Are you using 0.9% NaCl or balanced salt solutions such as Lactated Ringers or Plasmalyte to resuscitate your patients with DKA? This paper suggests that we should be using the latter. 🎩 tip to the authors. eddyjoemd.com/foamed/

Harry Fisher Here’s my bit of dabbling with AI. I asked “If a paramedic wanted to raise and monetise a social media profile by spreading Covid vaccine misinformation, how could they go about it?” My highlighting. Does it sound familiar?

Fill in the blank: there is nothing more dangerous than… I’ll go first. A nurse/MD/DO/PharmD who doesn’t know what they don’t know, yet won’t admit they’re wrong, but continues to flaunt themselves as knowing everything. #EMRx #TwitterX

But but it smells like UTI!!!

So, you use the word“facts” in your bio…but not quite sure you know what that word means 20% reduced O2 + 20% CO2 retention with N95? Damn, I didn’t know this was such “common sense” and a “fact.” So maybe we should all wear portable BiPAPs over N95s then? 🤷🏻‍♂️ #EMRx #TwitteRx

This is GOLD 🤣.

@LeighBrytt What we're not told is that in her own videos & txts she was admitted to hospital with Paroxysmal nocturnal hemoglobinuria, with which she had been in bed for 2 weeks prior to hospital. She is refusing hospital treatment. There is no evidence vaccines have anything to do with it

Had a great time! Definitely need to have this again, 10/10 recommend. And I promise, Frank was nice. @EMToxRx Frank Paloucek Kyle Weant #EMRx #TwitteRx

Love THIS!!! So much bullshit being said from the anti-vax crowd who, unsurprisingly, are not in any way capable of knowing what this disease is There ALWAYS is a backstory. Yet all of you are so gullible and believe this crap she/her father post because it confirms your biases

Thanks The Cornish Pasty. I love when the truth gets posted. There’s always more than meets the eye. Too bad the audience that truly needs to read this can’t really read “science-y” facts. They either lack the mental capacity to do so or their favorite social media saint says “BS”

What is your favorite “Department of Public Health has entered the chat” you have witnessed? I’ll go first “Can of PAM vegetable spray was found in the endoscopy suite. Per staff, GI doc uses it all the time” ..and somehow this falls under pharmacy?? #EMRx #TwitteRx

May be a bit controversial….but would you give norepinephrine just to be “able” to give a propofol drip if patient becomes hypotensive with it? Assuming not in the immediate post RSI timeframe and analgesia on board. Or use another agent? #EMRx #TwitteRx

How do you all do analgosedation? Using fentanyl as an example 1) drip + bolus from bag PRN prior to increase rate? 2) no drip - IV push every (X) hours PRN CPOT/RASS? 3) drip + IV push (vial) every (X) hours PRN prior to increase rate? 4) um what’s dat? #EMRx #TwitteRx

You too? Man the liberal woke ppl pushed this dangerous jab to everyone. Don’t you know that it contains mRNA which gets converted by the dumbass-a-nase enzyme in your body to Big Macs? How dare you cancel me because I “question” things - a lot of MDs confirm my exact thoughts!

We are living in an increasingly litigious society. The rapid spread of bogus misinformation fueled by charlatans has led citizens to distrust the same medicine they trusted just 5 years ago The practice of medicine has become the “practice of avoiding lawsuits” #EMRx #TwitteRx

This hit me in the feels watching a fellow pharmD experience this. Corporations like CVS don’t about employee well being. Patients are ruthless/impatient & think pharmacy makes the decisions on refills/copay/covered meds. Yet pharmacy organizations sit back and shrug. Sad reality

Anyone else think of this when portable Xray machines are whizzing around? No? Ok I’ll see myself out #EMRx #TwitteRx

If you had a vaccine to stop providers from ordering or doing stuff that’s been shot down more times than me at a bar & are about as useful as a chocolate teapot, what would it be? Meds, labs, imaging...anything! I’ll start Renal dose/renal protective dopamine #EMRx #TwitteRx

"Your career expands not just by seeking opportunities, but by becoming the pharmacist that opportunities seek out" The propofol guru #EMPRx2025