EM Pulse Podcast™

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2021: Looking back and moving forward Jan 04, 2022

Show notes

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 empulsepodcast@gmail.com, 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.

Changemakers Dec 17, 2021

Show notes

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.

Space Medicine Dec 06, 2021

Show notes

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.

Workforce Nov 18, 2021

Show notes

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.

Covid-19 Kids Vaccine Considered Nov 04, 2021

Show notes

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

A Mandate For Health Oct 18, 2021

Show notes

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.

Women in PEM Sep 30, 2021

Show notes

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 Sep 17, 2021

Show notes

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

Youth Violence Prevention Aug 29, 2021

Show notes

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.

Meth: Agitated Delirium Aug 18, 2021

Show notes

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.

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