154 episodes

We invite you to join us on EM Pulse Podcast™ as we delve into current topics in Emergency Medicine through fascinating cases, interviews with authors of groundbreaking research, and discussion with clinical experts in adult and pediatric EM. Let’s learn together from these amazing people who are changing the landscape of clinical care.

EM Pulse Podcast‪™‬ UC Davis Department of Emergency Medicine

    • Health & Fitness
    • 4.9 • 92 Ratings

We invite you to join us on EM Pulse Podcast™ as we delve into current topics in Emergency Medicine through fascinating cases, interviews with authors of groundbreaking research, and discussion with clinical experts in adult and pediatric EM. Let’s learn together from these amazing people who are changing the landscape of clinical care.

    Push Dose Pearls: Intranasal Medications

    Push Dose Pearls: Intranasal Medications

    In this episode of our ongoing miniseries "Push Dose Pearls," we discuss the use of intranasal medications in the emergency department with Chris Adams, an ED clinical pharmacist at UC Davis. We talk about the benefits of intranasal administration, intranasal medications, and advantages for pediatric patients.



    Did this episode change your practice? Let us know 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 Pediatric Emergency Medicine at UC Davis



    Guests:



    Christopher Adams, PharmD, Emergency Department Senior Clinical Pharmacist and Assistant Professor at UC Davis

    ***

    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.



     



     

    • 15 min
    Navigating Breastfeeding As An EM Physician

    Navigating Breastfeeding As An EM Physician

    Navigating breastfeeding as an EM physician



    In the previous two episodes, we explored some of the challenges related to fertility and pregnancy for EM physicians. In the final episode of our three part series, we take it one step further to discuss yet another challenge: breastfeeding. Of course, fed is always best, and there are many reasons to formula feed, but providing breastmilk is very important to many families. For EM physicians, choosing to breastfeed usually means figuring out how to pump and store milk while you’re on shift. This can be daunting, especially for residents and junior physicians. How do you find time to sneak away? Is there an easily accessible pumping room close by? Will you feel supported by colleagues and your department? We cover these questions and much more with experts, Dr. Claire Abramoff, and Dr. Shada Rouhani. 



    Does your ED have policies to support breastfeeding and pumping? Share your experience with us on social media @empulsepodcast or at ucdavisem.com



    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. Claire Abramoff, Assistant professor at Jefferson, Sidney Kimmel Medical Center College and Assistant Residency Program Director, Department of Emergency Medicine, Einstein Medical Center in Philadelphia, PA



    Dr. Shada Rouhani, Assistant Professor of Emergency Medicine at Harvard Medical School and Emergency Physician at Brigham and Women’s Hospital in Boston, MA



    Resources:



    Practice Management Breastfeeding Disasters and Solutions for EPs, by Claire Abramoff, MD, for Emergency Medicine News, March 14, 2023. 



    Cleveland Manchanda EC, Vogel LD, Kass D, Rouhani SA. Best Practices for Lactation Support at Conferences and Standardized Testing Centers. Obstet Gynecol. 2020 Feb;135(2):475-478. doi: 10.1097/AOG.0000000000003661. PMID: 31923075.



    McDonald L, Illg Z, Dow A, Gunaga S. Maternity Experiences and Perceptions of Emergency Medicine Physicians. Spartan Med Res J. 2021 Apr 13;6(1):22009. doi: 10.51894/001c.22009. PMID: 33870004; PMCID: PMC8043905.

    *****

    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.

    PECARN Spotlight: Tools Validated

    PECARN Spotlight: Tools Validated

    In this episode, we delve into a pivotal multi-center study validating the Pediatric Emergency Care Applied Research Network (PECARN) prediction rules for using CT imaging in children with blunt abdominal and minor head trauma. We discuss with the authors the study's impact, how these validated rules can optimize pediatric trauma care, minimize radiation risks, and what this means for emergency practices worldwide. This conversation not only sheds light on the study's intricate processes and outcomes, but also emphasizes the vital role of evidence-based guidelines in enhancing patient safety and care quality.



    Host:



    Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis



    Guests:



    Dr. Nate Kuppermann, Pediatric Emergency Physician, Professor and Chair of the UC Davis Department of Emergency Medicine, Founding Chair of the PECARN Steering Committee



    Dr. James Holmes, Professor of Emergency Medicine at UC Davis



    Resources:



    Holmes JF, Yen K, Ugalde IT, Ishimine P, Chaudhari PP, Atigapramoj N, Badawy M, McCarten-Gibbs KA, Nielsen D, Sage AC, Tatro G, Upperman JS, Adelson PD, Tancredi DJ, Kuppermann N. PECARN prediction rules for CT imaging of children presenting to the emergency department with blunt abdominal or minor head trauma: a multicentre prospective validation study. Lancet Child Adolesc Health. 2024 May;8(5):339-347. doi: 10.1016/S2352-4642(24)00029-4. PMID: 38609287.



    https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(24)00029-4/abstract

    *****

    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.

    • 32 min
    Navigating Pregnancy As An EM Physician

    Navigating Pregnancy As An EM Physician

    Pregnancy is common during medical training and in the early years as an attending physician, as these stages often align with individuals’ reproductive potential. The experience can vary widely depending on factors such as workplace dynamics, scheduling, and the physical demands of the job. But let’s be real - running around a busy ED while carrying extra weight, feeling nauseated (maybe vomiting), and managing all of the physical and emotional changes that come with pregnancy is a real challenge that many of us have lived. There are numerous considerations to navigate, from how we wish to be perceived as a team member to the risks posed by the workload on our bodies. Additionally, departmental or hospital policies may have financial implications that further complicate the situation. Join us as and Dr. Katren Tyler - EM physician and mother of two - as we break it all down.



    This the second episode in our three part series on infertility, pregnancy and breastfeeding as an Emergency Physician. If  you missed it, go back and check out part 1! And stay tuned for our final episode of the series where we’ll delve into some of the challenges surrounding breastfeeding and pumping in the ED. 



    Does your ED have policies to help support people through pregnancy? Share your experience with us 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 Pediatric Emergency Medicine at UC Davis



    Guests:



    Katren Tyler, Professor of Emergency Medicine and Vice Chair of Geriatric Emergency Medicine and Wellness at UC Davis



    Resources:



    Tips for Pregnancy EM Physicians, by Sandra Williams, DO (ACEP)



    MacVane CZ, Fix ML, Strout TD, et al. Congratulations, You're Pregnant! Now About Your Shifts . . . : The State of Maternity Leave Attitudes and Culture in EM. West J Emerg Med. 2017 Aug;18(5):800-810. doi: 10.5811/westjem.2017.6.33843. Epub 2017 Jul 17. PMID: 28874931; PMCID: PMC5576615.

    *****

    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.

    • 31 min
    Navigating Infertility As An EM Physician

    Navigating Infertility As An EM Physician

    This the first episode in our three part series on infertility, pregnancy and breastfeeding as an Emergency Physician. In this installment, we shine a light on the often unspoken struggles of infertility among physicians, specifically focusing on the emergency medicine community. Join us and expert, Dr. Melissa Parsons, as we delve into the personal experiences, professional challenges, and nuanced perspectives of emergency physicians navigating the complex journey of infertility.



    In part two, we’ll explore what it’s like to be a pregnant as an EM physician, and in our final episode of the series, we’ll talk about some of the challenges surrounding breastfeeding and pumping in the ED. 



    Do you have questions about fertility as an EM Physician? Or want to share your own experience?  Hit us up 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 Pediatric Emergency Medicine at UC Davis



    Guests:



    Dr. Melissa Parsons, Associate Professor of Emergency Medicine and Associate Residency Program Director at University of Florida College of Medicine in Jacksonville, FL



    Resources:



    Physicians should talk about the F word: fertility. Melissa E. Parsons, MD Physician  March 3, 2019. KevinMD.com 



    Levy MS, Kelly AG, Mueller C, et al. Psychosocial Burdens Associated With Family Building Among Physicians and Medical Students. JAMA Intern Med. 2023 Sep 1;183(9):1018-1021. doi: 10.1001/jamainternmed.2023.2570. PMID: 37486671; PMCID: PMC10366942.



    Parsons M, Mannix A, Gore K, et al. The current landscape of emergency medicine resident scheduling. AEM Educ Train. 2024 Jan 16;8(1):e10926. doi: 10.1002/aet2.10926. PMID: 38235394; PMCID: PMC10790185..



    Pfennig CL, Wilson CA, Britt TW, et al. A comparative analysis on fertility success among physician specialties. Acad Emerg Med. 2022 Jun;29(6):792-794. doi: 10.1111/acem.14463. Epub 2022 Feb 27. PMID: 35178827; PMCID: PMC9305146.

    *****

    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.

    • 34 min
    PHOENIX: A Better Way To Look At Peds Sepsis

    PHOENIX: A Better Way To Look At Peds Sepsis

    If you practice in emergency medicine you probably live on the look out for sepsis.  You likely follow the 2016 Sepsis-3 guidelines for adults which really was a paradigm shift from an infection-associated SIRS, to infection-associated organ dysfunction with the SOFA score or sequential organ failure assessment score of at least 2 points in patients with suspected infection. However, the definition of sepsis in kids was not updated at that time in part because SOFA was not studied in children. That means that our current pediatric guidelines are from 2005! Good news though! The Phoenix sepsis criteria for sepsis and septic shock in children were derived and validated by the international SCCM Pediatric Sepsis Definition Task Force and we interviewed two of the task force members to help us operationalize it on our podcast.



    Connect with us on social media @empulsepodcast or at ucdavisem.com



    Host:



    Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis



    Guests:



    Dr. Halden Scott, Associate Professor of pediatrics a the university of Colorado and pediatric emergency physician at the children’s hospital Colorado



    Dr. Fran Balamuth, Associate professor of pediatrics at Perlman school of medicine at the university of Pennsylvania, attending physician in the ED at CHOP, co-director of the pediatric sepsis program at CHOP



    Resources:



    The Phoenix sepsis criteria for sepsis and septic shock in children. Schlapbach LJ, Watson RS, Sorce LR, Argent AC, Menon K, Hall MW, Akech S, Albers DJ, Alpern ER, Balamuth F, Bembea M, Biban P, Carrol ED, Chiotos K, Chisti MJ, DeWitt PE, Evans I, Flauzino de Oliveira C, Horvat CM, Inwald D, Ishimine P, Jaramillo-Bustamante JC, Levin M, Lodha R, Martin B, Nadel S, Nakagawa S, Peters MJ, Randolph AG, Ranjit S, Rebull MN, Russell S, Scott HF, de Souza DC, Tissieres P, Weiss SL, Wiens MO, Wynn JL, Kissoon N, Zimmerman JJ, Sanchez-Pinto LN, Bennett TD; Society of Critical Care Medicine Pediatric Sepsis Definition Task Force. International Consensus Criteria for Pediatric Sepsis and Septic Shock. JAMA. 2024 Feb 27;331(8):665-674. doi: 10.1001/jama.2024.0179. PMID: 38245889; PMCID: PMC10900966.

    *****

    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.

    • 22 min

Customer Reviews

4.9 out of 5
92 Ratings

92 Ratings

pppppoppoollkllll ,

Fantastic Podcast

This is one of the best medical podcasts out there. Love the cutting edge topics and the engaging format. A must listen

Tnics ,

Great content. Great audio and production quality.

Truly one of the best produced podcasts in the medical space, with amazing content from great hosts covering a breadth of topics with fantastic guests.

staeces ,

Excellent

... great speakers w great audio. I like the no wasted space in time, always succinct & informative.
Re recent podcast:
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