If you have ever worked in an ED, you have taken care of a homeless patient. In fact, you’ve probably taken care of many patients you didn’t even know were struggling with homelessness. As providers, we know these people well. They are often labeled “superusers” and, in addition to sometimes acting as their primary care physicians, we often find ourselves trying to sort out their myriad social issues. In this episode, we talk with a homeless patient, multiple ED providers, and expert Dr. Bisan S...
Oct 18, 2018•35 min
A cool tool. In this episode Dr. Nate Kuppermann (@nkuppermann) discusses another amazing article on the PECARN TBI decision rule just published in JAMA Network Open. The article, Effect of the Head Computed Tomography Choice Decision Aid in Parents of Children With Minor Head Trauma: A Cluster Randomized Trial, and this episode explores shared decision making in the ED and a cool tool we can use to aid this process. Send us your questions and continue the conversation on social media @empulsepo...
Oct 03, 2018•17 min
Excuse Me, Your Bias is Showing – Episode 10 We all have biases lurking in our unconscious mind. These are our implicit biases, and they affect how we relate to patients and, in turn, how they relate to us. But if these biases are unconscious, how do we identify them? And is it possible to change them? We share our own experiences with implicit bias, and we hear Dr. Rupa Marya’s story that went viral on social media. Then we dive a little deeper with researcher and pediatric emergency medicine p...
Sep 18, 2018•33 min
It’s all about Tommie. Way back in March we discussed how “ The Game has Changed ” with Dr. Dr. Gail D’Onofrio and Dr. Josh Elder ( https://twitter.com/joshuawelder ). They discussed how emergency departments can be a positive part of the opiate epidemic by offering buprenorphine (suboxone). In this episode we find out how the program is going and how the human element (aka Tommie, our substance use counselor) is helping it succeed. Send us your questions and continue the conversation on social ...
Sep 03, 2018•11 min
Thriving, not Surviving – Episode 9 Are you well? In this episode we tackle the issue of physician wellness. What does that mean? Why is it a problem? And what can we do to thrive, not just survive, in medicine? We discuss strategies with EM physicians of all levels, including Cal ACEP President, Dr. Aimee Moulin, and Dr. Katren Tyler, Vice Chair of Wellness for the UC Davis Department of Emergency Medicine. How do you define physician wellness? What is your personal recipe for THRIVING, not jus...
Aug 17, 2018•36 min
If it Hurts, Don’t do it! Let’s revisit concussion and return to play with UC Davis Head Team Physician, Dr. Jeremiah Ray. This Heartbeat was originally recorded as a Facebook LIVE for the UC Davis Health page . We first talked about concussion in May’s episode, “ Breaking Out of Concussion Jail “. This Heartbeat is a little more casual and offers some practical information for how to recognize and manage concussion in athletes – plus, it provides a little spaced repetition to help us remember w...
Aug 05, 2018•15 min
Dr. R Nick Gorton and Dr. Kara Toles are back to talk about transgender care in the Emergency Department. Did you know you already have the skills to advocate for and care for transgender patients? You do! Let’s sum it up in four words: DON’T BE A JERK! Treat your patients like you’d want your family member to be treated. We’ll explore some of the challenges and concerns specific to transgender patients — JM Jaffe shares a very personal account of their experience. Drs. Gorton and Toles then rev...
Jul 18, 2018•40 min
LGBTQI, MD Happy Pride, everyone! June is coming to an end and we’ve enjoyed celebrating all the diverse and beautiful people in our communities. In the spirit of Pride month, this Heartbeat explores what it’s like to be an LGBTQI physician. For those unaware, LGBTQI stands for lesbian, gay, bisexual, transgender, queer (or questioning), and intersex. Many people also add an A for asexual, or allies. Dr. Kara Toles and Dr. Nick Gorton graciously share their stories with us, as well as their advi...
Jun 29, 2018•12 min
DKA: It’s Not About the Fluids! – Episode 7 Hot of the presses! We are thrilled to speak with the amazing husband and wife research team of Dr. Nate Kuppermann and Dr. Nicole Glaser, on their practice changing paper that was just, and we mean JUST, published in the New England Journal of Medicine. DKA (diabetic ketoacidosis) is a potentially life threatening condition that can be complicated to treat, especially in children. First, we’ll hear from 9-year-old Whitley and her mom, Amanda, about wh...
Jun 13, 2018•38 min
Catching Pee in the ED In this Heartbeat we go over two alternatives to cathing that infant in your ED. If you had an infant who needed to be cathed, ever seen an infant cathed, or even heard a child cathed, you know it is less than fun. Here are two different, published methods that we attempted, back to back, on an infant…then we ended up doing the cath anyway! Join the conversation on Social Media @empulsepodcast or at ucdavisem.com Host: Dr. Julia Magaña , Assistant Professor of Pediatric Em...
Jun 04, 2018•7 min
Breaking Out of Concussion Jail – Episode 6 Suffering a concussion can make you feel like a prisoner, especially if you’re a student athlete. Cameron Wright, a division I water polo player who suffered a concussion last year, knows this first hand. In this episode, he shares his experience with concussion, and how he finally returned to the sport he loves. Dr. Roger Zemek, one of the leading investigators studying concussion and return to play, discusses how recent research is changing our appro...
May 16, 2018•44 min
Anchors away In this Heartbeat we talk with a child abuse pediatrician who has seen what happens when we can’t see past a single diagnosis. She defines anchoring bias, how it can trip us up, and how to see past it. Join the conversation on Social Media @empulsepodcast or at ucdavisem.com Host: Dr. Julia Magaña , Assistant Professor of Pediatric Emergency Medicine at UC Davis. Guest: Antoinette “Tony” Laskey MD, MPH, MBA Professor of Pediatrics and Division Chief University of Utah Pediatrics. Sh...
May 01, 2018•12 min
Not so FAST – Episode 5 Should we be doing FAST exams on all pediatric trauma patients? In this episode, we hear about a case where the FAST may have saved a child’s life. Then we talk with peds trauma experts, Drs. Nate Kuppermann and Jim Holmes, about their recent study on the utility of the FAST exam in stable pediatric trauma patients. Ultrasound expert, Ken Kelley, shares his thoughts on the paper and the role of the FAST exam in kids. Do you FAST all of your pediatric trauma patients? Join...
Apr 16, 2018•34 min
A SAFE PLACE TO COME – HEARTBEAT In this Heartbeat we get a fresh perspective on how you can identify and help victims of human trafficking on your next shift and we revisit a few principles learned in episode #2 – Sold for a Chrysler 300. Join 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. Hanni Stoklosa , emergency medicine physician at Brigham and Women’s Hospital with ap...
Apr 03, 2018•10 min
The Game Has Changed – Episode 4 Let’s talk about the opioid crisis. One woman tells her powerful story of opioid addiction, treatment, and recovery. Then, we discuss the role Emergency Physicians can play in controlling this epidemic with experts, Dr. Gail D’Onofrio and Dr. Josh Elder. How do you manage opioid use disorder in your practice? Join the conversation on Social Media @empulsepodcast or at ucdavisem.com Hosts: Dr. Sarah Medeiros , Assistant Professor of Emergency Medicine at UC Davis ...
Mar 15, 2018•42 min
Heartbeat: Flu Update EM Pulse “Heartbeats” are mini episodes focused on current, relevant topics. On this Heartbeat, Dr. Larissa May gives us a brief update on the 2017-18 flu season, recommendations for treating with oseltamivir, and why it’s not too late to get (or give!) the flu shot. You can watch the Facebook Live version of this Heartbeat at facebook.com/UCDavisEM , and join the conversation on Social Media @empulsepodcast or at ucdavisem.com Host: Dr. Sarah Medeiros , Assistant Professor...
Mar 04, 2018•10 min
I’m just a Reanimatologist – Episode 3 This month’s episode explores the controversial topic of Emergency Department initiated extracorporeal membrane oxygenation (ECMO) and extracorporeal life support (ECLS). Dr. Jonathon Ford relives a challenging case of beta blocker and calcium channel blocker overdose. Then, we have a front row seat in the heated battle of words between Dr. John Rose and Dr. Dan Colby on the pros and cons of ED ECMO. Where do you stand? Join the conversation on Social Media...
Feb 16, 2018•24 min
Episode 2: Sold for a Chrysler 300 January is National Human Trafficking Awareness Month. In light of this, we have a very special episode for you. Annika Huff (formerly Annika Mack), a trafficking survivor, speaks with us about her experiences in the life, how she got out, and what she is doing now. Then, Dr. Bryn Mumma takes us through her research on how we can better identify potential victims in the ED. Dr. Rachel Robitz shares some advice on how to approach these patients, create a safe sp...
Jan 31, 2018•36 min•Ep. 3
Episode 1: Pot-Tarts In our first full episode, we explore the dangers of marijuana ingestion in kids. With several states legalizing marijuana for recreational use, we are likely to see a lot more of this in our EDs. Emergency Physicians, Dr. John Richards and Dr. Aimee Moulin, take us through their recent systematic review of unintentional cannabis ingestion in children. Medical Toxicologist, Dr. Daniel Colby, revisits an interesting case and leaves us with some pearls for identifying and mana...
Jan 16, 2018•24 min•Ep. 1
Introduction to EM Pulse. Bringing research and expert opinion to the bedside.
Jan 12, 2018•5 min
