Em Pulse

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 the Rebeat… Let’s talk about the opioid crisis. One woman tells her powerful story of opioid addiction, treatment, and recovery. Then, we discuss the role emergency physicians can play in controlling this epidemic with experts, Dr. Gail D’Onofrio and Dr. Josh Elder.  How do you manage opioid use disorder in your practice? Join the conversation on Social Media @empulsepodcast or at ucdavisem.com Hosts: Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Dr. Julia Magaña, Associate Professor of P

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, @empulsepodcast, via email empulsepodcast@gmail.com, or through our website, ucdavisem.com. Head over to iTunes and leave us a review - it helps us reach more people. And please pass the word along to your friends and colleagues! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guest: Dr. Hoan Nguyen, Assistant Professor of Emergency Medicine and Medical Toxicologist at UC Davis Resources: Tra

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 beneficial to all parties. It’s all about time, money, and power! Was this series helpful to you? Have you been able to put some of these strategies into practice? We’d love to know! Tag us on social media, @empulsepodcast, or reach out via email empulsepodcast@gmail.com, or through our website, ucdavisem.com. Please encourage your friends and colleagues to listen and share their stories, too! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor o

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, including preparation, tactics, and even reading body language, to help us learn the art of a successful negotiation.  Do you find negotiations challenging? What strategies have been most successful for you? Tag us on social media, @empulsepodcast, or reach out via email empulsepodcast@gmail.com, or through our website, ucdavisem.com. Please encourage your friends and colleagues to listen and share their stories, too! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Ju

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 of specific findings. Have you used TEN-4 FACESp to identify potential non-accidental trauma? Share your experience with us via 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 Guest: Dr. Mary Clyde Pierce, Professor of Pediatrics at Northwestern Uni

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 discussed the presentation and emergent stabilization of patients with severe alcohol withdrawal. In part 2, we’ll focus on those patients who can be safely discharged, including ED management and outpatient medications and resources.  Special thanks for Phoebe for sharing her story of her personal battle with alcohol use disorder!  Do you prescribe naltrexone or acamprosate from the ED? How do you safely discharge patients with alcohol use disorder? Tag us on social media, @empulsepodcast, or reach out via email empulsepod

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 the presentation and emergent stabilization of patients with severe alcohol withdrawal.  Special thanks for Phoebe for sharing her story of her personal battle with alcohol use disorder!  What is your go to med for acute alcohol withdrawal? Does your hospital have set protocols? We always appreciate hearing how things are done at different institutions. Tag us on social media, @empulsepodcast, or reach out via email empulsepodcast@gmail.com, or through our website, ucdavisem.com. Please encourage your friends and co

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 developed the BulletPoints Project. BulletPoints is a resource for clinicians and medical educators who are committed to firearm injury prevention.  We’ve covered how to APPROACH patients about gun safety and ASSESS risk, now we learn how to ACT. In the final episode of our series, Dr. Barnhorst explains what we can do as physicians to help mitigate risk. We’ll talk about options, including temporary transfer of firearms to a safe party, psychiatric holds when appropriate, and “red flag” laws that allow for emergent removal

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 developed the BulletPoints Project. BulletPoints is a resource for clinicians and medical educators who are committed to firearm injury prevention.  In the third episode of our gun violence prevention series, we delve into the second step of BulletPoints: ASSESS. Do you talk to your patients about guns? What’s your approach? Tag us on social media, @empulsepodcast, reach out via email empulsepodcast@gmail.com, or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their per

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.com, or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***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 Resources: Episodes referenced: Do I really need to LP a febrile infant with a UTI? Legal Part I: A subpoena is not a party invitation

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 developed the BulletPoints Project. BulletPoints is a resource for clinicians and medical educators who are committed to firearm injury prevention.  In the second episode of our series, we delve into the first step of BulletPoints: approach. Dr. Barnhorst takes us through how to start some of these challenging conversations. Hint: it starts with checking your own beliefs and biases.   Do you talk to your patients about guns? What’s your approach? Tag us on social media, @empulsepodcast, reach out via email empulsepodcast@g

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 developed the BulletPoints Project. BulletPoints is a resource for clinicians and medical educators who are committed to firearm injury prevention.  In the first episode of our series, Dr. Barnhorst provides the background information we need  to understand the scope of firearm violence in the US, and to begin to tackle the issue with practical solutions.  Do you talk to your patients about guns? What’s your approach? Tag us on social media, @empulsepodcast, reach out via email empulsepodcast@gmail.com, or connect through

In this podcast we discuss the prevalence of bacteremia and even more interestingly the prevalence of meningitis in febrile infants

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 next few months aren’t going to be pretty. Go get your flu shot and your bivalent booster!  We got our vaccines, have you?

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 Dr. David Barnes. We get into what it takes to be a medical expert and what to expect when you meet with the legal team and work through a case. There are benefits to being an expert witness, but it can also be a stressful and time consuming endeavor. Is it right for you? Have you acted as an expert witness? What advice to you have for others? Please share! Tag us on social media, @empulsepodcast, or reach out via email empulsepodcast@gmail.com, or connect through our website, ucdavisem.com. Encourage your friends an

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 about being sued and living through a lawsuit. We delve into the importance of charting, including how the EMR can both help and hurt you.  And we address how to handle it when mistakes are made.  Have you had to deal with a malpractice lawsuit? What advice to you have for others? Please share! Tag us on social media, @empulsepodcast, or reach out via email empulsepodcast@gmail.com, or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***Ple

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 lawsuit with Tom Doyle, a Partner at Schuering, Zimmerman & Doyle who has 40 years of experience in the field.  Have you had to deal with a malpractice lawsuit? What advice to you have for others? Please share! Tag us on social media, @empulsepodcast, or reach out via email empulsepodcast@gmail.com, or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts:

*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 our series, we talk about being a percipient witness. It’s not uncommon for EM physicians to be subpoenaed to testify as a percipient witness, so let’s delve into what that means and what you should do if you find yourself in this role. What kinds of experiences have you had with the legal system? Please share! Tag us on social media, @empulsepodcast, or reach out via email empulsepodcast@gmail.com, or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspecti

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. What kinds of experiences have you had with the legal system? Please share! Tag us on social media, @empulsepodcast, or reach out via email empulsepodcast@gmail.com, or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***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 Emerge

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! It helps us reach more people.*** Host: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Guest: Chris Adams, Clinical Senior Pharmacist 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. Resources: Farmer BM, Hayes BD, Rao R, Farrell N, Nelson L. The role of clinical pharmacists in the emergency department. J Med Toxicol. 2018;14(1):114-116. Acquisto NM