Sinopse

Bringing research and expert opinion to the bedside

Episódios

  • We Are Problem Solvers

    We Are Problem Solvers

    04/11/2020 Duração: 21min

    This is the fascinating story of Dr. Rory Stuart the Bronze Heart 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.

  • A Vote For Health

    A Vote For Health

    18/10/2020 Duração: 19min

    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

  • Glucose = Brain

    Glucose = Brain

    03/10/2020 Duração: 15min

    A new PECARN study found just a single episode of moderate-severe DKA impacts cognition! This game changing article challenges what we thought about glucose and the brain and really makes a case for aggressive DKA treatment and glucose control! Let us know what you think @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. Nicole Glaser, Professor of Pediatric Endocrinology at UC Davis Dr. Simmona can you help meGhetti (@sghetti1) Professor Department of Psychology and Center for Mind and Brain at UC Davis   Resources:  Ghetti S, Kuppermann N, Rewers A, Myers SR, Schunk JE, Stoner MJ, Garro A, Quayle KS, Brown KM, Trainor JL, Tzimenatos L, DePiero AD, McManemy JK, Nigrovic LE, Kwok MY, Perry CS 3rd, Olsen CS, Casper TC, Glaser NS; Pediatric Emergency Care Applied Research Network (PECARN) DKA FLUID Study Group. Cogn

  • The Alexandria Plan

    The Alexandria Plan

    18/09/2020 Duração: 30min

    Ever wondered how the specialty of Emergency Medicine came about? We take it for granted that we have emergency departments staffed 24/7 with board certified EM physicians, but this wasn’t always the case. Join us for a trip down memory lane, with the help of Dr. Brian Zink. Dr. Zink collected stories and audio recordings from some of the founders of our specialty. He shares several of these with us to give us a feel for what it was like in those early days.  What did you think of this episode? We’d love your feedback. 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, Assistant Professor of Emergency Medicine at UC Davis Guests: Dr. Brian Zink, Professor of Emergency Medicine and Senior Associate Dean for Faculty and Faculty Development at the University of Michigan Resourc

  • Residency Recruiting in the Time of COVID

    Residency Recruiting in the Time of COVID

    04/09/2020 Duração: 13min

    It’s that time of year again - residency recruiting season! But this year, things will look very different, thanks to the COVID-19 pandemic. We talk with Dr. David Barnes, Emergency Medicine Residency Program Director at UC Davis, about some of the challenges for both applicants and residency leadership. He also offers some sound advice for students applying in EM - most importantly, be yourself and be flexible; this format is new to everyone.  Do you have questions or concerns about the residency application and interview process this year?  Send us your thoughts 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. David Barnes, Professor of Emergency Medicine and Emergency Medicine Residency Program Director Equity at UC Davis

  • “Less Lethal” Crowd Control

    “Less Lethal” Crowd Control

    18/08/2020 Duração: 36min

    “Less Lethal” Crowd Control You may have heard of “non-lethal” or “less lethal” weapons used for crowd control. These include things such as pepper spray, tear gas, bean bags, and rubber bullets. But, while these may be less lethal than standard weapons and bullets, they still cause serious harm and even death. As protests raged across the U.S. this summer, we have seen many injuries associated with these methods. Dr. James Chenoweth, an emergency physician and toxicologist, joins us to explain what these weapons are and what kind of damage they can cause, as well as some tips for treating these injuries. Dr. Kara Toles worked as a street medic in the recent protests in Sacramento. She shares her experience, including key supplies she carries in her pack, and what it’s like to be in the middle of a peaceful protest turned violent. As physicians, we should be concerned about the physical injuries these crowd control methods cause, as well as the psychological effects.   Have you treated patients with injurie

  • MIS-C—What do we do???

    MIS-C—What do we do???

    03/08/2020 Duração: 22min

    I hope you learned as much as I did from Dr. Nakra. It makes a lot of sense as we figure this illness out to think about MIS-C in kids with other features such as GI symptoms, rashes early in the illness AND to pursue evaluation in those with fever of 5 days without any other symptoms. If you find elevated inflammatory markers with a history of COVID exposure or in areas with high prevalence admit. Also if they are hypotensive give fluids cautiously, consider pressers pearlier than you would in other kids because you might have cariogenic shock.  Transfer to a pediatric center with multi-disciplinary resources. I don’t know about you but that is something new for me and will change the way I approach my kiddos on my next shift.  Show notes: MIS-C—What do we do??? Has MIS-C changed the way you approach a febrile child? I know I struggle to understand this new disease. Fortunately Dr. Natasha Nakra, a Pediatric Infectious Disease Specialist, joins us this month to clarify what we know about MIS-C, when we sh

  • From Ally to Advocate

    From Ally to Advocate

    18/07/2020 Duração: 20min

    Welcome back to EM Pulse. It’s no secret that black, indigenous, and people of color are underrepresented in medicine and academics. This is largely due to structural or institutionalized racism, which is a massive topic for another time. While it may be difficult to swallow, white people have benefited from this system, and many of us are still learning just how our my privilege afforded us. This can be unnerving and even embarrassing at times, as we start to really appreciate the struggle our BIPOC friends and colleagues have faced, and continue to face. We want to be allies; we want to do something. This month’s heartbeat is geared specifically to people who want to be better allies in this fight. It is absolutely crucial to listen to voices of people of color and follow their lead, but, as we will discuss, it is not our non-white colleagues’ job to educate us! With that in mind, our guest is Dr. Colleen Sweeney, a Professor of biochemistry and molecular medicine at the UC Davis School of Medicine, who re

  • Surge – Part 2

    Surge – Part 2

    04/07/2020 Duração: 22min

    In the first half of our episode on surge, we heard first hand accounts of how COVID-19 impacted EDs and ICUs in hard hit areas. In the second half, we explore emergency preparedness at a more macro level. Experts, Dr. John Rose and Dr. Dan Colby, join us to discuss how county emergency medical services, hospital administration, and emergency departments are planning for a potential surge of COVID-19 cases. As new infections and hospitalizations are rising across most of the country, they offer some practical advice to help us manage the surge. . Has your hospital experienced a COVID surge? How did you handle it, or how are you preparing for a potential surge? Share your thoughts and experiences with us on social media @empulsepodcast, or through our website, ucdavisem.com. And stay tuned for Part 2, when we’ll talk practical preparedness strategies from EMS, administration, and ED operations points of view - coming July 3rd! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*

  • Surge – Part 1

    Surge – Part 1

    18/06/2020 Duração: 35min

    As we watched the novel coronavirus spread through China and Italy, we knew it was just a matter of time before a wave of illness hit the US. The surge struck early in New York and New Orleans, threatening to overwhelm health care resources, including PPE, ventilators, ICU beds, and hospital staff. We hear from Dr. Leslie Palmerlee, an emergency physician in New Orleans, about her experience there. Then we go in depth with Dr. Alfredo Astua, a critical care physician at one of New York’s hardest hit hospitals. We explore how they prepared for and managed the COVID-19 surge, how it affected every level of the health care system, and what they learned along the way. Has your hospital experienced a COVID surge? How did you handle it, or how are you preparing for a potential surge? Share your thoughts and experiences with us on social media @empulsepodcast, or through our website, ucdavisem.com. And stay tuned for Part 2, when we’ll talk practical preparedness strategies from EMS, administration, and ED operatio

  • Lessons learned from NYC

    Lessons learned from NYC

    03/06/2020 Duração: 13min

    What are you seeing in your hospital? How did your system prepare for a surge? Send us your answer via on social media, @empulsepodcast, or through our website, ucdavisem.com. And stay tuned for the June 17 episode on SURGE. We will hear from the critical care doctor who managed the surge from the provider standpoint with other experts on how we can prepare for a SURGE. ***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. Alex Schmaltz, Senior Emergency Medicine Resident  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.  

  • COVID under the magnifying glass

    COVID under the magnifying glass

    19/05/2020 Duração: 36min

    COVID was supposed to be the great equalizer, but in reality not all of us are affected the same. Vulnerable populations experience higher rates of infection and death, and worse social outcomes. Access to healthcare is not equitable. In this episode we dive into why this is a thing and what we can do about this as providers. What are you seeing in your hospital? What are you or your systems doing to reduce implicit bias? Send us your answer via on social media, @empulsepodcast, or through our website, ucdavisem.com. And stay tuned for the June 3 Heartbeat on what is it like to work in a hospital in the bronx and lessons learned. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Kara Toles (@kat04747), Assistant Professor of Emergency Medicine at UC Davis and the Director of Equity and Inclusion i

  • Treating Pediatric Pain Equitably

    Treating Pediatric Pain Equitably

    03/05/2020 Duração: 16min

    How do you treat the pain of pediatric long bone fractures? Is it equitable? In this episode the authors of Racial and Ethnic Differences in Emergency Department Pain Management of Children With Fractures of Pediatrics May 2020 discuss if our care is equitable and why it may not be. It is an important discussion that pushes us to think about our perception of pain and how race and ethnicity impact our approach. ***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 Guests: Dr. Monika Goyal, Associate Professor of Pediatrics and Emergency Medicine at the George Washington University School of Medicine. Associate Division Chief of Emergency Medicine and Trauma Services and Director of Academic Affairs and Research at Children's National Hospital. Dr. Tiffani Johnson, Assistant Professor of Pediatric Emergency Medicine at UC Davis Resources: Goyal MK, Johnson TJ, Chamberlain JM, et al. Ra

  • GRACE in a Pandemic – 1

    GRACE in a Pandemic – 1

    10/04/2020 Duração: 29min

    This is a challenging time for physicians and the entire healthcare workforce. That’s putting it mildly. The coronavirus pandemic is affecting all of us, physically and emotionally. In emergency medicine, we are used to dealing with stressful situations, but this pandemic brings new personal and professional challenges. We are managing severe illness for which we have no proven treatment, watching patients suffer and die alone, and living with constant worry of infecting our loved ones or even dying of the virus ourselves. Some of us are doing this in overwhelmed healthcare systems with limited resources, including personal protective equipment (PPE). How can we manage this new level of stress?   In this miniseries, we’ll dive deeper into some of the moral challenges we are facing, and explore some ways to cope. Dr. Wendy Lau, an EM physician and wellness expert, has been studying at the Upaya Institute and Zen Center. She emphasizes the power of human connection, and offers a framework, using the mnemonic G

  • Meditation in a Pandemic – 2

    Meditation in a Pandemic – 2

    10/04/2020 Duração: 12min

    In this episode of our miniseries, EM physician and wellness expert, Dr. Wendy Lau, returns with a guided meditation, using the GRACE framework. This practice helps us breathe, relax, and cope with the stress we are all feeling during the coronavirus pandemic. Get comfortable, close your eyes, and meditate with us.  How are you coping with the stress of the coronavirus pandemic? Did you find this miniseries helpful? Connect with us and share your thoughts and experiences, 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, Assistant Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Wendy Lau, Emergency Medicine Physician, Wellness Expert and Yoga Instructor, with a background in Zen Buddhism. Resources: Dr. Wendy Lau’s Website, including Physician Pandemic Support Roshi Joan Halifax,

  • Comfort in a Pandemic – 3

    Comfort in a Pandemic – 3

    10/04/2020 Duração: 11min

    In these uncertain times, poets, artists, musicians, psychiatrists, philosophers, and others, have stepped forward to offer inspiration, compassion, advice, and hope. In this episode of our miniseries, we share some of the words and art we found helpful. Thank you to the authors and artists featured, and to all those who are contributing positive energy during this time.  What art, words, or music have you found helpful or inspiring during the coronavirus pandemic? Please share them 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, Assistant Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Featured: Fr. Richard Hendrick. Lockdown. Posted on Facebook March 13, 2020.  Dr. Peter Yellowlees “Good Stuff - Volume 45”, March 31, 2020. Received by Julia Magana, March 31, 2020. Rachmaninoff's

  • This is Hope

    This is Hope

    17/03/2020 Duração: 30min

    We’re in the midst of a global pandemic and, of course, everyone’s attention is focused on COVID-19. Other podcasts have excellent coverage of this situation. In this episode, we’ll be discussing other important infections that continue to affect our communities: HIV, hepatitis C, and syphilis. Over the past year, the UC Davis ED implemented a massive screening effort to identify patients who have become infected. Dr. Larissa May explains how the screening works and some of the surprising trends we’ve seen. Infection rates were higher than expected and many patients had no idea they were infected! One patient tells us how screening positive for HIV, and being connected to care, changed his life.  This topic, as with so many issues we cover, brings up the broader question: what is the role of the emergency department in the healthcare system? We will explore this further in an upcoming episode and we would love to hear from YOU.  What do YOU see as the role of the emergency department in the broader health s

  • We’re not Bats

    We’re not Bats

    04/03/2020 Duração: 11min

    This month’s Heartbeat is about something most of never get enough of: SLEEP. Dr. Katren Tyler, emergency physician and Vice Chair of Wellness for the UC Davis Department of Emergency Medicine, shares some important information about sleep and shift work. Katren recently spoke on this topic at the UC Davis EM Winter Conference in Lake Tahoe. She explains how our sleep patterns change throughout our lives, and how shift work affects our health and our ability to do our job as physicians. She also offers some suggestions for how we can minimize the negative effects of shift work at both the personal and health system levels.  How do you manage sleep and shift work? We’d love to hear from you! Connect with us on social media, @empulsepodcast, or on our website, ucdavisem.com.  Please subscribe 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 Guest: Dr. Katren Tyler, Professor of Emergency Medicine a

  • The State Of Status

    The State Of Status

    18/02/2020 Duração: 32min

    If you’ve ever watched a patient, friend, or family member have a seizure, you know how scary and stressful it can be for everyone involved. It’s even more stressful when you can’t get the seizure to stop - this is called status epilepticus. Usually, benzodiazepines are our first line medication. If benzos don’t work, we all have our favorite second, and even third line agents to try to break seizures. But how well do they really work? Is one better than another? Or safer?  This episode starts with a personal story told by parents of a child who suffers from epilepsy. Then we welcome guest host, Dr. Jason Woods of the Little Big Med podcast, to help us answer these questions. Dr. Jim Chamberlain is the pediatric principal investigator for the ESETT trial, in which he and his colleagues studied three common second line anti epileptic medications. He shares some of the novel statistical methods they used and the results that were recently published in the New England Journal of Medicine. Then we speak with o

  • The Heart of the Matter

    The Heart of the Matter

    07/02/2020 Duração: 12min

    Happy National Women Physicians Day and National Wear Red Day, promoting awareness of heart disease in women! In this month’s Heartbeat, we have the privilege of speaking with the brilliant and visionary Dr. Alyson McGregor. Dr. McGregor is an emergency physician who specializes in sex and gender emergency medicine. She spoke with us about heart disease - the number one killer of women in the US - and how our current algorithms, diagnostic tests, and treatments are flawed. We’ll hear more from Alyson in an upcoming episode, so stay tuned! We’d love to hear from you! Connect with us on social media, @empulsepodcast, or on our website, ucdavisem.com.  *** Register now for the 43rd annual UC Davis Emergency Medicine Winter Conference, February 24th-29th at the Ritz Carlton in Lake Tahoe! *** Please subscribe and leave us a review on iTunes - it helps others discover us!  Host: Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Alyson McGregor, Associate Prof

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