EM Pulse Podcast™

Latest Episodes:

Glucose = Brain Oct 03, 2020

Show notes

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. Cognitive Function Following Diabetic Ketoacidosis in Children With New-Onset or Previously Diagnosed Type 1 Diabetes. Diabetes Care. 2020 Sep 22:dc200187. doi: 10.2337/dc20-0187. Epub ahead of print. PMID: 32962981. https://care.diabetesjournals.org/content/early/2020/09/10/dc20-0187.long *** 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.

The Alexandria Plan Sep 18, 2020

Show notes

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 Resources: Anyone, Anything, Anytime - a History if Emergency Medicine (2nd edition) by Dr. Brian Zink In Memory of Dr. Peter Rosen, a Founder of Emergency Medicine. George Podgorny, MD, Advocate and Architect of Emergency Medicine Rosen P. The biology of emergency medicine. JACEP. 1979;8(7):280-283. doi:10.1016/s0361-1124(79)80226-9 Emergency Physicians Gear up for Specialty Approval. Originally published in Hospital Practice in October, 1975 *** 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.

Residency Recruiting in the Time of COVID Sep 04, 2020

Show notes

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 Resources: UC Davis Emergency Medicine Residency Program Hammoud MM, Standiford T, Carmody JB. Potential Implications of COVID-19 for the 2020-2021 Residency Application Cycle [published online ahead of print, 2020 Jun 3]. JAMA. 2020;10.1001/jama.2020.8911. doi:10.1001/jama.2020.8911 ACEP Concensus Statement on the 2020-2021 Residency Application Process for U.S. Medical Students Planning Carter’s in Emergency Medicine in the Main Residency Match *** 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.

“Less Lethal” Crowd Control Aug 18, 2020

Show notes

“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 injuries from so called non lethal crowd control methods? Share your thoughts 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 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. Kara Toles, Assistant Professor of Emergency Medicine and Director of Diversity Equity and Inclusion for the Department of Emergency Medicine at UC Davis Dr. James Chenoweth , Assistant Professor of Emergency Medicine and Medical Toxicologist at UC Davis Resources: This Week in Toxicology Tear Gas, Pepper Spray, and Rubber Bullets: A Primer Penetrating Injuries from “Less Lethal” Beanbag Munitions. Correspondence in the New England Journal of Medicine, by Dr. Kristofor A. Olson et al. August 14 2020. Sacramento Street EMS Sacramento Anti Police-Terror Project *** 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.

MIS-C—What do we do??? Aug 03, 2020

Show notes

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 should think about it, and what we should do. Have you seen a child with MIS-C? What tipped you off? Send us your answer via 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. Natasha Nakra, MS Associate professor of pediatrics, Pediatric Infectious Disease Specialist at UC Davis Resources: Nakra, N.A.; Blumberg, D.A.; Herrera-Guerra, A.; Lakshminrusimha, S. Multi-System Inflammatory Syndrome in Children (MIS-C) Following SARS-CoV-2 Infection: Review of Clinical Presentation, Hypothetical Pathogenesis, and Proposed Management. Children 2020, 7, 69. CDC Multi-inflammatory syndrome: for healthcare providers. https://www.cdc.gov/mis-c/hcp/index.html

From Ally to Advocate Jul 18, 2020

Show notes

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 recently gave a talk on taking allyship to the next level. We are still learning to be better advocates and welcome your comments and 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.*** Host: Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Colleen Sweeney, Professor of Biochemistry and Molecular Medicine at the UC Davis School of Medicine Resources: Ibram X. Kendi, author of How to be an Anti-Racist, Stamped from the Beginning: the Definitive History of Racist Ideas in America, and others books Tervalon M, Murray-García J. Cultural humility versus cultural competence: a critical distinction in defining physician training outcomes in multicultural education. J Health Care Poor Underserved. 1998;9(2):117-125. doi:10.1353/hpu.2010.0233 Award winning documentary From the Community to the Classroom AAMC MedEdPortal: Antiracism in Medicine Collection AAMC: Racism and Health UC Davis Office of Diversity, Equity & Inclusion *** Register now for the 17th annual Emergency Medicine Update: Hot Topics 2020, November 3rd through 7th at the Fairmont Kea Lani in Maui! 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.

Surge – Part 2 Jul 04, 2020

Show notes

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.*** 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. John Rose, Professor of Emergency Medicine at UC Davis and Medical Director for Yolo Emergency Medical Services Agency (YEMSA) Dr. Daniel Colby, Assistant Professor of Emergency Medicine and member of the ED Clinical Operations Team at UC Davis Resources: California Hospital Association Emergency Preparedness Hospital Incident Command System (HICS) Pediatric Overflow Planning Contingency Response Network (POPCoRN) ********************************************************************************************* Register now for the 17th annual Emergency Medicine Update: Hot Topics 2020, November 3rd through 7th at the Fairmont Kea Lani in Maui! 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.

Surge – Part 1 Jun 18, 2020

Show notes

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 operations points of view - coming July 3rd! ***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. Leslie Palmerlee, Assistant Professor of Emergency Medicine at LSU/University Medical Center in New Orleans, LA Dr. Alfredo Astua, Chair of Pulmonary Critical Care and Sleep Medicine at Elmhurst Hospital, Mount Sinai Services in Queens, NY Resources: US Department of Health and Human Services public health emergency preparedness resources ACEP National Strategic Plan for Emergency Department Management of Outbreaks of COVID-19 ********************************************************************************************* Register now for the 17th annual Emergency Medicine Update: Hot Topics 2020, November 3rd through 7th at the Fairmont Kea Lani in Maui! 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.

Lessons learned from NYC Jun 03, 2020

Show notes

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 May 19, 2020

Show notes

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 in the Department of Emergency Medicine. Dr. Makini Chisholm-Straker, Assist Professor of Emergency Medicine at The Icahn School of Medicine, and works at Mt. Sinai Hospital, NYC Resources: Chisholm-Straker, M. COVID-19 is Our Chance at Rebirth. Medium.com. Accessed on May 18, 2020. https://medium.com/undercurrents-press/rebirthviacovid-369e073d7654 Wadhera RK, Wadhera P, Gaba P, et al. Variation in COVID-19 Hospitalizations and Deaths Across New York City Boroughs [published online ahead of print, 2020 Apr 29]. JAMA. 2020;e207197. doi:10.1001/jama.2020.7197 https://jamanetwork.com/journals/jama/fullarticle/2765524?guestAccessKey=bea1171d-1ecd-49df-a55f-2e11ed68ec40&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jama&utm_content=olf&utm_term=042920 Miller, H. Navajo Nation 3rd highest “state” per capita infections. Huffpost online May 14, 2020. https://m.huffpost.com/us/entry/us_5e94b532c5b6a50d4ae6d7e7 Kara, H. The coronavirus pandemic is hitting black and brown Americans especially hard on all fronts. CNN online. May 8, 2020. https://www.cnn.com/2020/05/08/us/coronavirus-pandemic-race-impact-trnd/index.html Racial Data Transparency: States that have released breakdowns of COVID-19 data by race. Johns Hopkins Coronavirus Resource Center. Accessed on May 16, 2020. https://coronavirus.jhu.edu/data/racial-data-transparency 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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