Aortic dissection-w this dx, time to hustle!! Drop HR+BP but make sure you do it in the right order or you could accelerate EXPANSION of the dissection! Goal: ⬇️ 1-HR & 2-BP as low as poss while still maint perfusion to vital organs #pharmacyeducationboard #twitterx #emergency

My favorite kind of #FunFactFriday #FOAMcc

#Tramadol, a game of analgesic roulette, will it work or won’t it? Will your patient obtain analgesic effects or will they have a seizure, respiratory depression, or various other side effects...🤷🏼‍♀️that’s why it’s been nicknamed #Tramadont! Its variable effects are (1/3)

Despite more association with survival when fludro is added, important to consider that a third of septic shock patients have undetectable fludro levels. This is more likely to happen in these “positive” trials where pressor requirements were the highest journals.lww.com/ccmjournal/Cit…

approach to pH diagnosis: keep things as simple as possible (but not simpler) emcrit.org/ibcc/ph/

Retweeting to save a life. Gave myself a nasty cut when I was an intern

I am loving the idea of asking non-intubated patients to prone themselves by calling it “tummy time.” #covid19 #medtwitter

Junior: “Why do patients drop their BP when we start them on CPAP?” Me: “because the CPAP steals pressure from the BP” Junior: “Oh. Because I figured is was due to increased thoracic pressure leading to reduced cardiac preload-“ Me: “BECAUSE PEEP STEALS PRESSURE FROM THE BP”

Meet Jesse Albano, PGY2 in Emergency Medicine Yale New Haven Hosp! He’ll be presenting his research on adherence to status epilepticus guidelines on May 28th! Don’t forget to register for the CT Residency Conference! #TwitterRx

would you classify the canadian pool moose as more of an invasive infection, or merely colonization?

To be mentioned as “pharmacy”, as opposed to my actual name.

Dexamethasone in Hospitalized Patients with Covid-19 — Preliminary Report | NEJM nejm.org/doi/full/10.10…

Systematic review buff.ly/3BZUnbP @HeavnerPharmD @KaitlinLandolf Christina Rose Steve Lemieux Ginger Rouse Chris Adams Deepali Dixit @tigernole13 Jerry Altshuler Karen Berger Muhammad Effendi Diana Lemieux Melissa Thompson Bastin, PharmD, PhD Marisa Rinehart @ALittlefieldPh1 Andrea Nei Jackie Rowe (Johnston)

Huge thanks to our amazing ED clinical pharmacists, David Zimmerman, Megan Rech, PharmD, MS and colleagues, for this terrific paper: Staying InformED-Top emergency Medicine pharmacotherapy articles of 2020. ncbi.nlm.nih.gov/pmc/articles/P… #FOAMed #MedEd #FOAMpharm Thank you for all you do!

Please vaccinate. I have no desire to learn the entire Greek alphabet.

Today, a new patient had just arrived to the MICU and no pharmacist had signed in yet so the provider had no idea which pharm to call. They ordered pip/tazo on a patient who was already on ertapenem in order to summon a pharmacist. Well played, sir.

🚨🚨Spoiler alert: Andexxa no better than Kcentra for ICH 🧠🩸 associated with apixaban or rivaroxaban. 💉💸🔥🗑🔥 Level of excellent hemostasis achieved after AA= 71.1%, 4F-PCC= 70.7%❗️ sciencedirect.com/science/articl…