This is the next episode of our Push Dose Pearls miniseries with ED Clinical Pharmacist, Chris Adams. In this ongoing series we’ll dig into some of the questions we all have about medications we commonly see and use in the ED. In this epsidoe, we unpack the complexities of anticoagulation reversal in the emergency department – It’s not just about vitamin K anymore! Tune in as we explore the key reversal agents, when and why to use them, how fast they work, and the risks that come with turning off anticoagulation. From bleeding emergencies to stroke prevention, this quick dive offers practical pearls for navigating the coagulation cascade in real time.

Have you had a bad GI bleed or intracranial hemorrhage in a patient on thinners?. Share your story with us on social media or at ucdavisem.com.

Hosts:

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

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

Guests:

Christopher Adams, PharmD, Emergency Department Senior Clinical Pharmacist and former Assistant Professor at UC Davis

Resources:

Baugh CW, Levine M, Cornutt D, et al. Anticoagulant Reversal Strategies in the Emergency Department Setting: Recommendations of a Multidisciplinary Expert Panel. Ann Emerg Med. 2020 Oct;76(4):470-485. doi: 10.1016/j.annemergmed.2019.09.001. Epub 2019 Nov 13. PMID: 31732375; PMCID: PMC7393606.

ACEP Point of Care Tools: Anticoagulation Reversal.

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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.

Big news for emergency medicine residencies! The ACGME is proposing several major changes to EM program requirements. To comply with these new requirements, programs would need to be 4 years long. This is a hotly debated topic at the moment as most EM residencies in the U.S. currently are 3 year programs. So what are the proposed changes? How would they affect the curriculum and training for future EM physicians? To answer these questions, we sit down with UC Davis EM Program Director and medical education specialist, Dr. Aaron Danielson. 

What do you think of these proposed changes? We’d love to hear from you. We’re on social media @empulsepodcast or connect with us on ucdavisem.com

Host:

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

Guest:

Dr. Aaron Danielson, Associate Professor of Emergency Medicine and Emergency Medicine Residency Program Director at UC Davis

Resources:

Share your comments with the ACGME

ACEP: ACGME Releases Proposed Changes to EM Program Requirements

UC Davis Emergency Medicine Residency Program

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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.

Disclaimer

In the fourth and final episode of our advocacy mini series with guest host, Dr. Anna Yap, we dive into a powerful story of advocacy led by a mother-daughter duo. Pediatric nurse practitioner Robyn Lao and her 9-year-old daughter, Addie, who has severe food allergies, turned their personal challenges into a statewide movement by co-authoring California Senate Bill 68—the Allergen Disclosure for Dining Experiences (ADDE) Act. Together, they share their journey from navigating daily food allergy struggles to pushing for legislative change, proving that anyone, at any age, can make a difference. Tune in to hear how their determination is shaping a safer future for millions.

Have you been involved in health care related legislation? 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:

Robyn Lao, D.N.P., C.P.N.P.-A.C., Pediatric Surgery Nurse Practitioner at UC Davis 

Addie Lao, 9-year-old Food Allergy Advocate

Resources:

Addie’s website: Addie Tells All

Addie’s Video and YouTube Channel

California SB 68: The Allergen Disclosure for Dining Experiences (ADDE) Act

ACEP: Tools for Effective State Advocacy

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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.

Disclaimer

In the third episode of our advocacy mini series with Dr. Anna Yap, we explore the evolving challenges faced by transgender patients and medical professionals in today’s political climate. We’re joined by Charlie Adams, a fourth-year medical student and dedicated advocate, who shares his powerful journey fighting for transgender rights and health equity. Together, we discuss the importance of gender-affirming care, the real-world impact of restrictive laws, and how we can improve emergency department care for transgender patients. Tune in for an insightful conversation on advocacy, inclusivity, and the role we all play in creating a more supportive healthcare system.

How have your patients and your practice environment been affected by legal and political changes in transgender rights? 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:

Charlie Adams, Medical Student, Future Emergency Physician, and Transgender Health Advocate 

Resources:

Charlie Adams’ Instagram: @transproudmed

ACEP: Caring for Transgender and Gender Diverse Patients in the Emergency Department

Clarifying Misconceptions About Youth Gender-Affirming Care. By Center for Health Journalism Fellow, Sophie Putka. May 22, 2024

Trans adults on edge as legislatures broaden focus beyond children. Washington Post, February 15, 2024

Gender-affirming care is life-saving, research says. Why is it so controversial? by David Oliver, USA Today, Nov 1, 2023

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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.

Disclaimer

In 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)

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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.

Disclaimer

When 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. [email protected]

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

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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.

Disclaimer

In 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

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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 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.

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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 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.

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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 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

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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.