EM Pulse Podcast™

Latest Episodes:

Packing for the Unexpected Jun 05, 2025

Show notes

Summer travel is in full swing and, for physicians, that means more than just packing swimsuits and sunscreen. In this episode of EM Pulse, we sit down with wilderness medicine expert, Dr. Mary Bing, to unpack the real-world essentials of travel medical kits. From duct tape and whistles to epinephrine and steroids, you’ll learn what to bring, how to tailor your supplies based on destination and group, and why your role as a physician—formal or not—comes with extra responsibilities. Whether you’re headed to the Alps or the backyard, this episode is your go-to guide for staying medically prepared on the move. Don’t just travel light—travel smart. What’s in your first aid kit? Hit us op on on social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Dr. Mary Bing, Professor of Emergency Medicine and Assistant EM Residency Program Director at UC Davis Resources: Surviving a Wilderness Emergency by Peter Kummerfeldt ACEP: First Aid Kit U.S. Customs and Border Protection: Traveling with medication *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

AI After Hours: Tools for medical educators and lifelong learners May 17, 2025

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In this follow-up to our artificial intelligence in EM series, we’re diving into how AI can enhance your professional life outside of clinical shifts. Joined by Dr. Jaymin Patel—Assistant Residency Program Director and tech-savvy educator—we explore three practical AI tools that can streamline teaching, content creation, communication, and even how you consume literature on your commute. From ChatGPT to DALL·E to NotebookLM, we break down what each tool does, how to use it effectively, what pitfalls to avoid, and how even non-educators can leverage them. Tune in to learn how to use AI intentionally, efficiently, and ethically in your day-to-day professional life. Are you using AI in your professional life? What’s your favorite tool? Share your experience with us on social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Dr. Jaymin Patel, Assistant Professor of Emergency Medicine and Assistant EM Residency Program Director at UC Davis Resources: Nivritti Gajanan Patil, Nga Lok Kou, Daniel T. Baptista-Hon, Olivia Monteiro. Artificial Intelligence in Medical Education: A Practical Guide for Educators. MedComm – Future MedicineVolume 4, Issue 2 e70018. First published: 02 April 2025 https://doi.org/10.1002/mef2.70018 ChatGPT DALL•E NotebookLM **** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

Methadone Matters: Treating OUD in the Fentanyl Era May 07, 2025

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In this episode of EM Pulse, Dr. Daniel Hernandez, an emergency medicine and addiction specialist at UC Davis, joins the team to spotlight methadone—one of the original and still powerful tools for treating opioid use disorder (OUD). While newer medications like buprenorphine often steal the spotlight, methadone remains a critical option, especially in the era of fentanyl. Tune in for a practical conversation on when and how to initiate methadone in the ED, navigating regulatory barriers, arranging follow-up at opioid treatment programs, and managing pain in patients already on methadone. Whether you’re new to methadone or looking to sharpen your approach, this episode offers real-world insights and actionable pearls Have you started methadone from the ED? Share your experience with us on social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Dr. Daniel Hernandez, Assistant Professor of Emergency Medicine and Assistant Director of the Addiction Medicine Fellowship at UC Davis Resources: CA Bridge ACEP/CA Bridge - Methadone Hospital Quick Start Liberate Methadone: An Introduction for the Emergency Medicine Physician By Terence M. Hughes, MD; Joan Chen, MD; and Utsha G. Khatri, MD, MSHP | on April 14, 2025 *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

Push Dose Pearls: Reversing Anticoagulants Apr 18, 2025

Show notes

This is the next episode of our Push Dose Pearls miniseries with ED Clinical 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. In this epsidoe, we unpack the complexities of anticoagulation reversal in the emergency department - It’s not just about vitamin K anymore! Tune in as we explore the key reversal agents, when and why to use them, how fast they work, and the risks that come with turning off anticoagulation. From bleeding emergencies to stroke prevention, this quick dive offers practical pearls for navigating the coagulation cascade in real time. Have you had a bad GI bleed or intracranial hemorrhage in a patient on thinners?. Share your story with us on social media or at ucdavisem.com. Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Christopher Adams, PharmD, Emergency Department Senior Clinical Pharmacist and former Assistant Professor at UC Davis Resources: Baugh CW, Levine M, Cornutt D, et al. Anticoagulant Reversal Strategies in the Emergency Department Setting: Recommendations of a Multidisciplinary Expert Panel. Ann Emerg Med. 2020 Oct;76(4):470-485. doi: 10.1016/j.annemergmed.2019.09.001. Epub 2019 Nov 13. PMID: 31732375; PMCID: PMC7393606. ACEP Point of Care Tools: Anticoagulation Reversal. **** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

Rewriting Residency: What ACGME’s Proposal Means for EM Apr 03, 2025

Show notes

Big news for emergency medicine residencies! The ACGME is proposing several major changes to EM program requirements. To comply with these new requirements, programs would need to be 4 years long. This is a hotly debated topic at the moment as most EM residencies in the U.S. currently are 3 year programs. So what are the proposed changes? How would they affect the curriculum and training for future EM physicians? To answer these questions, we sit down with UC Davis EM Program Director and medical education specialist, Dr. Aaron Danielson. What do you think of these proposed changes? We’d love to hear from you. We’re on social media @empulsepodcast or connect with us on ucdavisem.com Host: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Guest: Dr. Aaron Danielson, Associate Professor of Emergency Medicine and Emergency Medicine Residency Program Director at UC Davis Resources: Share your comments with the ACGME ACEP: ACGME Releases Proposed Changes to EM Program Requirements UC Davis Emergency Medicine Residency Program *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services. Disclaimer

Advocacy IV: Change Through Legislation – a Mother-Daughter Journey Mar 20, 2025

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In the fourth and final episode of our advocacy mini series with guest host, Dr. Anna Yap, we dive into a powerful story of advocacy led by a mother-daughter duo. Pediatric nurse practitioner Robyn Lao and her 9-year-old daughter, Addie, who has severe food allergies, turned their personal challenges into a statewide movement by co-authoring California Senate Bill 68—the Allergen Disclosure for Dining Experiences (ADDE) Act. Together, they share their journey from navigating daily food allergy struggles to pushing for legislative change, proving that anyone, at any age, can make a difference. Tune in to hear how their determination is shaping a safer future for millions. Have you been involved in health care related legislation? Share your story with us on social media @empulsepodcast or at ucdavisem.com Host: Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guest Host: Dr. Anna Yap, Assistant Professor of Emergency Medicine and Director and Health Policy & Administration Fellowship Director at UC Davis Guest: Robyn Lao, D.N.P., C.P.N.P.-A.C., Pediatric Surgery Nurse Practitioner at UC Davis Addie Lao, 9-year-old Food Allergy Advocate Resources: Addie’s website: Addie Tells All Addie’s Video and YouTube Channel California SB 68: The Allergen Disclosure for Dining Experiences (ADDE) Act ACEP: Tools for Effective State Advocacy **** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services. Disclaimer

Advocacy III: Transgender Health Equity Mar 05, 2025

Show notes

In the third episode of our advocacy mini series with Dr. Anna Yap, we explore the evolving challenges faced by transgender patients and medical professionals in today’s political climate. We’re joined by Charlie Adams, a fourth-year medical student and dedicated advocate, who shares his powerful journey fighting for transgender rights and health equity. Together, we discuss the importance of gender-affirming care, the real-world impact of restrictive laws, and how we can improve emergency department care for transgender patients. Tune in for an insightful conversation on advocacy, inclusivity, and the role we all play in creating a more supportive healthcare system. How have your patients and your practice environment been affected by legal and political changes in transgender rights? Share your story with us on social media @empulsepodcast or at ucdavisem.com Host: Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guest Host: Dr. Anna Yap, Assistant Professor of Emergency Medicine and Director and Health Policy & Administration Fellowship Director at UC Davis Guest: Charlie Adams, Medical Student, Future Emergency Physician, and Transgender Health Advocate Resources: Charlie Adams’ Instagram: @transproudmed ACEP: Caring for Transgender and Gender Diverse Patients in the Emergency Department Clarifying Misconceptions About Youth Gender-Affirming Care. By Center for Health Journalism Fellow, Sophie Putka. May 22, 2024 Trans adults on edge as legislatures broaden focus beyond children. Washington Post, February 15, 2024 Gender-affirming care is life-saving, research says. Why is it so controversial? by David Oliver, USA Today, Nov 1, 2023 *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services. Disclaimer

Advocacy II: Serving our Immigrant Patients Feb 20, 2025

Show notes

In the second episode of our advocacy mini series with Dr. Anna Yap, we dive into the critical intersection of emergency medicine and immigration health. As emergency physicians, we frequently care for undocumented patients, asylum seekers, and refugees—individuals who face significant barriers to medical care, including fear, cost concerns, and language obstacles. Dr. Ellen Shank, a UC Davis health policy fellow and expert in migrant healthcare, joins us to explore the legal and ethical responsibilities of emergency providers, including how to navigate interactions with immigration enforcement, protect patient rights, and provide trauma-informed care. We’ll discuss practical ways physicians can advocate for these vulnerable populations, from facilitating asylum medical exams to supporting protective hospital policies. Tune in for an essential discussion on how emergency physicians can go beyond medical treatment to become informed advocates for their patients in an evolving immigration landscape. Has ICE come to your ED? Share your story with us on social media @empulsepodcast or at ucdavisem.com Host: Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guest Host: Dr. Anna Yap, Assistant Professor of Emergency Medicine and Director and Health Policy & Administration Fellowship Director at UC Davis Guest: Dr. Ellen Shank, Emergency Physician and Health Policy Fellow at UC Davis. Resources: ACEP: Navigating Immigration Enforcement in the Emergency Department Red Cards/Tarjetas Rojas (download and print in multiple languages) Q&A on Immigration Enforcement for Hospitals (Greater New York Hospital Association) “Know Your Rights” video for patients in several languages (Immigration Institute of the Bay Area) *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services. Disclaimer

Advocacy I: From Trauma Bay To Picket Line Feb 07, 2025

Show notes

When corporate interests threaten patient care, who speaks up for doctors and their patients? This episode kicks off a special EM Pulse mini-series with guest host, Dr. Anna Yap, in which we explore the power of advocacy in medicine. In our first episode, Dr. Michelle Wiener shares how she and her colleagues took on a private equity-backed staffing group, formed a union, and fought for safer working conditions—proving that real change starts from within. Whether you’re new to advocacy or already involved, this series will inspire you to take action. Have you or you colleagues considered collective bargaining to address concerns in your ED? We’d love to hear from you on social media @empulsepodcast or at ucdavisem.com Host: Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guest Host: Dr. Anna Yap, Assistant Professor of Emergency Medicine and Director and Health Policy & Administration Fellowship Director at UC Davis Guest: Dr. Michelle Wiener, Emergency Physician and Clinical Faculty at Henry Ford Health in Detroit, MI. mrsdrwiener@gmail.com Resources: ACEP: Unionization Unionization. An Information Paper This information paper was created by members of the ACEP Medical-Legal Committee June 2024 AMA Advocacy Resource Center ***** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services. Disclaimer

AI in EM – Part 3: Skynet Hasn’t Got A Chance! Jan 27, 2025

Show notes

In this final installment of our three-part series on artificial intelligence in emergency medicine, we explore the rapid expansion of AI and its implications for clinical practice. In previous episodes, we explored how AI is revolutionizing tasks like diagnosis, treatment planning, and patient monitoring. In this final chapter, guest expert, Dr. Brian Patterson, joins us to discuss how to safely integrate AI into clinical practice. We recap insights from previous episodes, including AI’s transformative potential and real-world applications, while diving into the challenges and regulatory efforts shaping this exploding field. Whether you’re an AI skeptic or an early adopter, this episode unpacks what you need to know about integrating AI safely and effectively into emergency medicine. How are you using AI in your ED? What are your concerns and hopes for the future of AI in medicine? Keep the discussion going on social media @empulsepodcast or at ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guest: Dr. Brian Patterson, Associate Professor Emergency Medicine and Physician Administrative Director of Clinical AI at the University of Wisconsin. Resources: Liao F, Adelaine S, Afshar M, Patterson BW. Governance of Clinical AI applications to facilitate safe and equitable deployment in a large health system: Key elements and early successes. Front Digit Health. 2022 Aug 24;4:931439. doi: 10.3389/fdgth.2022.931439. PMID: 36093386; PMCID: PMC9448877. Mello MM, Guha N. Understanding Liability Risk from Using Health Care Artificial Intelligence Tools. N Engl J Med. 2024 Jan 18;390(3):271-278. doi: 10.1056/NEJMhle2308901. PMID: 38231630. OpenEvidence.com *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

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