Science
ER doctors say we need to pay more attention to heat
Across Southern California, emergency room workers are primed for the wave of patients that pour in as heat waves like the current one drag into their second, third and fourth days. Heat takes an accumulating toll on the body, especially when people cannot cool down at night with air conditioning.
Dr. Jennifer Roh, medical director of the adult emergency medicine department at Harbor-UCLA Medical Center, said preparation means hydration supplies, ice packs and other cooling devices at the ready.
ER doctors, nurses and technicians see the obvious cases of heat illness and heat exhaustion, of course, with fainting and cramps among the symptoms. Heat stroke is the most severe version of heat-related illness and can be life threatening.
But some doctors say their profession is less adept at recognizing that heat may be the reason some patients come in presenting with other illnesses.
Football players take a break from practice to hydrate and cool off amid high temperatures and a heat wave on Wednesday at Santa Margarita High School in Rancho Santa Margarita.
(Allen J. Schaben / Los Angeles Times)
Heat waves are like an “invisible tsunami,” said Dr. Marc Futernick, an emergency physician in Los Angeles. They can exacerbate heart disease, kidney problems and respiratory illnesses.
A patient with diabetes who can’t keep insulin refrigerated during a power outage, for example, could land in the ER in critical condition without anyone making the connection.
When they arrive, they may also be confused because of the compounding effects of heat exposure, leaving physicians to try to piece together what happened. That, says Roh, makes it hard to be certain what role heat has played in an ER patient’s symptoms.
The most vulnerable patients during heat waves are older adults, people with chronic conditions and those taking medications that impair how their bodies self-regulate when it’s hot.
“There’s so much illness beyond heat illness that even doctors who are taking care of those patients aren’t recognizing it,” Futernick said.
A runner passes by the downtown skyline at Echo Park Lake amid a heat wave on Thursday in Los Angeles.
(Carlin Stiehl / Los Angeles Times)
Dr. Sam Torbati, head of the emergency department at Cedars-Sinai Medical Center, said most conditions he sees in the ER during heat waves are largely preventable.
The health issues fall disproportionately on communities with fewer resources.
“Heat in L.A. affects everybody, but it does not affect everybody equally, and some of the people who are the most affected are the most vulnerable people in our community,” said Dr. Alex Gregor, who works at the ERs at Los Angeles General Medical Center and the University of Southern California.
“Skid Row is a heat island, a lot of our patients come from Skid Row or from [other] communities around town where they don’t have access to shade, to cooling, to nature — so there’s an unfair distribution of the burden of illness caused by heat and climate change around our city.”
“It’s a huge health equity and racial justice issue,” he said.
Most doctors don’t typically take climate change into account. Those that do say this needs to change.
Dr. Stefan Wheat, an emergency physician and assistant professor at University of Washington School of Medicine, is one advocate for broader climate-related training that would teach clinicians how heat acts as a “threat multiplier.”
Gregor similarly suggests that emergency medical service providers should be trained to recognize subtle signs of heat illness, and that social workers could be brought in to connect patients to resources such as cooling centers, or to help patients establish a buddy system, as some cities have, so someone notices if they’re in trouble.
A construction worker takes a water break while working on new homes amid a heat wave on Wednesday in Irvine.
(Allen J. Schaben / Los Angeles Times)
The climate-health connection is not new. There are more than a dozen books on the subject, and some medical schools already include climate-health training.
Some hospitals in L.A. and elsewhere now distribute heat-preparedness materials, and outreach efforts to both uninformed doctors and patients have expanded.
But awareness still lags and heat-related mortality is rising, some say. “We’re doing a good job of not making it as bad as it could be,” said Futernick. “But it’s getting worse.”
ER nurses, techs and doctors could take on a more prominent role.
“We can use our voices as healthcare professionals to push for policies that better help protect patients on a larger scale in the community,” said Wheat.
That could mean supporting building codes that ensure adequate cooling, or worker protections for those laboring outdoors in extreme temperatures.
“Heat exhaustion or heat stroke … that’s not capturing the full picture,” Wheat said. “It’s an increasingly pressing challenge.”
In Southern California, it’s expected to remain intensely hot well into September.
Science
Video: NASA Announces Artemis III Crew
new video loaded: NASA Announces Artemis III Crew
transcript
transcript
NASA Announces Artemis III Crew
NASA announced the crew of Artemis III mission, which will fly to low-Earth orbit to test rendezvous and docking maneuvers with one or two lunar landers.
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“I am excited to welcome you as the next crew in the Artemis journey to successfully return to the moon — this time to stay.” “I’m honored by the role that I’ve been given. I’m also very humbled by the task in front of us. But first and foremost, I’m grateful.” “So with that, the Artemis II crew, comrade, hands you the baton. You got the controls.” “As you know, we had a significant anomaly at our Launch Complex 36A on May 28. We’ve redoubled our efforts and are moving forward.”
By Alisa Shodiyev Kaff
June 9, 2026
Science
Santa Monica Mountains’ last steelhead trout survived the Palisades fire — and even had babies
Scientists feared the Santa Monica Mountains’ last remaining steelhead trout were dead, smothered by debris flows unleashed by the Palisades fire.
But the endangered fish surprised them: A team of biologists recently spotted 30 of the rare trout — and 21 babies — in Topanga Creek.
“There was a lot of happy dancing in the creek,” said Rosi Dagit, principal conservation biologist for the Resource Conservation District of the Santa Monica Mountains, which works with public and private landowners to conserve natural resources.
That’s because the steelhead here are endangered, at both the state and federal levels. Once, they swam in most streams of the Santa Monicas, but their numbers plummeted amid overfishing and coastal development. Increasingly frequent wildfire has further stressed their habitat. Topanga Creek, a biodiversity hot spot, is home to their last known population in the mountains that stretch from the Hollywood Hills to Point Mugu in Ventura County.
The trout that were spotted, including this one, are part of a distinct Southern California population that’s listed as endangered at the state and federal levels.
(RCDSMM Stream Team)
The California Department of Fish and Wildlife spearheaded a complex mission to rescue trout threatened by the Palisades fire that sparked in January 2025.
Time was of the essence. The fire hadn’t yet been fully contained. But rain was on the way, which would sweep massive amounts of sediment from the denuded hillsides into the water. Fish are often killed this way.
Crews stunned the fish with electricity, scooped them up in buckets, trucked them to a hatchery and ultimately moved them to Arroyo Hondo Creek in Santa Barbara County.
Within days, Topanga Creek was choked with mud. Some assumed the fish left behind were goners.
But in March, the conservation district’s team found four. The following month, when water conditions were clearer, they saw more.
“These fish continue to amaze me,” said Kyle Evans, environmental program manager for the state Department of Fish and Wildlife, who had seen the damage to the creek. “I had seen populations get wiped out in similar situations. So when I heard, I was thrilled.”
Evans surmises the fish that survived were in an area of the creek where less charred material and sediment were swept in.
“These fish likely hunkered down, were hiding under some rocks or places to try to get away from the main concentration of flow,” he said. “And luckily they weren’t buried.”
The ones that were spotted were fairly small, around 6 to 14 inches. Rainbow trout and steelhead trout are the same species, but with different lifestyles. If the fish remain in freshwater, they’ll be considered rainbows. However, they can migrate to the ocean and become steelhead, where they typically grow larger before returning to their natal waters to spawn.
Topanga Creek hasn’t fully recovered from the damage it sustained, but scientists say it’s looking better. Surveys last year were “so depressing,” Dagit said, with very few animals, and stretches that were essentially transformed into flat roads from all the sediment buildup. Some of the riparian canopy burned right down to the creek.
Then came 32 inches of rain over the last nine months, scouring out and moving sediment, creating deeper pools. Dagit said they recently found newt egg masses for the first time in years, as well as a few adult newts and many frogs. Plants that provide cover are starting to recover.
She provided photos comparing certain pools last year and this year, some dramatically transformed. In September 2025, the Shrine Pool could have been an overgrown hiking trail. This April, it was filled with shallow water.
The Shrine Pool in September 2025, left, and the same location in April 2026, right, with RCDSMM’s Isaac Yelchin donning a wetsuit.
(RCDSMM Stream Team)
Topanga Creek is home to another endangered fish, the small but hardy northern tidewater goby, often described as cute. Not long before the trout operation, Dagit led a rescue of hundreds of these fish too. Many were repatriated to the lagoon at the mouth of the creek in a moving ceremony last June.
There’s still the matter of what to do with the trout that were moved to Santa Barbara County last year. Evans would like to bring them home to the Santa Monicas at some point, but isn’t sure if it will happen. On one hand, they could bolster the small, genetically isolated surviving population. On the other, they might inadvertently bring in a disease or bacteria. There is some time to decide. Evans estimates the creek still needs to recover for two to three more years.
For now, the fish are functioning fine in their adopted creek. Experts worried the trauma wrought by the move would disrupt their spawning process, but they had babies that spring. This year, they spawned again.
Science
Pacifica pier cracks, another coastal casualty as seas continue to rise
The Pacifica Municipal Pier was shut down and taped off Thursday after city workers noticed cracks running through the landmark structure and concrete chunks falling into the ocean.
It’s just one of many coastal California structures that have recently crumbled under pressure from a rising and relentless ocean.
Officials from the small, beach city south of San Francisco said the pier was closed due to “cracking, separation, and displacement of the concrete walkway and structural elements.”
It will stay closed while structural engineers asses its safety.
Photos taken by city employees show a wide crack that runs from top to bottom and across the structure as well. Other photos show a large horizontal crack under the foundation of a small restaurant on the pier, the Chit Chat Cafe.
The cafe was also shut down.
This is not the first time the 53-year-old pier has shown signs of stress. In 2021, part of it was shut down after handrails along the edge collapsed. And in 2023, after a series of storms pummeled the Central California coast, damaging parts of the pier, the structure was partially closed for more than year.
Those same storms caused extensive damage in Aptos and Capitola, 70 miles south, where piers and waterfront infrastructure were swept away or damaged.
In 2024, a 150- to 180- foot section of the Santa Cruz wharf was ripped off by powerful waves.
At least 10 of the state’s dozens of coastal public piers were closed for part or all of 2024 due to structural damage sustained in winter storms since 2022. At least five others have longer-term upgrades planned to address structural issues.
“These things are costly to maintain,” said Zach Plopper, senior environmental director at Surfrider. “They are a part of our California coastal culture in many ways, but we’re going to need to reckon with, one, the state that they’re in, and two, the continuous and worsening threats they’re going to experience,”
He said most of the piers were constructed in the early 1900s, and they weren’t built to withstand decades of rough seas, storms and rising sea level.
“With this incoming El Niño, which is forecasted to be significant, and this marine heat wave we’re in the midst of, we’re kind of in uncharted waters as far as what this winter could bring in terms of storms and swells to the California coast, and we’re likely going to see a lot more damage,” he said. “Not just piers, but roads and other coastal infrastructure up and down the state.”
There was no storm in Pacifica earlier this week, so no single event could be blamed for the destruction.
However, a 2025 report from an outside engineering firm, GHD, found that several sections of the pier were in “poor” or “serious” condition, and they recommended closure before anticipated storms or events that could “subject the piles to high winds, swells and large waves.”
The firm found several areas of the pier where concrete was missing and rebar was exposed and corroding.
“The pier has continued to experience high winds and large waves in a harsh marine environment,” the engineers wrote in the report, noting that continuous exposure to seawater or marine spray was “detrimental” to the structure.
A 2023 city report estimated it would cost $19 million to repair.
That same year, a state law was enacted to require local governments along the California coast to plan for sea level rise in the coming decades.
Sea level has risen some 8 inches, on average, along the coast in the past 150 years, Plopper said, and researchers anticipate another foot in the next 25 years.
“We’re going to see profound shifts on our coastline, none that we have ever experienced before, and building static structures on the coast just doesn’t work all that well,” he said. “We’re going to have to make some really hard decisions.”
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