In March of this year, we published a Rebeat of one of our most powerful episodes, It Could Have Been Different . We took a deep dive into one of the most difficult aspects of our jobs as emergency physicians – recognizing and managing child abuse, or non-accidental trauma (NAT). Signs of abuse can often be subtle, but there are some very specific findings that should make us consider NAT. Our guest expert, Dr. Mary Clyde Pierce, helped us learn to identify NAT using the TEN-4 FACESp clinical pr...
Oct 04, 2023•27 min
It’s been a while since we talked about social media in emergency medicine and a LOT has changed! We first explored this topic in 2019 with Dr. Meghan Ranney in our episode With Great Power Comes Great Responsibility . The following year, the pandemic hit and digital platforms exploded while many people isolated themselves or worked from home. Add in complications including the spread of disinformation, the rise of hate speech, Elon Musk’s takeover of Twitter, and the emergence of new platforms,...
Sep 18, 2023•38 min
This is the next episode of our Push Dose Pearls miniseries with ED Pharmacist, Chris Adams. In this ongoing series we’ll dig into some of the questions we all have about medications we commonly see and use in the ED. This episode again focuses on insulin. Should everyone with hyperglycemia get regular insulin? Is IV better than subcu? We’ll answer these questions and more as we discuss the latest recommendations for managing hyperglycemia and DKA in the ED.
Sep 05, 2023•21 min
In the last episode, we replayed one of our most powerful episodes, Sold for a Chrysler 300 . The episode featured Annika Huff sharing her story as a survivor of human trafficking, as well as recommendations on how to address trafficking from experts in the field. If you haven’t listened to that episode, we recommend checking it out! In this follow up episode, our own Dr. Julia Magaña fills us in on what’s changed since 2018, including a new screening tool developed by Dr. Makini Chisholm-Strake...
Aug 18, 2023•13 min
It’s time for another Repeat! This is one of our earliest episodes and it is a favorite because of one woman’s powerful story. Annika Huff (formerly Annika Mack) is a survivor of human trafficking. She speaks with us about her experiences in the life, how she got out, and how she was able to move on with her life. 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 patients who may b...
Aug 04, 2023•34 min
This is the second episode in our Push Dose Pearls miniseries with ED Pharmacist, Chris Adams. In this ongoing series we’ll dig into some of the questions we all have about medications we commonly see and use in the ED. This episode again focuses on antidotes – medications we can give to treat or reverse the harm caused by overdoses, intoxications, envenomations, etc. What is your favorite antidote? Hit us up on social media @empulsepodcast or at ucdavisem.com Hosts: Dr. Sarah Medeiros , Associa...
Jul 17, 2023•11 min
This is the first episode in our Push Dose Pearls miniseries with ED Pharmacist, Chris Adams. In this ongoing series we’ll dig into some of the questions we all have about medications we commonly see and use in the ED. Our first episode will focus on antidotes – medications we can give to treat or reverse the harm caused by overdoses, intoxications, envenomations, etc. What is your favorite antidote? Hit us up on social media @empulsepodcast or at ucdavisem.com Hosts: Dr. Sarah Medeiros , Associ...
Jul 06, 2023•21 min
One of our quintessential roles as emergency physicians is managing and securing the emergent airway. This can be a life or death moment for the patient and often gets our own adrenaline pumping – it’s not a procedure we take lightly. Airway management in the ED can be complicated by physical and situational factors (beards, trauma, vomit), resource limitations, and our own emotional state. We sat down with emergency airway expert, Dr. Verena Schandera, to get the latest and greatest on airway m...
Jun 18, 2023•21 min
Our last episode was a Rebeat of “The Game has Changed”, one of our earliest and most listened to episodes that explored medication assisted treatment (MAT) for opioid use disorder. A LOT has changed since we first published the episode in 2018! In this follow up episode, addiction medicine specialist, Dr. Aimee Moulin, talks to us about what’s new, including modifying treatment for people using fentanyl; and what’s old news – the X waiver! How do you manage opioid use disorder in your practice?...
Jun 04, 2023•25 min
It’s time for another Rebeat! We’re revisiting one of our favorite episodes from our very first season. The opioid epidemic is still very real and there are some new challenges with fentanyl as the predominant opioid on the street. But we’ve gained experience with medication assisted treatment (MAT) and it is now even easier to prescribe treatment for opioid use disorder. The Rebeat has been edited to reflect some of these changes, and our next episode will provide an update on MAT. Now on to th...
May 18, 2023•36 min
There has been a lot in the news about “tranq dope”, especially following a recent New York Times article. Most concerning are the non-healing skin wounds that seem to be associated with its use. So what is tranq dope, or more formally, xylazine? And what do we need to know to safely treat our patients? We caught up with Dr. Hoan Nguyen, emergency physician and medical toxicologist at UC Davis, to get some answers. Have you seen complications of xylazine in your ED? Share with us on social media...
May 04, 2023•13 min
In our last episode, we spoke with negotiations expert and founder of the Center for Leadership, Dr. Cheri Hobgood, about the art of a good negotiation. This week, we’ve partnered with Women in PEM again to explore how negotiations can play out in the real world of emergency medicine. Dr. Selena Hariharan returns to share her personal experience and Dr. Elizabeth Alpern offers some concrete advice on how to prepare for an interview, read a contract, and make the outcome of the negotiation benefi...
Apr 18, 2023•20 min
Negotiating what you need and want in your career is an essential skill, for any emergency medicine physician – well, for anyone, really! So, whether you are in academic or community practice, or something completely unrelated, this episode is for you. We’ve teamed up with Women in PEM to bring you this illuminating interview with Dr. Cherri Hobgood, an emergency physician, expert in negotiations, and founder of the Center for Leadership Life. She takes us through the ins and outs of negotiating...
Apr 04, 2023•50 min
Introducing EM Pulse Podcast™ Rebeat! In our Rebeat episodes, we will revisit important past episodes. In this Rebeat, we discuss a challenging but important aspect of emergency medicine – identifying and addressing child abuse or non-accidental trauma (NAT). We talk with expert Dr. Mary Clyde Pierce about her paper, which validates the TEN-4 FACESp clinical decision rule for predicting abuse in young children, and share insights on how we can save a child’s life through vigilance and awareness ...
Mar 17, 2023•42 min
Alcohol use disorder is extremely prevalent in the United States, affecting over 5% of the population 12 and older. We see patients suffering from this disease in our EDs – sometimes for complications of acute intoxication (like car accidents) and sometimes for withdrawal symptoms. In this two part series, we’re joined by Addiction Medicine Specialists, Dr. Aimee Moulin and Dr. Liz Johnson, to learn more about acute alcohol withdrawal and management of alcohol use disorder. In part 1, we discuss...
Mar 03, 2023•32 min
Alcohol use disorder is extremely prevalent in the United States, affecting over 5% of the population 12 and older. We see patients suffering from this disease in our EDs – sometimes for complications of acute intoxication (like car accidents) and sometimes for withdrawal symptoms. In this two part series, we’re joined by Addiction Medicine Specialists, Dr. Aimee Moulin and Dr. Liz Johnson, to learn more about acute alcohol withdrawal and management of alcohol use disorder. In part 1, we discuss...
Feb 19, 2023•33 min
As emergency physicians, we are no strangers to firearm violence and its consequences. We explored this topic with renowned expert, Dr. Garen Wintemute, in our January 2019 episode, #thisismylane . Most physicians feel strongly that we have a role in gun violence prevention, but many of us aren’t sure what we can do in our daily clinical practice to make a difference. That’s why Psychiatrist Dr. Amy Barnhorst and her colleagues at the California Firearm Violence Research Center at UC Davis devel...
Feb 03, 2023•31 min
As emergency physicians, we are no strangers to firearm violence and its consequences. We explored this topic with renowned expert, Dr. Garen Wintemute, in our January 2019 episode, #thisismylane . Most physicians feel strongly that we have a role in gun violence prevention, but many of us aren’t sure what we can do in our daily clinical practice to make a difference. That’s why Psychiatrist Dr. Amy Barnhorst and her colleagues at the California Firearm Violence Research Center at UC Davis devel...
Jan 18, 2023•28 min
Happy New Year! We have an exciting lineup for 2023, but first, we’d like to reflect on a few things we learned this past year. Some favorites include our legal series and our series on women in EM – listen to the full episode to hear which juicy knowledge bites we can’t let go of! What stuck with you this year? Do you enjoy our podcast series, or do you prefer stand alone episodes? We’d love to hear your thoughts. Tag us on social media, @empulsepodcast, reach out via email empulsepodcast@gmail...
Jan 03, 2023•9 min
As emergency physicians, we are no strangers to firearm violence and its consequences. We explored this topic with renowned expert, Dr. Garen Wintemute, in our January 2019 episode, #thisismylane . Most physicians feel strongly that we have a role in gun violence prevention, but many of us aren’t sure what we can do in our daily clinical practice to make a difference. That’s why Psychiatrist Dr. Amy Barnhorst and her colleagues at the California Firearm Violence Research Center at UC Davis devel...
Dec 18, 2022•20 min
As emergency physicians, we are no strangers to firearm violence and its consequences. We explored this topic with renowned expert, Dr. Garen Wintemute, in our January 2019 episode, #thisismylane . Most physicians feel strongly that we have a role in gun violence prevention, but many of us aren’t sure what we can do in our daily clinical practice to make a difference. That’s why Psychiatrist Dr. Amy Barnhorst and her colleagues at the California Firearm Violence Research Center at UC Davis devel...
Dec 04, 2022•22 min
In this podcast we discuss the prevalence of bacteremia and even more interestingly the prevalence of meningitis in febrile infants <=60 days of age with a positive UA. Dr. Kuppermann from PECARN shares his approach to the febrile neonate with a UTI. Host: Dr. Julia Magaña , Associate Professor of Pediatric Emergency Medicine at UC Davis Guest: Dr. Nate Kuppermann , Pediatric Emergency Physician, Professor and Chair of the UC Davis Department of Emergency Medicine, Founding Chair of the PECAR...
Nov 17, 2022•18 min
We’ve heard talk that the pandemic is “over”, but are we there? It’s been a while since we talked about COVID, but it’s still out there, mutating and spreading. In this episode, we catch up with our infectious disease specialist, Dr. Dean Blumberg, to get all the up to date information on the virus, the new bivalent vaccine, and the meds available for treatment and prophylaxis. We discuss what to expect for the upcoming cold and flu season, and we get an update on monkeypox. Bottom line, the nex...
Nov 03, 2022•14 min
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 ...
Oct 18, 2022•34 min
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 ...
Oct 04, 2022•27 min
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 ...
Sep 18, 2022•31 min
*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 ou...
Sep 04, 2022•53 min
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...
Sep 04, 2022•16 min
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 empulsepodcast@gmail.com , 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...
Jul 18, 2022•15 min
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...
Jul 04, 2022•20 min
