EM:CRAP (@em_crap) 's Twitter Profile
EM:CRAP

@em_crap

I'm not a doctor, and I don't play one on TV. Emergency Medicine Pharmacist at Queen of the Valley Medical Center in Napa CA

ID: 1160622652748259329

linkhttps://emcrap.home.blog/ calendar_today11-08-2019 18:42:58

188 Tweet

141 Followers

72 Following

EM:CRAP (@em_crap) 's Twitter Profile Photo

Tell me youโ€™re an ER pharmacist without telling me youโ€™re an ER pharmacist ๐Ÿ˜ท๐Ÿคก๐Ÿ‘€๐Ÿ‘จ๐Ÿผโ€โš•๏ธ๐Ÿ’‰ #propofol #propofolpapi #ketamine #ketaminekat DNA Masks and More

Tell me youโ€™re an ER pharmacist without telling me youโ€™re an ER pharmacist ๐Ÿ˜ท๐Ÿคก๐Ÿ‘€๐Ÿ‘จ๐Ÿผโ€โš•๏ธ๐Ÿ’‰ #propofol #propofolpapi #ketamine #ketaminekat <a href="/DnaMasks/">DNA Masks and More</a>
Chilla Wiersema, PharmD, BCEMP (@chillapharmd) 's Twitter Profile Photo

And now for a #pharmacyeducationboard inspired by the new ED-AWARENESS study (and my own personal soapbox)! ๐Ÿ“ข๐Ÿ˜ฒ There continues to be more and more literature detailing the harmful psychological effects of inadequate or no sedation post-RSI ๐Ÿ˜ข (1/6)

And now for a #pharmacyeducationboard inspired by the new ED-AWARENESS study (and my own personal soapbox)! ๐Ÿ“ข๐Ÿ˜ฒ

There continues to be more and more literature detailing the harmful psychological effects of inadequate or no sedation post-RSI ๐Ÿ˜ข

(1/6)
EM:CRAP (@em_crap) 's Twitter Profile Photo

Love getting a shout out in ER providers notes! Macrobid sucks for people over 80! That is all. #edpharmacist #medtwitter #citeyourpharmacist

Love getting a shout out in ER providers notes! Macrobid sucks for people over 80! That is all. #edpharmacist #medtwitter #citeyourpharmacist
EM:CRAP (@em_crap) 's Twitter Profile Photo

New #fixeddoseKcentra protocol for warfarin and DOAC reversal โœ… similar outcomes to 25-50 unit/kg โœ… quicker time to administration โœ… less guesswork and thrombosis risk #MedTwitter #pharmtwitter #anticoag #anticoagreversal #emergencymedicine #emed #emedtwitter by Mustafa Sultani

New #fixeddoseKcentra protocol for warfarin and DOAC reversal
โœ… similar outcomes to 25-50 unit/kg
โœ… quicker time to administration
โœ… less guesswork and thrombosis risk

#MedTwitter #pharmtwitter #anticoag #anticoagreversal #emergencymedicine #emed #emedtwitter by <a href="/m00sultani/">Mustafa Sultani</a>
EM:CRAP (@em_crap) 's Twitter Profile Photo

Personal hospital pet peeve: when a coworker who isnโ€™t familiar with you stares at your badge to figure out your name and title instead of just asking you who you are

Chilla Wiersema, PharmD, BCEMP (@chillapharmd) 's Twitter Profile Photo

Got an anterior nosebleed? ๐Ÿ‘๐Ÿ‘ƒ๐Ÿ‘ ๐Ÿ‘„๐Ÿฉธ You could use a ๐Ÿฆ ๐Ÿš€ ... but here are some alternatives! (๐Ÿคญ surprise... TXA might not be as effective as we once thought) Thanks TILEmergencyPharmacist Brittany & @Joshpark322! #pharmacyeducationboard #twitterx #medtwitter #nursetwitter

Got an anterior nosebleed?
๐Ÿ‘๐Ÿ‘ƒ๐Ÿ‘
     ๐Ÿ‘„๐Ÿฉธ

You could use a
๐Ÿฆ ๐Ÿš€ 

... but here are some alternatives!

(๐Ÿคญ surprise... TXA might not be as effective as we once thought)

Thanks <a href="/TILEDPharmD/">TILEmergencyPharmacist</a> Brittany &amp; @Joshpark322!
#pharmacyeducationboard 
#twitterx #medtwitter #nursetwitter
EM:CRAP (@em_crap) 's Twitter Profile Photo

DEFINITELY seeing an uptick in STI cases with reopening and summer wild oat sowing โ€ฆ Friendly reminder to increase that ceftriaxone dose to 500 mg IM and to add doxycycline if chlamydia not ruled out! Consider azithro 1g dose in ER if pt expected to have barriers to compliance

DEFINITELY seeing an uptick in STI cases with reopening and summer wild oat sowing โ€ฆ Friendly reminder to increase that ceftriaxone dose to 500 mg IM and to add doxycycline if chlamydia not ruled out! Consider azithro 1g dose in ER if pt expected to have barriers to compliance
EM:CRAP (@em_crap) 's Twitter Profile Photo

๐ŸŽ„TIS THE SEASON for merrymaking ๐Ÿฅ‚๐Ÿพ so watch out for โ€œHoliday Heart Syndromeโ€ in the ER ๐Ÿš‘๐Ÿฅ: ๐Ÿป EtOH-induced cardiomyopathy ๐Ÿ’“ atrial fibrillation These patients may need cardioversion โšก๏ธ or antiarrhythmic tx ๐Ÿ’‰ #pharmacyeducationboard by the Twitterless Brenda Luke

๐ŸŽ„TIS THE SEASON for merrymaking ๐Ÿฅ‚๐Ÿพ so watch out for โ€œHoliday Heart Syndromeโ€ in the ER ๐Ÿš‘๐Ÿฅ:
๐Ÿป EtOH-induced cardiomyopathy 
๐Ÿ’“ atrial fibrillation 
These patients may need cardioversion โšก๏ธ or antiarrhythmic tx ๐Ÿ’‰
#pharmacyeducationboard by the Twitterless Brenda Luke
EM:CRAP (@em_crap) 's Twitter Profile Photo

Texting with hospitalists is so funโ€ฆ Beta Carelto for PE coming soon ๐Ÿฅ•๐Ÿ‘จ๐Ÿฟโ€๐ŸŒพ๐Ÿง‘๐Ÿปโ€๐ŸŒพ๐Ÿซ #carrotsforpulmonaryembolism #MedTwitter #pharmtwitter #twitterx #xarelto #carrot

Texting with hospitalists is so funโ€ฆ Beta Carelto for PE coming soon ๐Ÿฅ•๐Ÿ‘จ๐Ÿฟโ€๐ŸŒพ๐Ÿง‘๐Ÿปโ€๐ŸŒพ๐Ÿซ #carrotsforpulmonaryembolism #MedTwitter #pharmtwitter #twitterx #xarelto #carrot
Evan Mulvihill (@evancomycin87) 's Twitter Profile Photo

According to Zoom transcription, Professor Evan teaches about expanding the vascular spaceballs #zoomrecording #zoomtranscription #vascularspaceballs #twitterx #medtwitter

According to Zoom transcription, Professor Evan teaches about expanding the vascular spaceballs #zoomrecording #zoomtranscription #vascularspaceballs #twitterx #medtwitter
EM:CRAP (@em_crap) 's Twitter Profile Photo

I think Iโ€™m in the minority of pharmacists who are more OK with giving thombolytic for AIS in setting of DOAC in last 48 hours. Even with low pt numbers there isnโ€™t a signal toward harm, right? You do have to be extremely careful on which pts have severe enough sx to merit tx

EM:CRAP (@em_crap) 's Twitter Profile Photo

tPA โžก๏ธ TNKaseยฎ for Acute Ischemic Stroke ๐Ÿ˜ถโ€๐ŸŒซ๏ธ #pharmacyeducationboard โœ… easy to mix ๐Ÿ’ฟ โœ… 5 second IV push ๐Ÿ’‰ โœ… may be superior for LVOs ๐Ÿงฑ โฐ is ๐Ÿง ! #twitterx #stroke #MedTwitter #tnkase #tenecteplase #tnkase #alteplase #tpa #ais #pharmacy #thrombolysis

tPA โžก๏ธ TNKaseยฎ for Acute Ischemic Stroke ๐Ÿ˜ถโ€๐ŸŒซ๏ธ #pharmacyeducationboard 

โœ… easy to mix ๐Ÿ’ฟ
โœ… 5 second IV push ๐Ÿ’‰
โœ… may be superior for LVOs ๐Ÿงฑ

โฐ is ๐Ÿง !
#twitterx #stroke #MedTwitter #tnkase #tenecteplase #tnkase #alteplase #tpa #ais #pharmacy #thrombolysis