EM Pulse Podcast‪™‬ UC Davis Emergency Department

***Trigger warning: this episode includes discussion of child abuse***



As emergency physicians, we are uniquely positioned to identify and address child abuse, or non-accidental trauma (NAT). It’s a challenging part of our job, but our vigilance can save a child’s life. Signs of abuse can often be subtle, but there are some very specific findings that should make us consider NAT. In this episode, we talk with expert, Dr. Mary Clyde Pierce, about her recently published paper, coauthored by our own Dr. Julia Magaña, validating the TEN-4 FACESp clinical decision rule to predict abuse in young children. 



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 University, Pediatric Emergency Physician and Director of Child Abuse Research at Laurie Children’s Hospital.



Resources:



Pierce MC, Kaczor K, Lorenz DJ, Bertocci G, Fingarson AK, Makoroff K, Berger RP, Bennett B, Magana J, Staley S, Ramaiah V, Fortin K, Currie M, Herman BE, Herr S, Hymel KP, Jenny C, Sheehan K, Zuckerbraun N, Hickey S, Meyers G, Leventhal JM. Validation of a Clinical Decision Rule to Predict Abuse in Young Children Based on Bruising Characteristics. JAMA Netw Open. 2021 Apr 1;4(4):e215832. doi: 10.1001/jamanetworkopen.2021.5832.



Lorenz DJ, Pierce MC, Kaczor K, Berger RP, Bertocci G, Herman BE, Herr S, Hymel KP, Jenny C, Leventhal JM, Sheehan K, Zuckerbraun N. Classifying Injuries in Young Children as Abusive or Accidental: Reliability and Accuracy of an Expert Panel Approach. J Pediatr. 2018 Jul;198:144-150.e4. doi: 10.1016/j.jpeds.2018.01.033. Epub 2018 Mar 15. PMID: 29550228; PMCID: PMC6019119.



CDC Morbidity and Mortality Weekly Report: Trends in US Emergency Department Visits Related to Suspected or Confirmed Abuse and Neglect Among Children and Adolescents Aged 18 Years Before and During the COVID-19 Pandemic - United States, January 2019-September 2020

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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.

Happy spring, everyone! This Heartbeat is all about joy and community, so come along with me to Macedonia Baptist Church in Sacramento, California, where community leaders, Pastor Jeffrey Johnson and Derrell Roberts, teamed up with Dr. Kevin Mackey, Medical Director for Sacramento Regional Fire, and UC Davis Emergency Medicine providers to offer COVID vaccinations to the local community. Equitable vaccine distribution is an ongoing concern across the US and, according to a recent CDC report (linked below), our most vulnerable communities are still under vaccinated. In Sacramento County and across the country, local physicians, administrators and community leaders are coming up with new strategies to reach these communities, including partnering with trusted community leaders. When things come together, the results are amazing, and the vaccine clinic at Macedonia Baptist is a shining example of this. 



What innovative strategies have you seen in your community to work toward vaccine equity? Share your ideas 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.***



And please pass the word along to your friends and colleagues!



Host:



Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis



Guests:



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



Larry Gomez, NP, Nurse Practitioner in the Department of Emergency Medicine



Dr. Kara Toles, Assistant Professor of Emergency Medicine and Director of Equity and Inclusion for the UC Davis Department of Emergency Medicine



Pastor Jeffrey Johnson, Pastor at Macedonia Baptist Church in Sacramento, CA



Macedonia Baptist Church community members



Resources:



Hughes MM, Wang A, Grossman MK, et al. County-Level COVID-19 Vaccination Coverage and Social Vulnerability - United States, December 14, 2020-March 1, 2021. MMWR Morb Mortal Wkly Rep. 2021 Mar 26;70(12):431-436. doi: 10.15585/mmwr.mm7012e1. PMID: 33764963.



Vaccines are about to become a free-for-all. Here’s how to ensure it’s done equitably.  Opinion by Harald Schmidt, Lawrence O. Gostin and Michelle Williams. The Washington Post. March 30, 2021



Macedonia Baptist Church of Sacramento



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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.

Last month, Dr. Josh Elder spoke with us about UC Davis Express Care allows patients to see a doctor via virtual urgent care visits. In this episode, we explore a different side of telemedicine: teleconsults. Dr. Jim Marcin is Director of the UC Davis Center for Health and a pioneer in telemedicine. As a Pediatric Critical Care Physician, Dr. Marcin has been facilitating tele consults for physicians at rural hospitals to help provide the expertise needed for care for critically ill children. He explains the current model he and his colleagues are using, the data to support what works (and what doesn’t), and a glimpse into what he might expect in the future as telehealth becomes more widely available. 



Have you tried telemedicine, either as a patient of provider? 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. Jim Marcin, Professor of Pediatrics and Pediatric Critical Care, Vice Chair of Pediatric Clinical Research, and Director for the UC Davis Center for Health and Technology.



Resources:



UC Davis Center for Health and Technology



CDC: About Rural Health



Sauers-Ford HS, Hamline MY, Gosdin MM, Kair LR, Weinberg GM, Marcin JP, Rosenthal JL. Acceptability, Usability, and Effectiveness: A Qualitative Study Evaluating a Pediatric Telemedicine Program. Acad Emerg Med. 2019 Sep;26(9):1022-1033. doi: 10.1111/acem.13763. Epub 2019 May 2. PMID: 30974004; PMCID: PMC6732030.



Marcin JP, Shaikh U, Steinhorn RH. Addressing health disparities in rural communities using telehealth. Pediatr Res. 2016 Jan;79(1-2):169-76. doi: 10.1038/pr.2015.192. Epub 2015 Oct 14. PMID: 26466080.



Sauers-Ford HS, Marcin JP, Underwood MA, Kim JH, Nicolau Y, Uy C, Chen ST, Hoffman KR. The Use of Telemedicine to Address Disparities in Access to Specialist Care for Neonates. Telemed J E Health. 2019 Sep;25(9):775-780. doi: 10.1089/tmj.2018.0095. Epub 2018 Nov 3. PMID: 30394853.



Rural Health Information Hub: Critical Access Hospitals

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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.

“He came in by ambulance short of breath...” This is how Dr. Taylor Nichols’ tweet thread began. It’s a line many of us could have written - typical of an encounter in the COVID era. But the thread goes on to tell a more complicated story about racism, a physicians duty, and the toll this pandemic has had on many frontline healthcare providers. Dr. Nichols shares his story with us, along with the aftermath of his viral tweet, and his reflections three months on.   



Share your thoughts and reactions to Taylor’s story 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.***



And please pass the word along to your friends and colleagues!



Hosts:



Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis



Guest:



Dr. Taylor Nichols, Emergency Medicine Physician in Sacramento, CA, and former Health Policy Fellow at UC Davis.



Resources:



Twitter thread by Dr. Taylor Nichols



Jewish doctor opens up about treating patient with Nazi tattoos (CNN)



The pandemic was already testing me. Then a man covered in Nazi tattoos showed up in my ER. Washington Post 



Pandemic patient with swastika tattoo leaves Nor Cal doctor questioning his compassion. (San Francisco Chronicle)

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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.

In our recent episode in the future of emergency medicine, several of our guests pointed to technological advances, including telemedicine, as key pieces in the evolution of our specialty. And, thanks in large part to the pandemic, the development and implementation of telemedicine has accelerated over the past year. In this episode, Dr. Josh Elder, Medical Director of Express Care at UC Davis, shares his experience creating a virtual urgent care. We discuss some of the advantages and disadvantages for both patients and providers, and explore how this service has proved to be a safe and efficient way to meet patients where they’re at. 



Have you tried telemedicine, either as a patient of provider? Share your experience with us via social media, @empulsepodcast, or through our website, ucdavisem.com.



Stay tuned for next month’s episode when we explore another side of telemedicine - specialty consults for physicians!



***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. Josh Elder, Assistant Professor of Emergency Medicine and Medical Director of Express Care at UC Davis Health.



Resources:



Express Care at UC Davis Health



Zimiles, A. Four new statistics that prove telemedicine isn’t just a pandemic fad. Medical Economics. Jul 8 2020



Chou E, Hsieh YL, Wolfshohl J, Green F, Bhakta T. Onsite telemedicine strategy for coronavirus (COVID-19) screening to limit exposure in ED. Emerg Med J. 2020 Jun;37(6):335-337.



Golinelli, D., Boetto, E., Carullo, G., Landini, M. P., & Fantini, M. P. (2020). How the COVID-19 pandemic is favoring the adoption of digital technologies in healthcare: a rapid literature review. medRxiv. May 18, 2020. 



Bokolo Anthony Jnr. Use of Telemedicine and Virtual Care for Remote Treatment in Response to COVID-19 Pandemic. J Med Syst. 2020 Jun 15;44(7):132.

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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 COVID-19 pandemic has forced us all to become more comfortable with virtual engagement. From faculty and group meetings to conferences to kids’ school to social events - it seems everything is online these days. And while we may finally be getting used to this after many months, most of us still have a lot to learn in terms of how to best present ourselves in the virtual space. We’ll discuss our favorite tips and tricks, as well as some audiovisual equipment that can help you look and sound better, without breaking the bank. Happy Zooming!



Share your favorite tips and tricks 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



Resources and Recommended Equipment:



Microphones:



Shure MV7 Podcast Microphone



Shure MV5C Home Office Microphone



Shure MV88+ Video Kit Digital Stereo Condenser Microphone



Beyerdynamic FOX USB Studio Microphone



Headphones:



Beyerdynamic DT 770 Pro Headphones (32 ohm model)



SONY  MDR-7506  Professional Headphones



Apple AirPods Pro



Lights:



Dracast Halo Plus Series LED100



Lume Cube



Litra

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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.