit with suit, by Kevin B. O’Reilly, News Editor, AMA Getting Sued: A Resident's Perspective (ACEP) Malpractice Litigation Stress: Doctors Beware, presentation by Dr. Gillian Schmitz (ACEP) Things I Want You to Know About Malpractice Litigation, by Dr. Stacia Dearmin, founder of Thrive, for the ACEP section American Association of Women Emergency Physicians  *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

*Please first listen to "Legal Part 1: A Subpoena is not a party invitation" before this episode. For most physicians, talk of court, lawyers, or subpoenas brings on a rush of anxiety. The medical and legal worlds can overlap in many ways. In this five part series, we’ll cover everything from the basics, to being a percipient or expert witness, to the dreaded malpractice lawsuits. Joining us as Guest Host, is Dr. John Rose, Professor of Emergency Medicine at UC Davis. In the second episode of our series, we talk about being a percipient witness. It’s not uncommon for EM physicians to be subpoenaed to testify as a percipient witness, so let’s delve into what that means and what you should do if you find yourself in this role. What kinds of experiences have you had with the legal system? Please share! Tag us on social media, @empulsepodcast, or reach out via email [email protected], or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***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 Host: Dr. John Rose, Professor of Emergency Medicine and EMS Fellowship Director at UC Davis Guest: Chris Ore, Deputy District Attorney for Sacramento County and Supervisor of the Child Sexual Assault Unit  Resources: When is a Treating Physician Considered an Expert Witness?  (Expert Institute) Medical Testimony: Code of Medical Ethics Opinion 9.7.1 (AMA) The Treating Physician as a Witness (NPR Law) *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

For most physicians, talk of court, lawyers, or subpoenas brings on a rush of anxiety. The medical and legal worlds can overlap in many ways. In this five part series, we’ll cover everything from the basics, to being a percipient or expert witness, to the dreaded malpractice lawsuits. Joining us as Guest Host, is Dr. John Rose, Professor of Emergency Medicine at UC Davis. This first episode is a sort of legal 101. We discuss the basics of the legal system and what what EM Physicians need to know. What kinds of experiences have you had with the legal system? Please share! Tag us on social media, @empulsepodcast, or reach out via email [email protected], or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***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 Host: Dr. John Rose, Professor of Emergency Medicine and EMS Fellowship Director at UC Davis Guest: Chris Ore, Deputy District Attorney for Sacramento County and Supervisor of the Child Sexual Assault Unit  Resources: Law 101 for Experts: Understanding the Legal System  (Expert Institute) ACEP Medical-Legal Resources *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

Integrating an ED clinical pharmacist was a complete practice changer for us at UC Davis! It is a positive trend across the US and in this episode, we talk with Chris Adams, Clinical Senior Pharmacist at UC Davis. Tell us how YOUR department integrates a pharmacist @empulsepodcast, or reach out via email [email protected], or through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their stories, too! ***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: Chris Adams, Clinical Senior Pharmacist 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. Resources: Farmer BM, Hayes BD, Rao R, Farrell N, Nelson L. The role of clinical pharmacists in the emergency department. J Med Toxicol. 2018;14(1):114-116. Acquisto NM, Hays DP, Fairbanks RJT, et al. The outcomes of emergency pharmacist participation during acute myocardial infarction. J Emerg Med. 2012;42(4):371-378. Jacoby JS, Draper HM, Dumkow LE, Farooq MU, DeYoung GR, Brandt KL. Emergency medicine pharmacist impact on door-to-needle time in patients with acute ischemic stroke. Neurohospitalist. 2018;8(2):60-65. Moussavi K, Nikitenko V. Pharmacist impact on time to antibiotic administration in patients with sepsis in an ED. Am J Emerg Med. 2016;34(11):2117-2121. Patanwala AE, Sanders AB, Thomas MC, et al. A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department. Ann Emerg Med. 2012;59(5):369-373.

Back in our March 2020 episode, This is Hope, we spoke with Dr. Larissa May about HIV screening in the ED. Screening programs, along with education and other resources, is making a difference, but there are still tens of thousands of new HIV cases in the U.S. each year, and probably 1-2 million new infections annually worldwide. There are clinical trials in progress studying potential HIV vaccines, which is exciting, but a widely available vaccine is still many years away. Luckily, we DO have a safe and effective way to help prevent new infections and transmission - pre-exposure prophylaxis (PrEP). Dr. Michael Casner joins us to share his expertise in all things PrEP, so we can help our patients stay safe and healthy.  Do you talk to your patients about PrEP? Does your ED have a way to connect patients with resources to obtain PrEP? Share your experience with us on social media, @empulsepodcast, via email [email protected], or through our website, ucdavisem.com. Then please head over to iTunes and leave us a review. 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, Associate Professor of Emergency Medicine at UC Davis Guest: Dr. Michael Casner, Emergency Physician at Mount Sinai and Holy Cross hospitals in Chicago, IL, and part-time Emergency Medicine Faculty at the University of Missouri, Kansas City, MO.  Resources: HIV.gov PrEP information and resources Ready, Set, PrEP - medication at no cost for those who qualify Preexposure Prophylaxis for the Prevention of HIV Infection in the United States—2021 Update—A Clinical Practice Guideline  Rodger AJ, Cambiano V, Bruun T, et al. Risk of HIV transmission through condomless sex in serodifferent gay couples with the HIV-positive partner taking suppressive antiretroviral therapy (PARTNER): final results of a multicentre, prospective, observational study. Lancet. 2019;393(10189):2428-2438. doi:10.1016/S0140-6736(19)30418-0 Support Dr. Casner’s team in the AIDS/LifeCycle! *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services. Dr Mike Casner

Kids, pain, and the emergency department can be a set up for disaster.  In this podcast, three pediatric specialists get into why that is and how we can all be better at treating kids in pain. Tag us on social media, @empulsepodcast, or reach out via email [email protected], or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***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: Kimberly Wheatley, RN, UC Davis Pediatric Nurse Katheryn Finan, UC Davis Child Life Specialist Resources: The Emergency Medical Services for Children Innovation and Improvement Center is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award (U07MC37471) totaling $3M with 0 percent financed with nongovernmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov. Email [email protected] Follow on Twitter @EMSCImprovement References: EIIC Pediatric Pain toolkit Goyal MK, Johnson TJ, Chamberlain JM, Cook L, Webb M, Drendel AL, Alessandrini E, Bajaj L, Lorch S, Grundmeier RW, Alpern ER; PEDIATRIC EMERGENCY CARE APPLIED RESEARCH NETWORK (PECARN). Racial and Ethnic Differences in Emergency Department Pain Management of Children With Fractures. Pediatrics. 2020 May;145(5):e20193370. doi: 10.1542/peds.2019-3370. Epub 2020 Apr 20. PMID: 32312910; PMCID: PMC7193974. Johnson TJ, Weaver MD, Borrero S, Davis EM, Myaskovsky L, Zuckerbraun NS, Kraemer KL. Association of race and ethnicity with management of abdominal pain in the emergency department. Pediatrics. 2013 Oct;132(4):e851-8. doi: 10.1542/peds.2012-3127. Epub 2013 Sep 23. PMID: 24062370; PMCID: PMC4074647.

It can be overwhelming to read the news these days, with all the pain and suffering in the world. We may struggle with how to respond or what WE can do, but there are always ways to help. In this episode, we talk with Dr. Pranav Shetty about his recent trip to Eastern Europe to support medical and humanitarian efforts in Ukraine. Dr. Shetty has been involved in many disaster relief efforts in the past, but this experience brought some new challenges.  What are some ways you’ve found to help people in need, both locally and abroad? Share your ideas and experiences with us on social media, @empulsepodcast, via email [email protected], or through our website, ucdavisem.com. Then please head over to iTunes and leave us a review. 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, Associate Professor of Emergency Medicine at UC Davis Guest: Dr. Pranav Shetty, Assistant Professor of Emergency Medicine and Director of Disaster Services for the Department of Emergency Medicine at UC Davis. Resources: Project HOPE *** 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.

This is the fourth and final episode of our Women in EM series. We’ve heard personal stories of lived experiences and microaggressions, learned about the “leaky pipeline” that leads to a dearth of women in leadership, and took a deep dive into the gender pay gap in medicine. In this episode, we explore the importance of male allyship - how to understand your female colleagues’ experiences, and support, mentor and sponsor women physicians throughout their careers. This episode is for everyone, but if you’re a male physician, it’s especially important! Do you have more tips for being a male ally? Or suggestions on how to engage men in leadership? Please share! Tag us on social media, @empulsepodcast, or reach out via email [email protected], or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***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. Nick Gorton, Emergency Physician at Sutter Hospital in Davis; Primary Care Physician at Lyon Martin Health Services in San Francisco  Dr. Alden Landry, Assistant Professor of Emergency Medicine at Beth Israel Deaconess Medical Center; Assistant Dean for Diversity, Inclusion and Community Partnership at Harvard Medical School Dr. Jeremy Toffle, General Pediatrician in Omaha, NE; Creator and Host of The Imperfect Dad Podcast Resources: The Imperfect Dad Podcast  The Power of Allyship in Facilitating Female Leadership in Healthcare by Dr. Shikha Jain. Workspan Daily, March 23, 2022. Hill EK, Stuckey A, Fiascone S, Raker C, Clark MA, Brown A, Gordinier M, Robison K. Gender and the Balance of Parenting and Professional Life among Gynecology Subspecialists. J Minim Invasive Gynecol. 2019 Sep-Oct;26(6):1088-1094. doi: 10.1016/j.jmig.2018.10.020. Epub 2018 Oct 30. PMID: 30389582. *** 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.

Did you know that women physicians make 72 cents on every dollar their male counterparts make?! According to the New York Times, this leads to women earning about $2 million less than men over their careers as doctors. In the third episode of our series on women in emergency medicine, we explore the very real gender pay gap that exists in medicine. Dr. Amy Gottlieb is an expert on this topic, having written a book, published studies, and given multiple talks on the subject. She explains what the data show, helps us unpack some of the reasons behind the pay gap, and offers advice on how to move forward.  Is there a gender pay gap where you practice? Tell your story and tag us on social media, @empulsepodcast, or reach out via email [email protected], or through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their stories, too! ***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. Amy Gottlieb, Professor of Medicine and Obstetrics & Gynecology, and Associate Dean of Faculty Affairs, at the University of Massachusetts Chan Medical School - Baystate Resources: Closing the Gender Pay Gap in Medicine: A Roadmap for Healthcare Organizations and the Women Physicians Who Work for Them 1st ed. 2021 Edition by Amy S. Gottlieb, MD, FACP Gottlieb AS, Jagsi R. Closing the Gender Pay Gap in Medicine. N Engl J Med. 2021 Dec 30;385(27):2501-2504. doi: 10.1056/NEJMp2114955. Epub 2021 Oct 20. PMID: 34670039. Women Earn $2 Million Less Than Men in Their Careers as Doctors By Azeri Ghorayshi, New York Times, Dec. 6, 2021 Take an IAT at Project Implicit *** 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.

This is the second episode in our series on women in emergency medicine. In the first episode, My Role in Doctor,  women physicians shared their stories with us and we saw several themes emerge. Gender bias is, unfortunately, alive and well in our specialty. In this episode, we take a deeper dive into the issue with sex and gender expert, Dr. Angela Jarman.  How do you deal with gender bias as a woman in EM? Tell your story and tag us on social media, @empulsepodcast, or reach out via email [email protected], or through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their stories, too! ***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. Angela Jarman, Assistant Professor of Emergency Medicine and Sex and Gender Researcher at UC Davis Resources: ACEP, SAEM, AACEM and AAEM Joint Statement: Overcoming Barriers to Promotion of Women and Underrepresented in Medicine (URiM) Faculty in Academic Emergency Medicine SGEM XTRA: From EBM to FBM - Gender Equity in the House of Medicine (10/10/21) Take an IAT at Project Implicit The Confidence Code by Katty Kay and Claire Shipman Oh L, Linden JA, Zeidan A, Salhi B, Lema PC, Pierce AE, Greene AL, Werner SL, Heron SL, Lall MD, Finnell JT, Franks N, Battaglioli NJ, Haber J, Sampson C, Fisher J, Pillow MT, Doshi AA, Lo B. Overcoming barriers to promotion for women and underrepresented in medicine faculty in academic emergency medicine. J Am Coll Emerg Physicians Open. 2021 Dec 21;2(6):e12552. doi: 10.1002/emp2.12552. PMID: 34984414; PMCID: PMC8692182. *** 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.

This is the first episode in a multi-part series on women in emergency medicine. Being a woman in medicine, and our specialty specifically, is both challenging and rewarding. Over the next several episodes, we’ll explore how the experience of being an EM physician differs somewhat from that of our male colleagues. We’ll discuss why it’s important to identify and address these differences, and how both women and men can drive progress. To kick things off, we share stories recorded and tweeted by several women EM physicians across the country. If you’re a woman, you may identify with many of these stories. If you’re a man, take this opportunity to listen to the voices of your colleagues.  Want to share your experience as a woman in EM? Tell your story and tag us on social media, @empulsepodcast, or reach out via email [email protected], or through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their stories, too! ***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 *** 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 last episode, we discussed several factors that lead to emergency department crowding, as well as the consequences for patients and providers, as presented in a recent commentary in NEJM Catalyst. We continue the conversation with one of the authors of the article, Dr. Deb Diercks, focusing on potential solutions.  Is your ED overcrowded? How is your hospital handling it? Connect with us on social media, @empulsepodcast, on email [email protected], or through our website, ucdavisem.com. We’re working on an episode on what it’s like to be a woman in emergency medicine. We’d be honored if you’d share your story? Contact us as above, or leave your story on a brief voicemail at 951-251-4804  (don’t worry, we’ll edit it to make it sound smooth!).  ***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: Dr. Deborah Diercks, Chair of Emergency Medicine at UT Southwestern, President of the SAEM Academy for Academic Chairs in Emergency Medicine  Resources: Emergency Department Crowding: The Canary in the Health Care System.  Commentary in NEJM Catalyst by Gabor D. Kelen, MD, Richard Wolfe, MD, Gail D’Onofrio, MD, MS, Angela M. Mills, MD, Deborah Diercks, MD, et al. Sept 28, 2021. ERs are now swamped with seriously I’ll patients - but many don’t even have COVID.  By Kate Wells. NPR CapRadio News, Oct 26, 2021. *** 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.

If you’ve been in the emergency department recently, either as an employee or as a patient, you’ve undoubtedly seen the effects of ED crowing - busy waiting rooms, long wait times, and delays in care, just to name a few. In part one of this two part series, we discuss some of the factors that lead to ED crowding and boarding of admitted patients, as well as some of the consequences. Stay tuned for part 2, when we’ll talk about potential solutions!  Is your ED overcrowded? How is your hospital handling it? Connect with us on social media, @empulsepodcast, on email [email protected], or through our website, ucdavisem.com. We’re working on an episode on what it’s like to be a woman in emergency medicine. We’d be honored if you’d share your story? Contact us as above, or leave your story on a brief voicemail at 951-251-4804  (don’t worry, we’ll edit it to make it sound smooth!).  ***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: Dr. Deborah Diercks, Chair of Emergency Medicine at UT Southwestern, President of the SAEM Academy for Academic Chairs in Emergency Medicine  Resources: Emergency Department Crowding: The Canary in the Health Care System.  Commentary in NEJM Catalyst by Gabor D. Kelen, MD, Richard Wolfe, MD, Gail D’Onofrio, MD, MS, Angela M. Mills, MD, Deborah Diercks, MD, et al. Sept 28, 2021. ERs are now swamped with seriously I’ll patients - but many don’t even have COVID.  By Kate Wells. NPR CapRadio News, Oct 26, 2021. *** 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.

General EM physicians are well trained to care for kids, and most of us care for them regularly in the ED. Usually it’s for common things like viral upper respiratory infections or playground injuries. But every once in a while, a critically ill or injured child comes in. Are you ready? Is your ED ready? Do you have tiny endotracheal tubes and nurses who can place IVs in those tiny veins? What else do we need to do to be “peds ready”? We’re glad you asked. In this episode, we talk with national leaders in the field of pediatric emergency medicine and pediatric emergency readiness. Listen to learn more about what it means to be peds ready and why it’s so important! Is your ED peds ready? Have questions or want to learn more? Find us on social media, @empulsepodcast, on email [email protected], or through our website, ucdavisem.com. We’re working on an episode on what it’s like to be a woman in emergency medicine. We’d be honored if you’d share your story? Contact us as above, or leave your story on a brief voicemail at 951-251-4804  (don’t worry, we’ll edit it to make it sound smooth!).  ***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: Dr. Marianne Gausche-Hill, Medical Director for the LA County EMS Agency, Professor of Clinical Emergency Medicine and Pediatrics at UCLA and Harbor-UCLA, Senior Consultant to the EIIC, and member of the steering committee of the National Pediatric Readiness Project Dr. Kate Remick, Pediatric Emergency and EMS Physician, Professor at the Dell Medical School at the University of Texas, Co-Director if the EIIC, and San Marco Hays County Medical Director Resources: PedsReady.org EMSC Innovation and Improvement Center Pediatric Readiness Project Toolkit NPRP assessment achieves 71% response rate! Moore B, Shah MI, Owusu-Ansah S, Gross T, Brown K, Gausche-Hill M, Remick K, Adelgais K, Lyng J, Rappaport L, Snow S, Wright-Johnson C, Leonard JC; AMERICAN ACADEMY OF PEDIATRICS COMMITTEE ON PEDIATRIC EMERGENCY MEDICINE AND SECTION ON EMERGENCY MEDICINE EMS SUBCOMMITTEE; AMERICAN COLLEGE OF EMERGENCY PHYSICIANS EMERGENCY MEDICAL SERVICES COMMITTEE; EMERGENCY NURSES ASSOCIATION PEDIATRIC COMMITTEE; NATIONAL ASSOCIATION OF EMERGENCY MEDICAL SERVICES PHYSICIANS STANDARDS AND CLINICAL PRACTICE COMMITTEE; NATIONAL ASSOCIATION OF EMERGENCY MEDICAL TECHNICIANS EMERGENCY PEDIATRIC CARE COMMITTEE. Pediatric Readiness in Emergency Medical Services Systems. Pediatrics. 2020 Jan;145(1):e20193307. doi: 10.1542/peds.2019-3307. PMID: 31857380. Ames SG, Davis BS, Marin JR, L. Fink EL, Olson LM, Gausche-Hill M, Kahn JM. Emergency Department Pediatric Readiness and Mortality in Critically Ill Children. Pediatrics. 2019;144(3):e20190568. Pediatrics. 2020 May;145(5):e20200542. doi: 10.1542/peds.2020-0542. Erratum for: Pediatrics. 2019 Sep;144(3): PMID: 32354750; PMCID: PMC8190968. *** 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.

It’s no secret that the U.S. population is aging. We are fully aware of this in the ED, where many of our sickest patients are older adults. But what many general EM providers don’t realize is just how different our elderly patients’ needs may be. In this episode, we talk with Geriatric Emergency Medicine specialist, Dr. Jennifer Kristjansson, about some health concerns that predominantly affect our geriatric patients. She highlights key areas we should we aware of and offers advice for optimizing ED care for older adults.   Send us your questions and feedback on social media, @empulsepodcast, via email [email protected], or through our website, ucdavisem.com. Head over to ITunes and leave us a review - it helps us reach more people. 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, Associate Professor of Emergency Medicine at UC Davis Guest: Dr. Jennifer Kristjansson, Assistant Professor of Emergency Medicine at UC Davis; fellowship trained in Geriatric Emergency Medicine Resources: ACEP Geriatric Emergency Department Guidelines *** 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.

It’s time for another COVID-19 update! This time from PERN, the international Pediatric Emergency Research Network. Dr. Nate Kuppermann joins us to talk about a recently published study on kids with COVID. This multinational, prospective study looked at a large cohort of children who presented to EDs with COVID concerns. We discuss the findings, which kids we can feel good about discharging, and which ones might benefit from admission. Julia and Sarah also share their own personal experiences with COVID. We hope you’re staying healthy through this omicron surge! Send us your questions about kids and COVID on social media, @empulsepodcast, on email [email protected], or through our website, ucdavisem.com. We’re working on an episode on what it’s like to be a woman in emergency medicine. Want to share your story? Contact us as above, or leave your story on a voicemail at 951-251-4804. ***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: Dr. Nate Kuppermann, Pediatric Emergency Physician and Chair of the Department of Emergency Medicine at UC Davis; Founding Member of the Pediatric Emergency Research Network (PERN) Resources: Funk AL, Florin TA, Kuppermann N et Al; Pediatric Emergency Research Network-COVID-19 Study Team. Outcomes of SARS-CoV-2-Positive Youths Tested in Emergency Departments: The Global PERN-COVID-19 Study. JAMA Netw Open. 2022 Jan 4;5(1):e2142322. doi: 10.1001/jamanetworkopen.2021.42322. PMID: 35015063. *** 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.

Happy New Year! Well, 2021 may not have been quite the year we hoped for, and 2022 is off to a bit of a rough start with the omicron variant.  But we’ve been fortunate to have some amazing guests on the podcast and we’ve learned a lot - we hope you have, too! In this episode, we follow up with experts from some of the episodes that really stuck with us. We get updates on COVID vaccinations for kids, vaccine mandates, long haul COVID, and trauma informed care. Wishing you all good health in the new year, and cheers to another year of EM Pulse! What was your favorite episode of 2021? What topics would you like to hear on the podcast? Hot is up on social media, @empulsepodcast, on email [email protected], 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: Dr. Dean Blumberg, Professor and Chief of Pediatric Infectious Disease at UC Davis, Co-Host of the Kids Considered Podcast Dr. Hunter Pattison, Emergency Medicine Health Policy Research Fellow at UC Davis and Advocacy Fellow for California ACEP Dr. Larissa May, Professor of Emergency Medicine with a Masters in Emerging Infectious Diseases, and Director of Emergency Department Antibiotic Stewardship at UC Davis. 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: The Long Haul, January 17, 2021 Trauma Informed Care 101, May 16 2021 A Mandate for Health, October 17, 2021 COVID-19 Kids Vaccine Considered, November 3, 2021 *** 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.

As Emergency Physicians, we are well equipped to deal with patients’ acute medical needs, but we often find ourselves without the knowledge or time to deal with many of our patients’ other needs. For social, financial, mental health, and substance use disorders, we lean heavily on other members of our ED team. In this episode, we explore one of the newer roles in this team, the ED Substance Abuse Navigator (SUN). A former patient shares her story of what’s it’s like to be in the ED seeking help with substance use, and Dr. Aimee Moulin talks about her efforts in collaboration with CA Bridge to expand the role of SUNs throughout California. Finally, we talk with two of our UC Davis SUNs, Sandra Overby and Jolie Reyna, who take us through what it’s like to be an ED SUN and how they have been able to help connect many patients with much needed treatment resources.  Do you have a SUN 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 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 Sandra Overby, Substance Use Navigator and Addiction Counselor at UC Davis Jolie Reyna, Substance Use Navigator and Addiction Counselor at UC Davis Resources: CA Bridge Cal ACEP MAT Podcast produced by EM Pulse. Get free CME credit! It’s all about Tommie EM Pulse episode, September 2018 Substance Use Navigation at UC Davis Medical Center Snyder H, Kalmin MM, Moulin A, Campbell A, Goodman-Meza D, Padwa H, Clayton S, Speener M, Shoptaw S, Herring AA. Rapid Adoption of Low-Threshold Buprenorphine Treatment at California Emergency Departments Participating in the CA Bridge Program. Ann Emerg Med. 2021 Dec;78(6):759-772. doi: 10.1016/j.annemergmed.2021.05.024. Epub 2021 Aug 2. PMID: 34353655. *** 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.

Emergency Medicine training can lead to amazing career opportunities. We’ve interviewed world renowned researchers, global health physicians, doctors who specialize in policy and advocacy, among others - but what about space medicine?! In this special episode, Dr. John Rose guest hosts to interview his friend and colleague, Dr. Jen Law. Dr. Law is a UC Davis EM graduate and Aerospace Medicine Specialist. Listen in to hear about her amazing career path and adventures, including being a finalist for the NASA astronaut program.  Are you interested in aerospace medicine? Send us your questions 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 Guest Host: Dr. John Rose, Professor of Emergency Medicine and EMS Fellowship Director at UC Davis Guest: Dr. Jennifer Law, Jennifer Law, MD, MPH, FAsMA, Flight Surgeon, University of Texas Medical Branch Resources: Law J, Young M, Alexander D, Mason SS, Wear ML, Méndez CM, Stanley D, Ryder VM, Van Baalen M. Carbon Dioxide Physiological Training at NASA. Aerosp Med Hum Perform. 2017 Oct 1;88(10):897-902. doi: 10.3357/AMHP.4552.2017. PMID: 28923137. NASA Aerospace Medicine Clerkship UTMB Aerospace Medicine Residency Program Space Adventures *** 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.

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.

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

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.

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

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

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.

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.

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.

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.

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.

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.

***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.

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.

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 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.

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.

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.

“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.

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.

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.

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.

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.

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.

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 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

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.

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.