Podcast
EM Pulse Podcast™
Hosted by UC Davis Department of Emergency Medicine · EN
Bringing research and expert opinion to the bedside
31episodes
Episodes
Newest firstAll episodes
Advocacy II: Serving our Immigrant Patients
Feb 20, 202500:27:01Tap to summarizeIn 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.
Transcribe →Advocacy I: From Trauma Bay To Picket Line
Feb 7, 202500:35:40Tap to summarizeWhen 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.
Transcribe →AI in EM – Part 3: Skynet Hasn’t Got A Chance!
Jan 27, 202500:35:41Tap to summarizeIn 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.
Transcribe →AI in EM – Part 2: Clinical Decisions, Smarter Tools
Dec 17, 202400:40:28Tap to summarizeIn the second episode our three part series, we dive deeper into the practical impact of artificial intelligence on emergency medicine with expert, Dr. Gabriel Wardi. Building on our previous discussion about AI’s role in healthcare, we explore clinical decision support systems (CDS)—how they aim to improve diagnostic accuracy but can sometimes miss the mark. Dr. Wardi shares insights from his own experience implementing AI-driven CDS, highlighting both its successes and challenges, including bias, reliability, and the importance of high-quality data. We discuss how AI can address traditional pitfalls of CDS, improve outcomes like sepsis care, and offer a glimpse into the future of AI in emergency settings. Plus, we look ahead to the critical conversation of AI governance and regulation in EM. Tune in as we break down what’s working, what’s next, and how frontline EM physicians can stay ahead of the curve. 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. Gabriel Wardi, Associate Professor & Chief of the Division of Critical Care in the Department of Emergency Medicine at UC San Diego Resources: Boussina A, Shashikumar SP, Malhotra A, Owens RL, El-Kareh R, Longhurst CA, Quintero K, Donahue A, Chan TC, Nemati S, Wardi G. Impact of a deep learning sepsis prediction model on quality of care and survival. NPJ Digit Med. 2024 Jan 23;7(1):14. doi: 10.1038/s41746-023-00986-6. Erratum in: NPJ Digit Med. 2024 Jun 12;7(1):153. doi: 10.1038/s41746-024-01149-x. PMID: 38263386; PMCID: PMC10805720. *** 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.
Transcribe →AI In EM – Part 1: The Machines Are Here!
Dec 4, 202400:36:11Tap to summarizeIn this episode, we dive into how AI is changing emergency medicine with Dr. Peter Steel, an expert in AI and EM at Cornell. We break down the basics of AI, machine learning, and deep learning, explore real-world applications like improving triage and clinical decision-making, and tackle challenges like bias and integration in high-pressure settings. Dr. Steel shares insights on generative AI, large language models, and the exciting future of AI in EM. If you’re curious about how AI can transform patient care and what’s next for the field, this episode is for you! 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. Peter Steel, Associate Professor of Clinical Emergency Medicine and Vice Chair of Clinical Services at Weill Cornell Medical College Resources: Challen R, Denny J, Pitt M, Gompels L, Edwards T, Tsaneva-Atanasova K. Artificial intelligence, bias and clinical safety. BMJ Qual Saf. 2019 Mar;28(3):231-237. doi: 10.1136/bmjqs-2018-008370. Epub 2019 Jan 12. PMID: 30636200; PMCID: PMC6560460. *** 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.
Transcribe →Cyberattacks: I didn’t go to Med School for this
Nov 20, 202400:38:01Tap to summarizeIn this episode, we dive into the rising threat of cyberattacks on healthcare systems and their profound impact on emergency medicine. With 386 attacks reported in 2024 alone (as of October 7th), the likelihood of your hospital being targeted is increasing. But why are these attacks happening, and what can we do to mitigate their effects? To explore this critical topic, we’re joined by Dr. In Kim, Executive Vice Chair of Pediatrics at the University of Louisville School of Medicine and a leader in advancing his university’s cyber capabilities. From real-world examples of devastating attacks to actionable steps for hospitals, departments, and individual physicians, we’ll break down what you need to know to protect your patients, your practice, and yourself. Don’t miss this essential discussion for every emergency medicine provider! Has your health system been the victim of a cyber attack? Tell us your story and 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. In K. Kim, Executive Vice Chair and Professor of Pediatrics, Executive Medical Director, Norton Children’s Medical Group, and Director of the Center for Health Process Innovation at the University of Louisville Schools of Medicine and Business Resources: American Hospital Association: A Look at 2024’s Health Care Cybersecurity Challenges By John Riggi, National Advisor for Cybersecurity and Risk, AHA U.S. Department of Health and Human Services Office for Civil Rights Breach Portal *** 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.
Transcribe →Political Violence
Nov 4, 202400:37:01Tap to summarizeIn this episode, we address the growing concern over political violence in the United States as the presidential election draws near. Political violence, defined as the intentional use of power and force to achieve political ends, is a significant public health issue. Violence researcher and emergency physician, Dr. Garen Wintemute, joins us to provide a clear, evidence-based perspective on the topic. We explore recent data and expert insights to better understand the threat of political violence, its potential impact in emergency departments, and what we can do about it. *Please note: Views and opinions expressed in this episode are the speaker’s own and do not represent those of UC Davis or the University of California.* Are you concerned about political violence related to the upcoming election? How are you and your ED preparing? 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. Garen Wintemute, Distinguished Professor of Emergency Medicine and Director of the Violence Prevention Research Program at UC Davis Resources: Opinion: Don’t underestimate threats of violence from Proud Boys and other right-wing groups. By Dr. Garen Wintemute. Los Angeles Times, September 20, 2024. Opinion: Too many Americans support political violence. It’s up to the rest of us to dissuade them. By Dr. Garen Wintemute. Los Angeles Times, July 18, 2024. Wintemute GJ. Guns, violence, politics: the gyre widens. Inj Epidemiol. 2021 Nov 2;8(1):64. doi: 10.1186/s40621-021-00357-3. Wintemute GJ, Robinson SL, Crawford A, Tancredi D, Schleimer JP, Tomsich EA, Reeping PM, Shev AB, Pear VA. Views of democracy and society and support for political violence in the USA: findings from a nationally representative survey. Injury Epidemiology. 2023;10(1):45. FACT SHEET Wintemute GJ, Robinson SL, Tomsich EA, Tancredi DJ. MAGA Republicans’ views of American democracy and society and support for political violence in the United States: a nationwide population-representative survey. PLOS ONE. 2024;19(1):e029574
Transcribe →Cardiac Arrest: Can Naloxone Help?
Oct 17, 202400:13:27Tap to summarizeAs emergency physicians, we are very familiar with giving naloxone to patients with concern for opioid overdose. Our EMS colleagues give naloxone all the time in the prehospital setting. We know it works well for patients who are obtained due to opioids, but what about for patients who have an out-of-hospital cardiac arrest? Our expert on todays episode, Dr. David Dillon, set out to find out. Were you surprised by the findings in Dr. Dillon’s study? Does it change your practice? Hit us up 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 Guests: David Dillon, M.D., M.Phil., Ph.D, Assistant Professor of Emergency Medicine at UC Davis Resources: Dillon DG, Montoy JCC, Nishijima DK, Niederberger S, Menegazzi JJ, Lacocque J, Rodriguez RM, Wang RC. Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. JAMA Netw Open. 2024 Aug 1;7(8):e2429154. *** 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.
Transcribe →Update: Acetaminophen OD
Oct 7, 202400:27:36Tap to summarizeAcetaminophen overdose is one of the most common medication concerns we see in the ED. It is important to know when to be concerned and when to treat as true overdoses can cause liver failure and death. UC Davis medical toxicologist, Dr. Hoan Nguyen, joins us in this episode to discuss a new consensus statement published in JAMA Network Open in August 2023: Managing of Acetaminophen Poisoning in the US and Canada. We discuss the updated approach and walk through as hypothetical case. At the end of this episode, you’ll be able to identify high risk patients, know what labs to draw, when to start NAC, transfer, and call your local toxicologist. Do these updated guidelines change your practice? Hit us up 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 Guests: Dr. HoanVu Nguyen, Military Emergency Physician and Medical Toxicologist at UC Davis. Resources: Dart RC, Mullins ME, Matoushek T, et al. Management of Acetaminophen Poisoning in the US and Canada: A Consensus Statement. JAMA Netw Open. 2023 Aug 1;6(8):e2327739. doi: 10.1001/jamanetworkopen.2023.27739. Erratum in: JAMA Netw Open. 2023 Sep 5;6(9):e2337926. doi: 10.1001/jamanetworkopen.2023.37926. PMID: 37552484. ***** 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.
Transcribe →The Long Haul
Jan 18, 2021Tap to summarizeThe COVID-19 pandemic has affected all of us, and with vaccines starting to roll out, I think we’re all looking forward to getting past it. But some people who have had COVID-19, getting past it hasn’t been easy. In this Heartbeat, we talk with infectious disease expert, Dr. Larissa May, about “Long haul COVID”, or “Long COVID” – a syndrome that affects about 10% of people who have had COVID-19. Have you had long-haul COVID? We’d like to know how it affected you and what you’ve don’t to get through it. Share your story with us on social media, @empulsepodcast, or through our website, ucdavisem.com. 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, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Larissa May, Professor of Emergency Medicine with a Masters in Emerging Infectious Diseases, and Director of Emergency Department Antibiotic Stewardship at UC Davis. Resources: Information and resources for COVID-19 long-haulers at UC Davis LongCOVID.org support, information and resources (UK based) The Body Politic COVID-19 support group Rubin R. As Their Numbers Grow, COVID-19 “Long Haulers” Stump Experts. JAMA. 2020 Sep 23. doi: 10.1001/jama.2020.17709. Epub ahead of print. PMID: 32965460. Townsend L, Dowds J, O’Brien K, Sheill G, Dyer AH, O’Kelly B, Hynes JP, Mooney A, Dunne J, Ni Cheallaigh C, O’Farrelly C, Bourke NM, Conlon N, Martin-Loeches I, Bergin C, Nadarajan P, Bannan C. Persistent Poor Health Post-COVID-19 Is Not Associated with Respiratory Complications or Initial Disease Severity. Ann Am Thorac Soc. 2021 Jan 8. doi: 10.1513/AnnalsATS.202009-1175OC. Epub ahead of print. PMID: 33413026. Lehner, G.F., Klein, S.J., Zoller, H. et al. Correlation of interleukin-6 with Epstein–Barr virus levels in COVID-19. Crit Care 24, 657 (2020). *** 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.
Transcribe →