The Mind of an Airway Enthusiast: Heartbeat

Heartbeat: The Mind of an Airway Enthusiast

We sit down with EM legend and airway guru, Dr. Rich Levitan. Dr. Levitan is a self-proclaimed airway enthusiast who has published extensively on laryngoscopes and airway management. He currently works clinically, mainly in rural, critical care access hospitals, and travels the country and the globe speaking and teaching courses on airway management.  So how does Dr. Levitan approach the “difficult airway”? It starts with mindset.  

Send us your questions and continue the conversation on social media@empulsepodcast or at ucdavisem.com.

Host:

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

Guest:

Dr. Rich Levitan, Emergency Physician, Adjunct Professor at Dartmouth Geisel School of Medicine, Visiting Professor at the University of Maryland School of Medicine. 

Resources:

AirwayCam.com

**********************************************************

Ski and CME! Join us for the,UC Davis Emergency Medicine Winter Conference, March 4th-8th at the Ritz Carlton in Lake Tahoe, CA.

Come play and learn with us at the Western Regional SAEM Annual Meeting, March 21-22 in beautiful Napa, CA! #WRSAEM19 

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.

“Hot” Off the Press: Infant Fever Rule

“Hot” Off the Press: Infant Fever Rule – Episode 15

Talking about neonatal fever makes most people hot under the collar! Fortunately, PECARN is on the case. Their latest paper was just published TODAY in JAMA Peds: A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. In this month’s episode, we learn about some the challenges of having a febrile infant – from a mom’s perspective. Then we discuss when, why, and how to apply the latest PECARN rule with the notorious DNK, also known as Dr. Nate Kuppermann! 

What is your approach to the febrile infant? What are some of the hardest parts about providing care to our hot little ones? We want to know! Share your thoughts on social media, @empulsepodcast, or on our website, ucdavisem.com

Hosts:

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

Dr. Sarah Medeiros, Assistant Professor of 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:

A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections

Nathan Kuppermann, MD, MPH1; Peter S. Dayan, MD, MSc2; Deborah A. Levine, MD3; et al. JAMA Pediatr. Published online February 18, 2019. doi:10.1001/jamapediatrics.2018.5501

Validation of the “Step-by-Step” Approach in the Management of Young Febrile Infants.

Gomez B, Mintegi S, Bressan S, Da Dalt L, et. al. Pediatrics. 2016 Aug;138(2). pii: e20154381. doi: 10.1542/peds.2015-4381. Epub 2016 Jul 5.

Management of the Febrile Young Infant: Update for the 21st Century. 

Woll C, Neuman MI, Aronson PL. Pediatr Emerg Care. 2017 Nov;33(11):748-753. doi: 10.1097/PEC.0000000000001303.

Accuracy of Complete Blood Cell Counts to Identify Febrile Infants 60 Days or Younger with Invasive Bacterial Infections. 

Cruz AT, Mahajan P, Bonsu BK, Bennett JE et. al. JAMA Pediatr. 2017 Nov 6;171(11):e172927. doi: 10.1001/jamapediatrics.2017.2927. Epub 2017 Nov 6.

***************************************

Ski and CME! Join us for the,UC Davis Emergency Medicine Winter Conference, March 4th-8th at the Ritz Carlton in Lake Tahoe, CA.

Come play and learn with us at the Western Regional SAEM Annual Meeting, March 21-22 in beautiful Napa, CA! #WRSAEM19 

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 Platinum Rule

Treat others not as you want to be treated but as they want to be treated. Mai Lee, RN and Dan Colby join us to share some stories and talk about how culture can impact our care in the ED and what we can do about it. Let’s continue the conversation on social media @empulsepodcast or at ucdavisem.com.

Host: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis

Guest: Dr. Daniel Colby, Assistant Professor of Emergency Medicine UC Davis

Guest: Mai Lee, RN, UC Davis Emergency Medicine CN II

Resources:

NIH Cultural Respect: https://www.nih.gov/institutes-nih/nih-office-director/office-communications-public-liaison/clear-communication/cultural-respect

******************************************************************

Join us in Tahoe, March 4-8, at the 42nd Annual UC Davis Emergency Medicine Winter Conference!

We’ll also be teaching and podcasting at the Western Regional SAEM Annual Meeting in Napa, CA, March 21-22. Hope to see you there!

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.

#Thisismylane– Episode 14

#Thisismylane– Episode 14

If you work in the ED, you’ve likely seen your fair share of victims of gun violence. Though mass shootings have brought this issue into the public eye, firearm violence has been a public issue in our country for decades. In this episode, you’ll hear some powerful stories from providers about their experiences with people killed and injured by firearms. Then, we talk with researcher and expert, Dr. Garen Wintemute, about trends he’s seen, and discuss how we, as physicians and medical providers, can be part of the solution. 

Clearly this is a charged and complex topic. Let’s respectfully share our thoughts on how we can help prevent gun violence. We want to know! Share your thoughts on social media, @empulsepodcast, or on our website, ucdavisem.com. 

Hosts:

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

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

Guest:

Dr. Garen Wintemute Professor of Emergency Medicine, Susan P. Baker-Stephen P. Teret Chair in Violence Prevention at UC Davis, and Director, Violence Prevention Research Program  

Resources:

UC Davis Violence Prevention Research Program Toolkit: What You Can Do to Stop Firearm Violence https://health.ucdavis.edu/vprp/WYCD.html

Annals of Internal Medicine commitment and op ed: What You Can Do to Stop Firearm Violence http://annals.org/aim/pages/commitment-to-stop-firearm-violence

Speak For Safety

Video of Garen Talking about gun retailers taking a hard line against illegal gun sales: https://health.ucdavis.edu/publish/facultybio/search/faculty/242

Ski and CME! Join us for the,UC Davis Emergency Medicine Winter Conference March 4th-8th at the Ritz Carlton in Lake Tahoe.

Come play and learn with at the Western Regional SAEM Annual Meeting, March 21-22 in beautiful Napa, CA! #WRSAEM19 

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.

While this is a UC Davis EM podcast and many of the voices you hear today, including our own, are those of UC Davis EM Physicians, the opinions expressed may not be those of the UC DAVIS institution and Health System.  

Bonus Episode: 2018 in Review

Bonus Episode: 2018 in Review

Happy New Year! 2018 was a big year for us, thanks to all of you! Here we are, almost 365 days since publishing our first episode, so let’s take a moment to reflect on our first year. We’re closing in on 30,000 downloads and have listeners in all 50 states, 2 territories, and 94 countries. We’ve been featured by several local news outlets, and one of our favorite EM blogs, lifeinthefastlane.com. And we even won an eHealthcare Leadership award! Wow. We are so grateful to you all for listening, subscribing, supporting, rating, reviewing, and sharing! 

In this episode, Sarah and Julia recall some of their moments – see below for links to the episodes mentioned. We look forward to bringing you many more great episodes in 2019!

What were your favorite moments? Did a particular episode resonate with you? Let us know on social media, @empulsepodcast, or at ucdavisem.com. 

Hosts:

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

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

Episodes Referenced:

Pot Tarts

Sold for a Chrysler 300

The Game has Changed

Don’t be a Jerk

The Price of Beauty

Toddlers Will Sell Their Souls for Stickers

Last Stand in Santa Rosa

************************************************************************

Ski and CME! Join us for the UC Davis Emergency Medicine Winter Conference, March 4th-8th at the Ritz Carlton in Lake Tahoe.

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 Stand in Santa Rosa – Episode 13

Last Stand in Santa Rosa – Episode 13

Imagine 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. 

Please also consider donating to ongoing relief efforts following the 2018 California wildfires through the Red Cross. 

Do 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. 

Hosts:

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

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

Guests:

Dr. 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.

Dr. 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, Louisiana, Haiti, and the Philippines.

Dr. Dane Stevenson, Emergency Physician at Kaiser Santa Rosa, with a Fellowship in Geriatric Emergency Medicine from UC Davis.

Resources:

ACEP Disaster Medicine Resources

American College of Emergency Physicians Disaster Medicine resources, policies, and public training, including hospital disaster preparedness self assessment tool and hospital evacuation plan template. 

“Healing and History after fire & Weil-Mollard Household” 

Dr. Josh Weil and his wife, Claire Mollard, share their story on YouTube

The story of Josh’s goats! on NPR/Capitol Public Radio

************************************************************************

Ski and CME! Join us for the UC Davis Emergency Medicine Winter Conference, March 4th-8th at the Ritz Carlton in Lake Tahoe.

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.

 

Camp Fire medicine

Camp Fire medicine

What are the medical needs when your WHOLE town burns down? What is it like to walk into a shelter with over a thousand friends and family still missing? What if the evacuees you are caring for are your neighbors? The California wildfires have been huge part of our personal and professional lives at UC Davis. In this Heartbeat we spoke with an EM resident who volunteered at a shelter in Chico, CA. Dr. Molly Hallweaver discusses what she saw, treated, and learned taking care of the victims of the Camp Fire. Burn care and inhalation injuries were not the most common needs in the shelter. More often people needed a shoulder on which to cry and treatment of chronic medical needs. 

We challenge you to think about what you would do if your community was burning down?  What if your hospital caught on fire? On our next episode we hear the story of Dane Stevenson, a Kaiser EM Physician, whose hospital caught on fire and the experts who can help the rest of us know what we can do to prepare for those moments. Let’s continue the conversation on social media @empulsepodcast or at ucdavisem.com.

Host: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis

Guest: Dr. Molly Hallweaver  Emergency Medicine Resident at UC Davis

Resources: If you want to help the victims of the Camp Fire, monetary donations may be made to the American Red Cross. Visit www.redcross.org, call 1-800-RED CROSS, or text the word REDCROSS to 90999 to make a $10 donation.

The United Way of Northern California is taking donations for its NorCal Fire Relief Fund through its website and by text: send the message BUTTEFIRE to 91999.

***************************************************************************************************

Join us in Tahoe, March 4-8, at the 42nd Annual UC Davis Emergency Medicine Winter Conference!

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.

NASA Image of the Camp Fire

Toddlers Will Sell Their Souls for Stickers – Episode 12

Toddlers Will Sell Their Souls for Stickers – Episode 12

Caring for kids in the ED can be challenging – they often can’t (or won’t) tell you what’s wrong or where it hurts; they may have trouble sitting still during an exam or procedure; and their screams put everyone on edge. But let’s think about it from their perspective. It must be pretty confusing and frightening at times. Did you ever have to go to the ED as a kid? Do you remember what it was like? We ask some kids to share their thoughts and experiences. Then we get some valuable tips from the experts – Child Life Specialists, Pediatric ED Nurses, and Pediatric Emergency Medicine Physicians, including our own Dr. Julia Magaña. Learn what you can do to improve the ED experience for both you and your young patients. 

What tips do you have for taking care of kids in the ED? Did you try any of the things we mentioned in this episode? If so, did they work for you? We want to know! Share your thoughts on social media, @empulsepodcast, or on our website, ucdavisem.com. 

Hosts:

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

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

Guests:

The kids: Isa, Jordan, Benny, Katelyn, Wesley and Elia

UC Davis Department of Emergency Medicine Child Life Specialists, Nurses and Pediatric Emergency Medicine Physicians.

Resources:

DistrACTION Cards that Julia mentioned

Information and protocols for using intranasal medications at www.intranasal.net

Wong-Baker FACES pain scale

FLACC Score for pain in infants

ACEP Guidelines for Procedural Sedation and Analgesia in the Emergency Department (2013)

An Evidence-Based Approach to Minimizing Acute Procedural Pain in the Emergency Department and Beyond.

Ali S, McGrath T, Drendel AL. Pediatr Emerg Care. 2016 Jan;32(1):36-42; quiz 43-4. doi: 10.1097/PEC.0000000000000669. Review.

Patient- and family-centered care of children in the emergency department.

Dudley N, Ackerman A, Brown KM, Snow SK; American Academy of Pediatrics Committee on Pediatric Emergency Medicine; American College of Emergency Physicians Pediatric Emergency Medicine Committee; Emergency Nurses Association Pediatric Committee.

Pediatrics. 2015 Jan;135(1):e255-72. doi: 10.1542/peds.2014-3424.

Ten Practical Ways to Make Your ED Practice Less Painful and More Child-Friendly

Amy L.DrendelDO, MS*SaminaAliMDCM, Clinical Pediatric Emergency Medicine

Volume 18, Issue 4, December 2017, Pages 242-255

*********************************************************

Ski and CME! Join us for the UC Davis Emergency Medicine Winter Conference, March 4th-8th at the Ritz Carlton in Lake Tahoe.

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 Price of Beauty

Heartbeat: The Price of Beauty

As Emergency Physicians, we pride ourselves on recognizing and treating life-threatening conditions. But what if we’re missing important diagnoses and we don’t even know it? In this Heartbeat, we explore acute and chronic silicone syndromes, two potentially serious conditions caused by injecting liquid silicone into the body. Dr. Nick Gorton, previously featured on Episode 8: Don’t be a Jerk! and the LGBTQI, MD Heartbeat, joins us again with advice on how to diagnose and manage these conditions that predominantly affect women, especially transgender women. 

Are these diagnoses new to you? Have you seen and treated either of these conditions? Let’s continue the conversation on social media @empulsepodcast or at ucdavisem.com.

Host:

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

Guest:

Dr. R. Nick Gorton, Emergency Physician at Sutter Davis, and Primary Care Physician at the Lyon-Martino Clinic in San Francisco. 

Resources:

Silicone Pumping Harm Reduction Pamphlet

Dying to be a Woman trailer by TransLatin@ Coalition

TRANSLINE national online transgender medical consultation service – free and confidential. 

Lyon-Martin Health Services, San Francisco, CA.

Silicone embolism syndrome: a case report, review of the literature, and comparison with fat embolism syndrome.

Schmid A, Tzur A, Leshko L, Krieger BP.

Chest. 2005 Jun;127(6):2276-81. Review.

***************************************************************************************************

Join us in Maui for Emergency Medicine Hot Topics! November 6-10, 2018.

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.

Dr. Nick Gorton

Dr. Sarah Medeiros

These Are Our People – Episode 11

These Are Our People – Episode 11

If you have ever worked in an ED, you have taken care of a homeless patient. In fact, you’ve probably taken care of many patients you didn’t even know were struggling with homelessness. As providers, we know these people well. They are often labeled “superusers” and, in addition to sometimes acting as their primary care physicians, we often find ourselves trying to sort out their myriad social issues. In this episode, we talk with a homeless patient, multiple ED providers, and expert Dr. Bisan Salhi, about some of the health challenges that our undomiciled patients face, and what role the ED should play in caring for these patients. You’ll hear a variety of opinions on this controversial topic. We then talk with health policy experts, Dr. Nick Sawyer and Dr. Aimee Moulin, about the recently signed California Senate Bill 1152, and how it will affect hour care and discharge of self-identified homeless patients. 

Do you screen for homelessness? How do you care for homeless patients in your ED? Will you be affected by CA Senate Bill 1152? This topic is likely to generate some heated conversation. Join us on social media, @empulsepodcast, or on our website, ucdavisem.com, to keep the discussion going. 

Hosts:

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

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

Guests:

Dr. Bisan Salhi,  Assistant Professor of Emergency Medicine at Emory and PhD in Anthropology

Dr. Nick Sawyer, Assistant Professor of Emergency Medicine at UC Davis, California ACEP Board Member

Dr. Aimee Moulin, Associate Professor of Emergency Medicine at UC Davis and President of California ACEP

Resources:

Homelessness and Emergency Medicine: A Review of the Literature.

Salhi BA, White MH, Pitts SR, Wright DW.

Acad Emerg Med. 2018 May;25(5):577-593. doi: 10.1111/acem.13358. Epub 2018 Jan 11.

Get involved through California ACEP!

Read the complete California Senate Bill 1152.

******************************************************

What better place to earn CME than Maui! There’s still time to register for the 15th Annual Emergency Medicine Hot Topics conference taking place Nov. 6-10, 2018 in Hawaii. Earn up to 20.5 CME credits!

Register today at tinyurl.com/EMHOTTOPICS

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.