Are the thrombolysis metrics arbitrary? Great work by Dharati Desai et al. sciencedirect.com/science/articl…

Providing sodium bicarbonate to patients with metabolic acidosis is a controversial management strategy. Here's a study demonstrating benefits for our patients. I'm posting this and running away. 🎩 tip to the authors. eddyjoemd.com/foamed

With ACIP sidelined, the Vaccine Integrity Project is convening trusted experts to ensure immunization guidance remains evidence-based, with IDSA leading efforts for immunocompromised and high-risk populations. statnews.com/2025/07/03/vac…

💧Fluid creep accounts for more fluid than resuscitation in ICU. But nobody prescribes it — and most don’t even notice it. The truth? 🧨 Most ICU patients don’t need routine maintenance fluids. Here’s what’s really going on 👇🧵

toxicology ebm summarized

MAP > 65 is a myth Lactate isn’t intrinsically bad 30 ml/kg fluid bolus was invented by a shadow government

🔟 Ten Commandments of Intensivist 1.Don’t drown your patient in fluids — Crystalloids don’t fix mitochondrial failure. 2.Fluid tolerance first, fluid responsiveness next — Always ask, “Can they take it?” before “Will they respond?”

every case report should include a narrative of the weather to introduce the case

ER Pharmacist Opportunity! Join our high-acuity, fast-paced ED team. Work alongside great docs, nurses & pharmacists who have your back 🫶🏻 📍 Abrazo West Campus in Goodyear, AZ 🕒 Evening shifts ⚡ Level 1 trauma center Message me for more details! eodr.fa.us2.oraclecloud.com/hcmUI/Candidat…

The mistake here is “routine intravenous administration of fluids” Don’t give maintenance IV fluids. Almost no one actually needs them.

She’s generic 🥹

Does it ever seem that the way fresh frozen plasma (FFP) and platelet transfusion takes place is a bit more arbitrary than you'd like? CHEST published this guideline to tidy up practice. 🎩 tip to the authors. eddyjoemd.com/foamed

In a prospective study of confirmed penicillin-allergic patients, almost none reacted to cephalosporins or carbapenems — highlighting how rare true cross-reactivity is. Save this pearl for quick reference. 📚 Full pearl here: pharmacyacute.com/penicillin-all… #PharmacyPearls

Any ED pharmacists looking to relocate to Charlotte? DM me #twitteRx #EMRx

🚨ED PHARMACIST JOB AVAILABLE at UCLA🐻💙💛 - graveyard, 10hr shifts - 7 days on, 7 days off⭐️ - amazing night shift ED staff + pharmacy staff 🥹💕 - in Santa Monica, CA 🌊 Stroke (we use TNK!) & STEMI receiving. Not trauma - respond to ED & inpatient codes - great benefits!

🚨 NEW POD ALERT🚨 Dexmedetomidine ICU Clinical Pearls Dexmed in AWS with Alyson DeRosa Dexmed for Sleep with Natalia Smith 🟢 bit.ly/4qfwzud

Patients who received tranexamic acid within 90 minutes of traumatic injury had improved 28-day mortality. #EMRx #emergencymedicine #clinicalpharmacy #TXA #trauma #TwitteRx

NEW #IDSAGuidelines! For the 2025-2026 respiratory season, IDSA strongly recommends age-appropriate COVID-19 vaccinations for immunocompromised adults and children: bit.ly/4nQWtmk

The 2025 AASLD/IDSA Practice Guideline on the treatment of chronic hepatitis B was released on their website on November 4, 2025. Here’s what has changed compared to the previous 2018 guidelines, according to ChatGPT. 🔴Pregnancy — antiviral prophylaxis to prevent

New EAST guideline for management of acute incarcerate or strangulated inguinal hernias! #EAST #Hernia #AcuteCareSurgery @EAST_Trauma; @mfarrellmd; Jordan M. Kirsch; Rondi Beth Gelbard; Alistair J Kent, MD; Arielle Perez, MD, MPH journals.lww.com/jtrauma/abstra…