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 empulsepodcast@gmail.com , 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.*** Ho...
Jun 19, 2022•43 min
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 peopl...
Jun 06, 2022•17 min
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, bu...
May 18, 2022•40 min
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...
May 03, 2022•27 min
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 empuls...
Apr 19, 2022•44 min
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 ...
Apr 05, 2022•22 min
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 empulsepodcast@gmail.com , or through our website, ucdavisem...
Mar 17, 2022•17 min
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 han...
Mar 04, 2022•25 min
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 ...
Feb 18, 2022•34 min
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 optimizi...
Feb 04, 2022•25 min
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 wi...
Jan 18, 2022•28 min
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 ne...
Jan 04, 2022•26 min
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 ...
Dec 17, 2021•26 min
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 f...
Dec 06, 2021•24 min
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...
Nov 18, 2021•33 min
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 rea...
Nov 04, 2021•15 min
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 ...
Oct 18, 2021•32 min
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 Uni...
Sep 30, 2021•12 min
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 , Ass...
Sep 17, 2021•32 min
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 Medi...
Aug 29, 2021•16 min
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 t...
Aug 18, 2021•37 min
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 ,...
Aug 04, 2021•43 min
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 ex...
Jul 19, 2021•15 min
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 Resou...
Jul 04, 2021•11 min
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 th...
Jun 18, 2021•36 min
***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 ...
Jun 03, 2021•19 min
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 . ***...
May 18, 2021•33 min
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 m...
May 03, 2021•14 min
***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 ow...
Apr 18, 2021•43 min
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 (lin...
Apr 04, 2021•14 min