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 [email protected], 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 [email protected], 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 [email protected], 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 [email protected], 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 [email protected], 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

We’ve heard talk that the pandemic is “over”, but are we there?  It’s been a while since we talked about COVID, but it’s still out there, mutating and spreading. In this episode, we catch up with our infectious disease specialist, Dr. Dean Blumberg, to get all the up to date information on the virus, the new bivalent vaccine, and the meds available for treatment and prophylaxis. We discuss what to expect for the upcoming cold and flu season, and we get an update on monkeypox. Bottom line, the next few months aren’t going to be pretty. Go get your flu shot and your bivalent booster! 

We got our vaccines, have you? 💉 Share your questions and concerns with us  on social media,  @empulsepodcast, or through our website, ucdavisem.com.

***Please rate us and leave us a review on iTunes! It helps us reach more people.***

Host:

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

Guests:

Dr. Dean Blumberg, Professor and Chief of Pediatric Infectious Disease at UC Davis, Co-Host of the Kids Considered Podcast 

Resources:

Institute for Health Metrics and Evaluation (IHME) COVID-19 projections

(University of Washington)

CDC vaccine information page

A tripledemic expected this winter, by Tricia Tomiyoshi, UC Davis

***

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.

For most physicians, talk of court, lawyers, or subpoenas brings on a rush of anxiety. The medical and legal worlds can overlap in many ways. In this five part series, we’ll cover everything from the basics, to being a percipient or expert witness, to the dreaded malpractice lawsuits. Joining us as Guest Host, is Dr. John Rose, Professor of Emergency Medicine at UC Davis.

In the fifth and final episode of our series, we explore the role of expert witness with our own experts, Dr. Jim Holmes and Dr. David Barnes. We get into what it takes to be a medical expert and what to expect when you meet with the legal team and work through a case. There are benefits to being an expert witness, but it can also be a stressful and time consuming endeavor. Is it right for you?

Have you acted as an expert witness? What advice to you have for others? Please share! Tag us on social media, @empulsepodcast, or reach out via email [email protected], 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. John Rose, Professor of Emergency Medicine and EMS Fellowship Director at UC Davis

Guest:

Dr. David Barnes, Professor of Emergency Medicine at UC Davis

Dr. James Holmes, Professor of Emergency Medicine at UC Davis

Resources:

Expert Witness Guidelines for the Specialty of Emergency Medicine, ACEP Policy Statement

NIH NLM StatPearls: Expert Witness, by Yasmyne Ronquillo, Kenneth J. Robinson, and Patricia P. Nouhan

***

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.

For most physicians, talk of court, lawyers, or subpoenas brings on a rush of anxiety. The medical and legal worlds can overlap in many ways. In this five part series, we’ll cover everything from the basics, to being a percipient or expert witness, to the dreaded malpractice lawsuits. Joining us as Guest Host, is Dr. John Rose, Professor of Emergency Medicine at UC Davis.

In the fourth episode of our series,  we continue our conversation with Tom Doyle highlighting what EM physicians should know about being sued and living through a lawsuit. We delve into the importance of charting, including how the EMR can both help and hurt you.  And we address how to handle it when mistakes are made. 

Have you had to deal with a malpractice lawsuit? What advice to you have for others? Please share! Tag us on social media, @empulsepodcast, or reach out via email [email protected], 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. John Rose, Professor of Emergency Medicine and EMS Fellowship Director at UC Davis

Guest:

Thomas J. Doyle, Partner at Schuering, Zimmerman & Doyle in Sacramento, CA.

Resources:

Law 101 for Experts: Understanding Jury Trials, by Dani Alexis Ryskamp, JD

1 in 3 physicians has been sued; by age 55, 1 in 2 hit with suit, by Kevin B. O’Reilly, News Editor, AMA

Getting Sued: A Resident’s Perspective (ACEP)

Malpractice Litigation Stress: Doctors Beware, presentation by Dr. Gillian Schmitz (ACEP)

Things I Want You to Know About Malpractice Litigation, by Dr. Stacia Dearmin, founder of Thrive, for the ACEP section American Association of Women Emergency Physicians 

***

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.

For most physicians, talk of court, lawyers, or subpoenas brings on a rush of anxiety. The medical and legal worlds can overlap in many ways. In this five part series, we’ll cover everything from the basics, to being a percipient or expert witness, to the dreaded malpractice lawsuits. Joining us as Guest Host, is Dr. John Rose, Professor of Emergency Medicine at UC Davis.

In the third episode of our series, we get into what we all dread – being sued. We explore the ins and outs of a malpractice lawsuit with Tom Doyle, a Partner at Schuering, Zimmerman & Doyle who has 40 years of experience in the field. 

Have you had to deal with a malpractice lawsuit? What advice to you have for others? Please share! Tag us on social media, @empulsepodcast, or reach out via email [email protected], 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. John Rose, Professor of Emergency Medicine and EMS Fellowship Director at UC Davis

Guest:

Thomas J. Doyle, Partner at Schuering, Zimmerman & Doyle in Sacramento, CA.

Resources:

1 in 3 physicians has been sued; by age 55, 1 in 2 hit with suit, by Kevin B. O’Reilly, News Editor, AMA

Getting Sued: A Resident’s Perspective (ACEP)

Malpractice Litigation Stress: Doctors Beware, presentation by Dr. Gillian Schmitz (ACEP)

Things I Want You to Know About Malpractice Litigation, by Dr. Stacia Dearmin, founder of Thrive, for the ACEP section American Association of Women Emergency Physicians 

***

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.