<description>&lt;p&gt;This episode of EM Pulse dives into a critical intersection of clinical practice: the overlap between objective evidence-based medicine and the subjective influence of implicit bias.&lt;/p&gt; &lt;p&gt;In a special collaboration with &lt;a href="https://dontforgetthebubbles.com/ct-use-in-children-with-minor-trauma/"&gt;&lt;b&gt;Don’t Forget the Bubbles (DFTB)&lt;/b&gt;&lt;/a&gt;, we are joined by experts from across the globe to discuss a landmark study on how clinical decision rules—specifically the &lt;a href="https://ucdavisem.com/2024/04/18/pecarn-spotlight-tools-validated/"&gt;&lt;b&gt;PECARN&lt;/b&gt; (Pediatric Emergency Care Applied Research Network)&lt;/a&gt; imaging rules—impact disparities in pediatric trauma imaging.&lt;/p&gt; &lt;p&gt;&lt;b&gt;The Variables of Bias&lt;/b&gt;&lt;/p&gt; &lt;p&gt;The team explores the concept of &lt;b&gt;equitable care&lt;/b&gt;—providing the best possible outcome regardless of factors outside a patient’s control—and why awareness alone often isn&amp;#8217;t enough to counteract the biases we all carry.&lt;/p&gt; &lt;p&gt;&lt;b&gt;Standardizing Equity: The Power of the Rule&lt;/b&gt;&lt;/p&gt; &lt;p&gt;The core of this discussion centers on a prospective multicenter study titled &lt;i&gt;&amp;#8220;Perceived Race and Ethnicity on CT Use in Children with Minor Head or Abdominal Trauma.&amp;#8221;&lt;/i&gt;&lt;/p&gt; &lt;p&gt;&lt;b&gt;The Question:&lt;/b&gt; Do racial and ethnic disparities in CT use still exist in the &amp;#8220;PECARN era&amp;#8221;?&lt;/p&gt; &lt;ul&gt; &lt;li&gt;&lt;b&gt;The Twist:&lt;/b&gt; Why the researchers chose to look at &lt;b&gt;clinician-perceived&lt;/b&gt; race rather than self-identification to capture what is actually happening in the provider’s mind during a shift.&lt;/li&gt; &lt;li&gt;&lt;b&gt;The Finding:&lt;/b&gt; The guests discuss the encouraging results regarding how structured clinical rules can act as &amp;#8220;equity builders.&amp;#8221;&lt;/li&gt; &lt;/ul&gt; &lt;p&gt;&lt;b&gt;A Global Perspective&lt;/b&gt;&lt;/p&gt; &lt;p&gt;Bias isn&amp;#8217;t just a local issue. With representation from UC Davis, UCSF, Children’s National, and Athens, Greece, the panel looks at the international landscape of pediatric emergency care. We discuss:&lt;/p&gt; &lt;ul&gt; &lt;li&gt;The barriers to implementing decision tools in different healthcare systems.&lt;/li&gt; &lt;li&gt;How these rules—originally developed in the U.S.—are being validated and adapted from Australia to Europe.&lt;/li&gt; &lt;/ul&gt; &lt;p&gt;Our guests share how they envision these findings changing their next shift—not by removing the &amp;#8220;humanity&amp;#8221; of the process, but by anchoring conversations with families in solid evidence.&lt;/p&gt; &lt;p&gt;&lt;span style="text-decoration: underline;"&gt;&lt;b&gt;Check the Show Notes:&lt;/b&gt;&lt;/span&gt; We’ve included links to the original study and the companion blog post at Don’t Forget the Bubbles, which features a deep dive into the data. You can also find the PECARN Pediatric Head Injury and Intra-abdominal Injury (IAI) rules on MDCalc to use on your next shift.&lt;/p&gt; &lt;p&gt;&amp;#160;&lt;/p&gt; &lt;p&gt;&lt;b&gt;We want to hear from you!&lt;/b&gt; Connect with us on social media &lt;a href="https://bsky.app/profile/empulsepodcast.bsky.social"&gt;@empulsepodcast&lt;/a&gt; or on our website &lt;a href="http://ucdavisem.com"&gt;ucdavisem.com&lt;/a&gt;.&lt;/p&gt; &lt;p&gt;&lt;b&gt;Hosts:&lt;/b&gt;&lt;b&gt;&lt;/b&gt;&lt;/p&gt; &lt;p&gt;&lt;a href="http://Twitter.com/julmagana"&gt;Dr. Julia Magaña&lt;/a&gt;, Professor of Pediatric Emergency Medicine at UC Davis&lt;/p&gt; &lt;p&gt;&lt;a href="https://health.ucdavis.edu/boldly-learning/featured/sarah-medeiros.html"&gt;Dr. Sarah Medeiros&lt;/a&gt;, Professor of Emergency Medicine at UC Davis&lt;/p&gt; &lt;p&gt;&lt;b&gt;Guests&lt;/b&gt;&lt;b&gt;:&lt;/b&gt;&lt;/p&gt; &lt;p&gt;&lt;a href="https://www.childrensnational.org/about-us/leadership/nathan-kuppermann"&gt;Dr. Nate Kuppermann&lt;/a&gt;, Executive Vice President and Chief Academic Officer; Director, Children&amp;#8217;s National Research Institute; Department Chair, Pediatrics, George Washington University School of Medicine and Health Sciences&lt;/p&gt; &lt;p&gt;&lt;a href="https://www.linkedin.com/in/nisa-atigapramoj-77b74125/"&gt;Dr. Nisa Atigapramoj&lt;/a&gt;, Pediatric Emergency Medicine Physician at UCSF Benioff Children&amp;#8217;s Hospital&lt;/p&gt; &lt;p&gt;&lt;a href="https://www.linkedin.com/in/nisa-atigapramoj-77b74125/"&gt;Dr. Spyridon Karageorgos&lt;/a&gt;, Pediatric Emergency Medicine Physician at Aghia Sophia Children’s’ Hospital in Athens, Greece&lt;/p&gt; &lt;p&gt;&lt;b&gt;Resources:&lt;/b&gt;&lt;/p&gt; &lt;p&gt;&lt;a href="https://dontforgetthebubbles.com/ct-use-in-children-with-minor-trauma/"&gt;DontForgetTheBubbles.com: CT Use in Children with Minor Head or Abdominal Trauma&lt;/a&gt;&lt;/p&gt; &lt;p&gt;&lt;a href="https://publications.aap.org/pediatrics/article-abstract/157/2/e2024070582/206080/Perceived-Race-and-Ethnicity-on-CT-Use-in-Children?redirectedFrom=fulltext"&gt;Atigapramoj NS, McCarten-Gibbs K, Ugalde IT, Badawy M, Chaudhari PP, Yen K, Ishimine P, Sage AC, Nielsen D, Uppermann JS, Kravitz-Wirtz ND, Tancredi DJ, Holmes JF, Kuppermann N. Perceived Race and Ethnicity on CT Use in Children With Minor Head or Abdominal Trauma. Pediatrics. 2026 Feb 1;157(2):e2024070582. doi: 10.1542/peds.2024-070582. PMID: 41520991.&lt;/a&gt;&lt;/p&gt; &lt;p&gt;&lt;a href="https://ucdavisem.com/2024/04/18/pecarn-spotlight-tools-validated/"&gt;PECARN Spotlight: Tools Validated&lt;/a&gt;&lt;/p&gt; &lt;p&gt;&lt;a href="https://ucdavisem.com/2018/09/17/excuse-me-your-bias-is-showing/"&gt;Excuse Me, Your Bias is Showing&lt;/a&gt;&lt;/p&gt; &lt;p&gt;&lt;a href="https://pecarn.org"&gt;PECARN&lt;/a&gt;&lt;/p&gt; &lt;p style="text-align: center;"&gt;****&lt;/p&gt; &lt;p&gt;Thank you to the &lt;a href="http://www.ucdmc.ucdavis.edu/emergency/"&gt;UC Davis Department of Emergency Medicine&lt;/a&gt; for supporting this podcast and to Orlando Magaña at &lt;a href="http://www.orlandomagana.com/"&gt;OM Productions&lt;/a&gt; for audio production services.&lt;/p&gt;</description>

EM Pulse Podcast™

UC Davis Department of Emergency Medicine

Do Clinical Decision Tools Reduce Bias? DFTB Collab

MAR 10, 202629 MIN
EM Pulse Podcast™

Do Clinical Decision Tools Reduce Bias? DFTB Collab

MAR 10, 202629 MIN

Description

<p>This episode of EM Pulse dives into a critical intersection of clinical practice: the overlap between objective evidence-based medicine and the subjective influence of implicit bias.</p> <p>In a special collaboration with <a href="https://dontforgetthebubbles.com/ct-use-in-children-with-minor-trauma/"><b>Don’t Forget the Bubbles (DFTB)</b></a>, we are joined by experts from across the globe to discuss a landmark study on how clinical decision rules—specifically the <a href="https://ucdavisem.com/2024/04/18/pecarn-spotlight-tools-validated/"><b>PECARN</b> (Pediatric Emergency Care Applied Research Network)</a> imaging rules—impact disparities in pediatric trauma imaging.</p> <p><b>The Variables of Bias</b></p> <p>The team explores the concept of <b>equitable care</b>—providing the best possible outcome regardless of factors outside a patient’s control—and why awareness alone often isn&#8217;t enough to counteract the biases we all carry.</p> <p><b>Standardizing Equity: The Power of the Rule</b></p> <p>The core of this discussion centers on a prospective multicenter study titled <i>&#8220;Perceived Race and Ethnicity on CT Use in Children with Minor Head or Abdominal Trauma.&#8221;</i></p> <p><b>The Question:</b> Do racial and ethnic disparities in CT use still exist in the &#8220;PECARN era&#8221;?</p> <ul> <li><b>The Twist:</b> Why the researchers chose to look at <b>clinician-perceived</b> race rather than self-identification to capture what is actually happening in the provider’s mind during a shift.</li> <li><b>The Finding:</b> The guests discuss the encouraging results regarding how structured clinical rules can act as &#8220;equity builders.&#8221;</li> </ul> <p><b>A Global Perspective</b></p> <p>Bias isn&#8217;t just a local issue. With representation from UC Davis, UCSF, Children’s National, and Athens, Greece, the panel looks at the international landscape of pediatric emergency care. We discuss:</p> <ul> <li>The barriers to implementing decision tools in different healthcare systems.</li> <li>How these rules—originally developed in the U.S.—are being validated and adapted from Australia to Europe.</li> </ul> <p>Our guests share how they envision these findings changing their next shift—not by removing the &#8220;humanity&#8221; of the process, but by anchoring conversations with families in solid evidence.</p> <p><span style="text-decoration: underline;"><b>Check the Show Notes:</b></span> We’ve included links to the original study and the companion blog post at Don’t Forget the Bubbles, which features a deep dive into the data. You can also find the PECARN Pediatric Head Injury and Intra-abdominal Injury (IAI) rules on MDCalc to use on your next shift.</p> <p>&#160;</p> <p><b>We want to hear from you!</b> Connect with us on social media <a href="https://bsky.app/profile/empulsepodcast.bsky.social">@empulsepodcast</a> or on our website <a href="http://ucdavisem.com">ucdavisem.com</a>.</p> <p><b>Hosts:</b><b></b></p> <p><a href="http://Twitter.com/julmagana">Dr. Julia Magaña</a>, Professor of Pediatric Emergency Medicine at UC Davis</p> <p><a href="https://health.ucdavis.edu/boldly-learning/featured/sarah-medeiros.html">Dr. Sarah Medeiros</a>, Professor of Emergency Medicine at UC Davis</p> <p><b>Guests</b><b>:</b></p> <p><a href="https://www.childrensnational.org/about-us/leadership/nathan-kuppermann">Dr. Nate Kuppermann</a>, Executive Vice President and Chief Academic Officer; Director, Children&#8217;s National Research Institute; Department Chair, Pediatrics, George Washington University School of Medicine and Health Sciences</p> <p><a href="https://www.linkedin.com/in/nisa-atigapramoj-77b74125/">Dr. Nisa Atigapramoj</a>, Pediatric Emergency Medicine Physician at UCSF Benioff Children&#8217;s Hospital</p> <p><a href="https://www.linkedin.com/in/nisa-atigapramoj-77b74125/">Dr. Spyridon Karageorgos</a>, Pediatric Emergency Medicine Physician at Aghia Sophia Children’s’ Hospital in Athens, Greece</p> <p><b>Resources:</b></p> <p><a href="https://dontforgetthebubbles.com/ct-use-in-children-with-minor-trauma/">DontForgetTheBubbles.com: CT Use in Children with Minor Head or Abdominal Trauma</a></p> <p><a href="https://publications.aap.org/pediatrics/article-abstract/157/2/e2024070582/206080/Perceived-Race-and-Ethnicity-on-CT-Use-in-Children?redirectedFrom=fulltext">Atigapramoj NS, McCarten-Gibbs K, Ugalde IT, Badawy M, Chaudhari PP, Yen K, Ishimine P, Sage AC, Nielsen D, Uppermann JS, Kravitz-Wirtz ND, Tancredi DJ, Holmes JF, Kuppermann N. Perceived Race and Ethnicity on CT Use in Children With Minor Head or Abdominal Trauma. Pediatrics. 2026 Feb 1;157(2):e2024070582. doi: 10.1542/peds.2024-070582. PMID: 41520991.</a></p> <p><a href="https://ucdavisem.com/2024/04/18/pecarn-spotlight-tools-validated/">PECARN Spotlight: Tools Validated</a></p> <p><a href="https://ucdavisem.com/2018/09/17/excuse-me-your-bias-is-showing/">Excuse Me, Your Bias is Showing</a></p> <p><a href="https://pecarn.org">PECARN</a></p> <p style="text-align: center;">****</p> <p>Thank you to the <a href="http://www.ucdmc.ucdavis.edu/emergency/">UC Davis Department of Emergency Medicine</a> for supporting this podcast and to Orlando Magaña at <a href="http://www.orlandomagana.com/">OM Productions</a> for audio production services.</p>