Last Stand in Santa Rosa
Last Stand in Santa Rosa\nImagine you’re working a shift in the Emergency Department when a fast moving wildfire hits. What would you do if you found out your home was burning? Or your family was in danger? And how do you react when the Fire Department tells you they are making a last stand a block away from your hospital? This situation is all too real for many physicians and providers affected by devastating wildfires in California. In this episode, we follow the story of the 2017 Santa Rosa fires from the perspective of three Emergency Physicians, Dr. Josh Weil, Dr. Suzy Fitzgerald, and Dr. Dane Stevenson. Their powerful story, and the lessons learned from their experience, are guaranteed to improve your personal and professional disaster preparedness. \nPlease also consider donating to ongoing relief efforts following the 2018 California wildfires through the Red Cross. \nDo you know your hospital’s disaster plan? Do you have a personal plan? Have you lived through a disaster? Share your experience with us on social media, @empulsepodcast, or on our website, ucdavisem.com. \nHosts:\nDr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis\nDr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis\nGuests:\nDr. Susan Fitzgerald, Emergency Physician at Kaiser Santa Rosa and Emergency Management Physician Lead in the Diablo Service Area; Kaiser Permanente Northern California (KPNC) Regional Emergency Management Drill and Training Director and the Pediatric Surge Planning Chair for the KPNC Regional Emergency Management Committee.\nDr. Joshua Weil, Emergency Physician at Kaiser Santa Rosa and Assistant Physician-in-Chief for Hospital Operations; Member of the American Red Cross Board of Directors, Board Chair for the Ceres Project, and Medical Director for the Jewish Community Free Clinic in Santa Rosa. Dr. Weil has been involved in major disaster relief efforts in the US and internationally, including Sri Lanka, Loui
Last Stand in Santa Rosa
Last Stand in Santa Rosa\nImagine you’re working a shift in the Emergency Department when a fast moving wildfire hits. What would you do if you found out your home was burning? Or your family was in danger? And how do you react when the Fire Department tells you they are making a last stand a block away from your hospital? This situation is all too real for many physicians and providers affected by devastating wildfires in California. In this episode, we follow the story of the 2017 Santa Rosa fires from the perspective of three Emergency Physicians, Dr. Josh Weil, Dr. Suzy Fitzgerald, and Dr. Dane Stevenson. Their powerful story, and the lessons learned from their experience, are guaranteed to improve your personal and professional disaster preparedness. \nPlease also consider donating to ongoing relief efforts following the 2018 California wildfires through the Red Cross. \nDo you know your hospital’s disaster plan? Do you have a personal plan? Have you lived through a disaster? Share your experience with us on social media, @empulsepodcast, or on our website, ucdavisem.com. \nHosts:\nDr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis\nDr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis\nGuests:\nDr. Susan Fitzgerald, Emergency Physician at Kaiser Santa Rosa and Emergency Management Physician Lead in the Diablo Service Area; Kaiser Permanente Northern California (KPNC) Regional Emergency Management Drill and Training Director and the Pediatric Surge Planning Chair for the KPNC Regional Emergency Management Committee.\nDr. Joshua Weil, Emergency Physician at Kaiser Santa Rosa and Assistant Physician-in-Chief for Hospital Operations; Member of the American Red Cross Board of Directors, Board Chair for the Ceres Project, and Medical Director for the Jewish Community Free Clinic in Santa Rosa. Dr. Weil has been involved in major disaster relief efforts in the US and internationally, including Sri Lanka, Loui
I lost that one…
In part 2 on workplace violence Brian describes when he was attacked at work and Dr. Aimee Moulin and Dr. Amy Barnhorst talk about how to cope with the threat of violence on a shift. What can we do? What do you do in your department to create a safe place? How do you protect yourself? Share your experience with us on social media, @empulsepodcast, or through our website, ucdavisem.com.\n***Please rate us and leave us a review on iTunes! It helps us reach more people.***\nHosts:\n\nDr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis\n\nDr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis\n\nGuests:\n\nBrian Stroben, Charge Nurse and Assistant Nurse Manager in the UC Davis Department of Emergency Medicine\n\nDr. Amimee Moulin, Professor of Emergency Medicine, Behavioral Health Director\n\nDr. Amy Barnhorst, Associate Clinical Professor of Psychiatry at UC Davis, Vice Chair for Community Mental Health, Director of BulletPoints Project\n\nResources:\nACEP Emergency Department Violence Poll research Results September 2018\nhttps://www.emergencyphysicians.org/globalassets/files/pdfs/2018acep-emergency-department-violence-pollresults-2.pdfnnViolence in the Emergency Department: Resources for a Safer Workplace – from the American College of Emergency Physicians (ACEP)\n\nViolence and it’s Impact on the Emergency Nurse – Emergency Nurses Association (ENA) Position Statement\n\nStene J, Larson E, Levy M, Dohlman M. Workplace violence in the emergency department: giving staff the tools and support to report. Perm J. 2015;19(2):e113-e117. doi:10.7812/TPP/14-187\n\nUnderstanding Agitation: De-escalation video by Dr. Scott Zeller\n***\nThank 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.
Meth: Agitated Delirium
The opioid epidemic gets a lot of attention, but methamphetamine use may actually affect more of our patients in the emergency department. Those of us who work in the ED are all too familiar with the agitated delirium that meth can cause, as well as the long term effects, like heart failure. In this episode, we hear one woman’s story of her experience with methamphetamines and how substance use nearly destroyed her life. Then our Toxicology colleagues, Dr. Kelly Owen and Dr. Dan Colby, walk us through how meth works, how to manage acute intoxication and other dangerous consequences, and how we can better care for our patients who use methamphetamines.\n\nWe’d love to hear from you! Share your questions, comments, and feedback with us on social media, @empulsepodcast, or through our website, ucdavisem.com.\n\n***Please rate us and leave us a review on iTunes! It helps us reach more people.***\n\nHosts:\n\nDr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis\n\nDr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis\n\nGuest:\n\nDr. Dan Colby, Assistant Professor of Emergency Medicine, Medical Toxicologist and Addiction Medicine Specialist at UC Davis\n\nDr. Kelly Owen, Associate Professor of Emergency Medicine and Medical Toxicologist at UC Davis\n\nResources:\n\nDAWN and Methamphetamine\n\nRichards JR, Hamidi S, Grant CD, Wang CG, Tabish N, Turnipseed SD, Derlet RW. Methamphetamine Use and Emergency Department Utilization: 20 Years Later. J Addict. 2017;2017:4050932. doi: 10.1155/2017/4050932. Epub 2017 Aug 17. \n\nThe care of patients using methamphetamine in the emergency department: Perception of nurses, residents, and faculty \n***\nThank 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.
Telemedicine Part 2: Critical Access
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. \n\nHave you tried telemedicine, either as a patient of provider? Share your experience with us via social media, @empulsepodcast, or through our website, ucdavisem.com.\n\n***Please rate us and leave us a review on iTunes! It helps us reach more people.***\n\nHosts:\n\nDr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis\n\nDr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis\n\nGuest:\n\nDr. 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.\n\nResources:\n\nUC Davis Center for Health and Technology\n\nCDC: About Rural Health\n\nSauers-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.\n\nMarcin 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.\n\nSauers-Ford HS, Marcin JP, Underwood MA, Kim JH, Nicola
My Pastor told me to
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. \n\nWhat 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.\n\n***Please rate us and leave us a review on iTunes! It helps us reach more people.***\n\nAnd please pass the word along to your friends and colleagues!\n\nHost:\n\nDr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis\n\nGuests:\n\nDr. Nate Kuppermann, Pediatric Emergency Physician, Professor and Chair of the UC Davis Department of Emergency Medicine\n\nLarry Gomez, NP, Nurse Practitioner in the Department of Emergency Medicine\n\nDr. Kara Toles, Assistant Professor of Emergency Medicine and Director of Equity and Inclusion for the UC Davis Department of Emergency Medicine\n\nPastor Jeffrey Johnson, Pastor at Macedonia Baptist Church in Sacramento, CA\n\nMacedonia Baptist Church community members\n\nResources:\n\nHughes MM, Wang A, Grossman MK, et al. County-Level COVID-19 Vaccination Coverage and Social Vulnerability - United States, December
A Vote For Health
The November 2020 election is right around the corner, and yet many Americans still aren’t registered to vote. Voting is not always a priority when people are struggling to meet their basic needs, yet the voices of people in underrepresented groups are essential to shaping policy that benefits everyone. We talk with Dr. Katren Tyler about VotER, a program started at Massachusetts General Hospital that helps ED physicians encourage interested patients to register, and provides easy ways to help them do so. Julia tells us about similar efforts promoted by the American Academy of Pediatrics that encouraged census completion, as well as voter registration. Finally, we talk with Dr. Taylor Nichols, an Emergency Physician and expert in health policy, about how policy has important downstream implications for health. He also gives us some things to think about when you cast your vote next month.\n\n(Incidentally, the last day to register online or by mail is 10/19, but you can register in person through 11/3)\n\nWhat do you think about programs like VotER? We’d love your feedback. Connect with us on social media @empulsepodcast, or through our website, ucdavisem.com.\n\n***Have we earned your vote? Please rate us and leave us a review on iTunes! It helps us reach more people.***\n\nHosts:\n\nDr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis\n\nDr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis\n\nGuests:\n\nDr. Katren Tyler, Professor of Emergency Medicine and Vice Chair of Wellness for the UC Davis Department of Emergency Medicine \n\nDr. Taylor Nichols, Emergency Physician, former UC Davis EM Health Policy Fellow, and California ACEP Board Member\n\nResources:\n\nVotER \n\nACEP Now article on VotER\n\nAAP News article on encouraging completion of the 2020 census\n\nBreonna Center for Justice article on voter registration decline (\n\nLiggett A, Sharma M, Nakamura Y, et al. Results of a voter registration proje
Wraparound
In the emergency department, we treat violently injured patients on nearly every shift. We can splint the broken bones, stitch up the cuts, and send seriously injured patients to the operating room with our surgical colleagues. We may be able to heal the physical wounds, but what about the emotional ones? And what happens to our patients when they go home to the same potentially unhealthy environments that led to the violent injury in the first place? The UC Davis Wraparound program addresses these issues and more. We talk with program Co-lead, Dr. Ian Brown, and Violence Intervention Specialist, Chevist Johnson, about how Wraparound works and why programs like these are so important. \n\nDo you have a similar program where you work, or are you interested in learning more about how to start one? Share your experiences and questions with us on social media, @empulsepodcast, or through our website, ucdavisem.com.\n\n***Please rate us and leave us a review on iTunes! It helps us reach more people.***\n\nHosts:\n\nDr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis\n\nDr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis\n\nGuest:\n\nDr. Ian Brown, Trauma Surgeon and Assistant Professor of Surgery at UC Davis; Co-Lead of the Wraparound Program\n\nChevist Johnson, Violence Intervention Specialist with the Wraparound Program at UC Davis \n\nResources:\n\nUC Davis Wraparound Program\n\nUCSF Wraparound Program\n\nHealth Alliance for Violence Intervention (HAVI)\n***\nThank 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.
It costs you nothing…
***Trigger warning: this episode includes discussion of child abuse***\nThis is a follow up episode that dives deeper on why a bruised baby is worrisome, important aspects of a social history, and screening for abuse in the ED. Please listen to our first episode “It Could Have Been Different” for more! \n\nHave 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.\n***Please rate us and leave us a review on iTunes! It helps us reach more people.***\nHosts:\n\nDr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis\n\nGuest:\n\nDr. Mary Clyde Pierce, Professor of Pediatrics at Northwestern University, Pediatric Emergency Physician and Director of Child Abuse Research at Laurie Children’s Hospital.\n\nResources:\n\n“It Could Have Been Different” EM Pulse Podcast published April 17, 2021. https://ucdavisem.com/2021/04/17/it-could-have-been-different/nnPierce MC, Magana JN, Kaczor K, Lorenz DJ, Meyers G, Bennett BL, Kanegaye JT. The Prevalence of Bruising Among Infants in Pediatric Emergency Departments. Ann Emerg Med. 2016 Jan;67(1):1-8. doi: 10.1016/j.annemergmed.2015.06.021. Epub 2015 Jul 29. PMID: 26233923; PMCID: PMC4695295.\n\nFingarson AK, Pierce MC, Lorenz DJ, Kaczor K, Bennett B, Berger R, Currie M, Herr S, Hickey S, Magana J, Makoroff K, Williams M, Young A, Zuckerbraun N. Who's Watching the Children? Caregiver Features Associated with Physical Child Abuse versus Accidental Injury. J Pediatr. 2019 Sep;212:180-187.e1. doi: 10.1016/j.jpeds.2019.05.040. Epub 2019 Jun 26. PMID: 31255388; PMCID: PMC6707841.\n\nPierce MC, Kaczor K, Thompson R. Bringing back the social history. Pediatr Clin North Am. 2014 Oct;61(5):889-905. doi: 10.1016/j.pcl.2014.06.010. Epub 2014 Aug 12. PMID: 25242704; PMCID: PMC4171692.\n***\nThank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orland
Last Stand in Santa Rosa
Last Stand in Santa Rosa\nImagine you’re working a shift in the Emergency Department when a fast moving wildfire hits. What would you do if you found out your home was burning? Or your family was in danger? And how do you react when the Fire Department tells you they are making a last stand a block away from your hospital? This situation is all too real for many physicians and providers affected by devastating wildfires in California. In this episode, we follow the story of the 2017 Santa Rosa fires from the perspective of three Emergency Physicians, Dr. Josh Weil, Dr. Suzy Fitzgerald, and Dr. Dane Stevenson. Their powerful story, and the lessons learned from their experience, are guaranteed to improve your personal and professional disaster preparedness. \nPlease also consider donating to ongoing relief efforts following the 2018 California wildfires through the Red Cross. \nDo you know your hospital’s disaster plan? Do you have a personal plan? Have you lived through a disaster? Share your experience with us on social media, @empulsepodcast, or on our website, ucdavisem.com. \nHosts:\nDr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis\nDr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis\nGuests:\nDr. Susan Fitzgerald, Emergency Physician at Kaiser Santa Rosa and Emergency Management Physician Lead in the Diablo Service Area; Kaiser Permanente Northern California (KPNC) Regional Emergency Management Drill and Training Director and the Pediatric Surge Planning Chair for the KPNC Regional Emergency Management Committee.\nDr. Joshua Weil, Emergency Physician at Kaiser Santa Rosa and Assistant Physician-in-Chief for Hospital Operations; Member of the American Red Cross Board of Directors, Board Chair for the Ceres Project, and Medical Director for the Jewish Community Free Clinic in Santa Rosa. Dr. Weil has been involved in major disaster relief efforts in the US and internationally, including Sri Lanka, Loui
