🔥The 9th Round of Easy Loan, Earn $40 Reward is in progress❗️ ⏰ Promotion Period: January 15th - Feburary 15th, 2025 👉 Register now and check more details at gate.io/campaigns/358

Can confirm. From a medication standpoint, it’s one of the most important questions we ask in the ED after a fall. Then we order appropriate labs and check pharmacy records to confirm. The follow up question is: when was your last dose.

Bookmark this one. accpjournals.onlinelibrary.wiley.com/doi/10.1002/ph…

Stop the press! Our latest guideline: when to use dialysis for ethylene glycol poisoning. Perhaps our best paper yet. Hundreds of articles included, thousands of hours of work. ccforum.biomedcentral.com/articles/10.11…

EM pharmacists are highly-trained, vital team members who improve patient care. Yet, most EDs don't have even one (or at least less than needed). Congrats to the authors for laying the groundwork for deploying these limited resources effectively. academic.oup.com/ajhp/article/8…

Not so hot take: it's sort of a large, funded, case series without a control arm

Added a bunch of new EM pharmacists to the list after the resident match this week. The growing family is up to 615. Let me know if I'm missing anyone (I go by what's listed in profiles). Follow the list if you want to see what EM pharmacists tweet about! x.com/i/lists/898889…

Xylazine is in the headlines again with a new DEA alert (dea.gov/alert/dea-repo…). With poisoning, we see effects as we would with other alpha-2 agonists (clonidine, guanfacine) such as hypotension, bradycardia, and lethargy (pubmed.ncbi.nlm.nih.gov/35442125/). cc: David Zimmerman

Xylazine is back in the headlines as an adulterant (dea.gov/alert/dea-repo…). It acts similarly to other alpha-2 agonists (clonidine, guanfacine) and causes hypotension, bradycardia, lethargy, and miosis. Good review on poisonings by David Zimmerman et al. pubmed.ncbi.nlm.nih.gov/35442125/

Breaking News: The FDA approved Narcan, a nasal spray that reverses opioid overdoses, for over-the-counter sales. nyti.ms/3nj4Ah5

I spot at least two EM pharmacists on the new Fellow of ASHP (FASHP) induction list. Congrats David Zimmerman and @memusselman! ashp.org/about-ashp/awa…

We love our magnesium in the ED. Here's a new AEM Journal summary on its use as an adjunct in atrial fibrillation: pubmed.ncbi.nlm.nih.gov/37021611/. And, our Academic Life in EM deep-dive from a few years back: aliem.com/magnesium-for-…

Earning a blue check mark during the pandemic, as a pharmacist, meant a lot. Health care workers sharing real-world experience, educating, and interpreting evolving scientific data was critical. But, the platform and culture changed. Pay-to-play just isn’t what #FOAMed is about.

I’ve worked side by side with incredible EM doctors for 16 years. I can assure you this sentiment is not representative of the specialty. If you’d like to be educated on what an EM pharmacist is, here’s a thread from the pervious time… x.com/pharmertoxguy/…

>>bit.ly/3LozPQa<< New ACMT Position Statement: End Use of the Term "Excited Delirium" 🧵 Anthony Pizon Louise Kao Ziad Kazzi, MD, FACMT, FAACT, FAAEM, FACEP Andrew Stolbach, MD, MPH @heshiegreshie Kelly Johnson-Arbor Brian Patrick Murray Daniel Ovakim Lewis Nelson Timothy Wiegand, MD, FACMT, FAACT, DFASAM @kavitababu

What a multi-site collaborative effort to see this one through to completion! Free downloads here in Clinical Toxicology: tandfonline.com/eprint/YAZMX2H… Peter Chai Harvard Toxicology

I can now retire. Published in today's issue of NEJM. nejm.org/doi/full/10.10… MassGeneral News

It still brings me great joy to watch pharmacology in action while on clinical shift in the ED. My 3 favorites are: naloxone, physostigmine (RIP), and high-dose nitroglycerin + BiPAP (for 'flash' pulmonary edema).

We have an ED pharmacist position open on our team at MGH in Boston! Apply here: partners.taleo.net/careersection/…

It’s embarrassing that in a specialty where pharmacists and physicians work side-by-side caring for patients at the beside, we continue to see disparaging of other professions. It’s disheartening because many have worked tirelessly to build collaboration and teamwork.