EM Pulse Podcast‪™‬ UC Davis Department of Emergency Medicine

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 of firearms in extremely high risk situations. 



Have you ever had a patient you felt was high risk intentional to accidental injury due to firearms? How did you act to reduce that risk? 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



Guest Host:



Dr. Jonathan Kohler, Associate Professor of Surgery and Medical Director of Pediatric Trauma at UC Davis; Host of Country Hits: Rural Trauma from the Scene to the ED



Guest:



Dr. Amy Barnhorst, Associate Clinical Professor of Psychiatry and Vice Chair of Community Mental Health at UC Davis; Director of the BulletPoints Project



Resources:



The BulletPoints Project - Interventions



EM Pulse: Wraparound



California Firearm Violence Research Center (CA FVRC)

***

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.

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 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



Guest Host:



Dr. Jonathan Kohler, Associate Professor of Surgery and Medical Director of Pediatric Trauma at UC Davis; Host of Country Hits: Rural Trauma from the Scene to the ED



Guest:



Dr. Amy Barnhorst, Associate Clinical Professor of Psychiatry and Vice Chair of Community Mental Health at UC Davis; Director of the BulletPoints Project



Resources:



The BulletPoints Project - The Basics



Guns and Suicide: the Hidden Toll a Special Report by Madeline Drexler, Editor, Harvard Public Health



California Firearm Violence Research Center (CA FVRC)



Gifford Law 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.

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



Victims of our own success: ED crowding part 1



It isn’t just our problem: ED crowding part 2



Pay attention 



Mind the gap



The leaky pipeline



My role is doctor 



Please don’t hurt me!



Articles referenced:



Mahajan P, VanBuren JM, Tzimenatos L, et al. Serious Bacterial Infections in Young Febrile Infants With Positive Urinalysis Results. Pediatrics. 2022 Oct 1;150(4):e2021055633. doi: 10.1542/peds.2021-055633.



Emergency Department Crowding: The Canary in the Health Care System.   Commentary in NEJM Catalyst by Gabor D. Kelen, MD, Richard Wolfe, MD, Gail D’Onofrio, MD, MS, Angela M. Mills, MD, Deborah Diercks, MD, et al. Sept 28, 2021.



Book referenced:



Brave, Not Perfect by Reshma Saujani



Video referenced:



PACES Just-in-time: Positions of Comfort



Guideline referenced:



EIIC/TREKK: Bottom Line Recommendations: Pain Treatment

***

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.

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@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



Guest Host:



Dr. Jonathan Kohler, Associate Professor of Surgery and Medical Director of Pediatric Trauma at UC Davis; Host of Country Hits: Rural Trauma from the Scene to the ED



Guest:



Dr. Amy Barnhorst, Associate Clinical Professor of Psychiatry and Vice Chair of Community Mental Health at UC Davis; Director of the BulletPoints Project



Resources:



The BulletPoints Project - The Basics



Guns and Suicide: the Hidden Toll a Special Report by Madeline Drexler, Editor, Harvard Public Health



California Firearm Violence Research Center (CA FVRC)



Gifford Law 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.

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 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



Guest Host:



Dr. Jonathan Kohler, Associate Professor of Surgery and Medical Director of Pediatric Trauma at UC Davis; Host of Country Hits: Rural Trauma from the Scene to the ED



Guest:



Dr. Amy Barnhorst, Associate Clinical Professor of Psychiatry and Vice Chair of Community Mental Health at UC Davis; Director of the BulletPoints Project



Resources:



The BulletPoints Project - Epidemiology



CDC firearm related death statistics



California Firearm Violence Research Center (CA FVRC)



Stop Handgun Violence

***

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.

In this podcast we discuss the prevalence of bacteremia and even more interestingly the prevalence of meningitis in febrile infants =60 days of age with a positive UA. Dr. Kuppermann from PECARN shares his approach to the febrile neonate with a UTI. 



Host:



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



Guest:



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



Resources:



Mahajan P, VanBuren JM, Tzimenatos L, Cruz AT, Vitale M, Powell EC, Leetch AN, Pickett ML, Brayer A, Nigrovic LE, Dayan PS, Atabaki SM, Ruddy RM, Rogers AJ, Greenberg R, Alpern ER, Tunik MG, Saunders M, Muenzer J, Levine DA, Hoyle JD, Lillis KG, Gattu R, Crain EF, Borgialli D, Bonsu B, Blumberg S, Anders J, Roosevelt G, Browne LR, Cohen DM, Linakis JG, Jaffe DM, Bennett JE, Schnadower D, Park G, Mistry RD, Glissmeyer EW, Cator A, Bogie A, Quayle KS, Ellison A, Balamuth F, Richards R, Ramilo O, Kuppermann N; Pediatric Emergency Care Applied Research Network (PECARN). Serious Bacterial Infections in Young Febrile Infants With Positive Urinalysis Results. Pediatrics. 2022 Oct 1;150(4):e2021055633. doi: 10.1542/peds.2021-055633. PMID: 36097858. https://publications.aap.org/pediatrics/article/150/4/e2021055633/189487/Serious-Bacterial-Infections-in-Young-Febrile?autologincheck=redirected?nfToken=00000000-0000-0000-0000-000000000000