EM Pulse Podcast™
UC Davis Emergency Department
We invite you to join us on EM Pulse Podcast™ as we delve into current topics in Emergency Medicine through fascinating cases, interviews with authors of groundbreaking research, and discussion with clinical experts in adult and pediatric EM. Let’s learn together from these amazing people who are changing the landscape of clinical care.
- 19 minutes 20 secondsMedicine on the Go: Health 34
In this first installment of our Medicine on the Go series, we explore how care is moving beyond hospital walls and directly into the community through UC Davis Fire Department’s innovative mobile mental health crisis unit, Health 34. You’ll hear how this no-cost, 24/7 team—staffed by providers with paramedic backgrounds and lay counselor training—meets people where they are to prevent crises, support mental health needs, and connect patients to the right resources before problems escalate. Health 34 Provider, Blythe Clark, joins us to share the origins of the program, how it works, who it serves, and what other communities can learn from this model. We’ll explore how prehospital services can act as a powerful preventative tool and how collaborations like this could reshape the future of care far beyond campus.
Do you have a program similar to Health 34 in your area? We’d love to hear how it’s working and what you’ve learned. Share with us on social media @empulsepodcast or connect with us on ucdavisem.com
Hosts:
Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis
Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis
Guest:
Blythe Clark, Health 34 Provider, UC Davis Fire Department
Resources:
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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.
20 November 2025, 10:51 pm - 20 minutes 49 secondsReal Time TeamSTEPPS
In this episode of EM Pulse, guest host Dr. Neelou Tabatabai joins Julia in a discussion with ED nurse and TeamSTEPPS advocate, Leigh Clary, to explore how structured communication tools can transform even the most high-stress medical and trauma resuscitations. Through a real-life story of conflict and resolution in the emergency department, Leigh illustrates how TeamSTEPPS strategies—like assertive communication, the Two-Challenge Rule, and CUS words—empower teams to speak up, de-escalate tension, and protect patient safety. Together, they unpack how calm, composed dialogue preserves respect, strengthens teamwork, and ensures every voice is heard when it matters most.
Do you use TeamSTEPPS or a similar model in your ED? We’d love to hear what has been successful for your team. Hit us up on social media @empulsepodcast or connect with us on ucdavisem.com
Hosts:
Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis
Guest Host:
Dr. Neelou Tabatabai, Assistant Professor of Emergency Medicine at UC Davis
Guest:
Leigh Clary, RN, BSN, RN, CEN, ADCES, MICN , ED Nurse and TeamSTEPPS Project Lead at UC Davis
Resources:
TeamSTEPPS Player of the Month Program, Presentation by Leigh Clary and Jose Metica
TeamSTEPPS Pocket Guide – Agency for Healthcare Research and Quality
EM Pulse: TeamSTEPPS, September 17, 2021
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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.
5 November 2025, 10:47 pm - 21 minutes 8 secondsRethinking M&M
In this episode, we dive into the charged world of Morbidity and Mortality conferences—where good intentions can collide with fear, shame, and silence. We’ve all felt that jolt of adrenaline sitting in the audience—or worse, standing at the podium. Our guest expert, Dr. Jaymin Patel, helps us unpack why the traditional M&M model no longer works and how we can rebuild it into something better: a space that turns mistakes into meaningful learning, supports both patient and provider healing, and helps us face our ghosts without fear.
How do you think we can improve M&M? Share your ideas with us on social media @empulsepodcast or connect with us on ucdavisem.com
Hosts:
Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis
Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis
Guest:
Dr. Jaymin Patel, Assistant Professor of Emergency Medicine and Assistant Residency Program Director at UC Davis
Resources:
ALiEM: The M&M Shame Game; Case by Dr. Tamara McColl
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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.
20 October 2025, 10:46 pm - 36 minutes 43 secondsPECARN Infant Fever Update: 61-90 days
What happens when a febrile infant presents at 61 days old? Are they suddenly low risk for invasive bacterial infections? In this episode, we explore the gray zone of managing febrile infants aged 61–90 days with the help of two new clinical prediction rules from PECARN. Joining us are two powerhouses in pediatric emergency medicine: Dr. Nate Kuppermann and Dr. Paul Aronson, who walk us through their recent study published in Pediatrics. We discuss why prior research has traditionally stopped at 60 days, what the new data shows about risk in this slightly older age group, and how these rules might help guide clinical decision-making. This study fills a long-standing gap—but should we start using the rules now? Tune in for a nuanced discussion on sensitivity, missed cases, practical application, and the future of risk stratification in young infants with fever.
What is your practice in terms of work-up of 2-3 month old febrile infants? Will this change what you do? Hit us up social media @empulsepodcast or connect with us on 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:
Dr. Nate Kuppermann, Executive Vice President and Chief Academic Officer; Director, Children’s National Research Institute; Department Chair, Pediatrics, George Washington University School of Medicine and Health Sciences
Dr. Paul Aronson, Professor of Pediatrics (Emergency Medicine); Deputy Director, Pediatric Residency Program at Yale University School of Medicine
Resources:
“Hot” Off the Press: Infant Fever Rule
Do I really need to LP a febrile infant with a UTI?
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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.
6 October 2025, 10:26 pm - 18 minutes 50 secondsScorpions and Spiders
Dive into the second half of our envenomation series! Dr. Jonathan Ford, a UC Davis Medical Toxicologist and Professor of Emergency Medicine, returns to the podcast to tackle scorpions and spiders. We’re going beyond the basics to discuss the “why” and “how” of these bites and stings. Learn about the neurotoxic effects of bark scorpion venom and the life-threatening airway risks. Explore the mechanism behind black widow bites that leads to intense pain and spasms, and the crucial role of antivenom in severe cases. Plus, we’re setting the record straight on a common myth—the brown recluse—and the proper supportive care for its nasty bite. Join us to discover the latest evidence-based approaches that could change how you manage your next bite or sting.
Have you had a patient with a serious or challenging envenomation? How did you manage it? Share your story with us social media @empulsepodcast or connect with us on ucdavisem.com
Hosts:
Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis
Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis
Guest:
Dr. Jonathan Ford, Professor of Emergency Medicine and Medical Toxicologist at UC Davis
Resources:
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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.
19 September 2025, 7:09 pm - 37 minutes 20 secondsTime is Tissue
Summer hikes and backyard play mean we’re bound to see a few snakebites in the ED—and getting the first steps right makes all the difference. In the first half of this 2 part series, Medical Toxicologist Dr. Jonathan Ford joins us to walk through the key steps in caring for patients with snake envenomations. We’ll walk through what to do (and not to do) in terms of pre-hospital care, how to triage and assess patients when they arrive in the ED, and how to decide which patients need antivenom. Dr. Ford reviews dosing strategies, monitoring, and key considerations for children, elderly, and pregnant patients. And we discuss practical guidance on supportive care, from pain control to wound management. By the end of this episode, you’ll be ready to provide effective, evidence-based care for your next snakebite patient.
Have you had a patient with a serious or challenging envenomation? How did you manage it? Share your story with us social media @empulsepodcast or connect with us on ucdavisem.com
Hosts:
Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis
Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis
Guest:
Dr. Jonathan Ford, Professor of Emergency Medicine and Medical Toxicologist at UC Davis
Resources:
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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.
5 September 2025, 11:35 pm - 18 minutes 11 secondsResus Update: Part 2
In the second half of this two part episode, Dr. David Leon unpacks some of the most hotly debated topics in resuscitation—fluids, blood products, ECMO, and post-arrest care. He breaks down the pros and cons of crystalloids (yes, even the “pasta water” debate), explains why lactated Ringer’s is often preferred over normal saline, and dips into the use of albumin and colloids. Dr. Leon also discusses the promise and challenges of extracorporeal life support (ECLS), the evolving role of targeted temperature management (TTM), and even peeks into what advances the future might hold. It’s a thoughtful, forward-looking conversation every resuscitationist should hear.
What do you think of Dr. Leon’s tips? Are you using these tools in your practice? We’d love to hear from you. Share them with us on social media @empulsepodcast or connect with us on ucdavisem.com
Hosts:
Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis
Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis
Guest:
Dr. David Leon, Assistant Professor of Emergency Medicine and Anesthesia at UC Davis
Resources:
American Heart Association (AHA) Algorithms
Perman SM, Elmer J, Maciel CB, Uzendu A, May T, Mumma BE, Bartos JA, Rodriguez AJ, Kurz MC, Panchal AR, Rittenberger JC; American Heart Association. 2023 American Heart Association Focused Update on Adult Advanced Cardiovascular Life Support: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2024 Jan 30;149(5):e254-e273. doi: 10.1161/CIR.0000000000001194. Epub 2023 Dec 18. PMID: 38108133.
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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.
18 August 2025, 9:39 pm - 24 minutes 36 secondsResus Update: Part 1
In this high-yield two part episode, we dive into the evolving world of resuscitation with Dr. David Leon, Assistant Professor of Emergency Medicine and Anesthesia at UC Davis. From the shift in priorities from ABC (Airway-Breathing-Circulation) to CAB (Circulation first) to the practical use of peripheral vasopressors and rapid infusion catheters, this episode breaks down how frontline ED care is adapting to sicker patients, longer ICU boarding times, and limited resources. Tune in for insights on advanced access strategies, pre-hospital blood products, and why old tools, like whole blood and vasopressin, are making a powerful comeback.
What do you think of Dr. Leon’s tips? Are you using these tools in your practice? We’d love to hear from you. Share them with us on social media @empulsepodcast or connect with us on ucdavisem.com
Hosts:
Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis
Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis
Guest:
Dr. David Leon, Assistant Professor of Emergency Medicine and Anesthesia at UC Davis
Resources:
American Heart Association (AHA) Algorithms
Perman SM, Elmer J, Maciel CB, Uzendu A, May T, Mumma BE, Bartos JA, Rodriguez AJ, Kurz MC, Panchal AR, Rittenberger JC; American Heart Association. 2023 American Heart Association Focused Update on Adult Advanced Cardiovascular Life Support: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2024 Jan 30;149(5):e254-e273. doi: 10.1161/CIR.0000000000001194. Epub 2023 Dec 18. PMID: 38108133.
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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.
7 August 2025, 9:51 pm - 20 minutes 49 secondsAcute Agitation
We’re back with another episode of Push Dose Pearls with ED Clinical Pharacist, Haley Burhans! In this episode, we break down the essentials of managing agitation in the ED—starting with why you should avoid diphenhydramine in the elderly and benzodiazepines in the 3 D’s: drunk, delirium, and dementia. We discuss how to quickly assess the cause, choose the right medication, and decide between IM and IV routes. And Haley offers some key safety tips and considerations for special populations, including kids and the elderly.
Was this episode helpful? What other medications would you like to learn more about? 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, Professor of Emergency Medicine at UC Davis
Guests:
Haley Burhans, PharmD, Emergency Medicine Clinical Pharmacist at UC Davis
Resources:
Pediatric Education and Advocacy Kit (PEAK): Agitation
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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.
23 July 2025, 11:52 pm - 26 minutes 27 secondsLife Balance: an Inside Job
In this episode, we welcome back Dr. John Rose as cohost for a conversation with Dr. Gary Tamkin—Emergency Physician and Vice President of Provider Development at US Acute Care Solutions. Together, they explore what it really takes to find happiness and fulfillment in the high-stakes world of emergency medicine. From the trap of the arrival fallacy to the pressure of always chasing the next milestone, Dr. Tamkin shares personal insights and practical strategies tailored to the unique challenges EM clinicians face. You’ll come away with two actionable tools to help build more meaning, balance, and joy—both on shift and off.
What are your tips for avoiding burnout and finding balance? Share them with us on social media @empulsepodcast or connect with us on ucdavisem.com
Hosts:
Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis
Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis
Guest Host:
Dr. John Rose, Professor of Emergency Medicine and EMS Medical Director at UC Davis
Guest:
Dr. Gary Tamkin, Emergency Physician and Vice President of Provider Development and US Acute Care Solutions
Resources:
Podcast: 10% Happier with Dan Harris
Podcast: Hidden Brain with Shankar Vedantam
Transitions by William Bridges, PhD with Susan Bridges
The Happiness Advantage by Shawn Achor
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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.
30 June 2025, 3:15 am - 22 minutes 3 secondsPush Dose Pearls: Hypoglycemia
Hypoglycemia can be subtle—or dangerously obvious—and knowing when and how to treat it is critical. In her first episode as our new Push Dose Pearls expert, Emergency Medicine Clinical Pharmacist, Haley Burhans, joins us to break it down. We discuss glucose thresholds by age, when to draw critical labs, and how to choose the right treatment—whether it’s oral glucose, IV dextrose, or IM or intranasal glucagon. From neonates to older adults, Haley delivers practical, evidence-based pearls to help you manage low blood sugar safely and effectively in the ED.
Was this episode helpful? What other medications would you like to learn more about? 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, Professor of Emergency Medicine at UC Davis
Guests:
Haley Burhans, PharmD, Emergency Medicine Clinical Pharmacist at UC Davis
Resources:
MD Calc GIR (Glucose Infusion Rate) Calculator
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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.
25 June 2025, 7:53 pm - More Episodes? Get the App