🚨 Hot off the press & FREE! The first ever iteration of #PANDEM: SCCM's guidelines for the management and prevention of pain, agitation, neuromuscular blockade & #delirium: ow.ly/TZVL50HPh4n #PedsICU #ICULiberation #FOAMEd WFPICCS

EMPIRE-C 
 bit.ly/36dilp9   Lexi Schneider-Smith Mark "Tony" Mixon + Ben and I with cost avoidance data showing community EM pharmacists w/ over 23,000 interventions + $5.3 million avoided in a 1 year period   Highlights typical ED Interventions + our robust ED Culture Review work

#JournalWatch Antibiotic Timing and Progression to Septic Shock Among Patients in the ED With Suspected Infection bit.ly/3AGDJy5 #critPRN #PharmICU

SPACE is out! HECK-Yes is the better acronym for identifying inducible AmpC. Rates can reach 40% resistance in these species when exposed to ceftriaxone. Hafnia Enterobacter cloacae Citrobacter freundii Klebsiella (formerly Enterobacter) aerogenes Yersinia #critPRN

#CritCareExplore SCCM In an observational study of pts w/ septic shock, lower arterial pH was associated with less effective vasopressin response. Similar to other vasopressors, the clinical effectiveness of vasopressin appears to be impaired in acidemia. ow.ly/IBpk50HX7OQ

Next time you give phenobarb, remember its origin story

Congratulations to those that matched today! For those who haven’t don’t let this deter you. If you’re a phase 2 P4 student interested in a large tertiary care, level 1 trauma, comprehensive stroke & cardiac center check out Maimo. #TwitteRx #rxmatch2022 maimomeded.org/residency-phar…

Never thought I’d be consulted on a sea urchin sting in Milwaukee in the middle of winter, management includes: 🌵 Spine removal 💧 Hot water (40.6-46.1 C) 💉 Td update 💊 Analgesia +/- ABX (comorbid/immunosupp) 🦠 Cover Step/Staph, Vibrio, M. marina

TXA in a nutshell I see you Kellie Wang, PharmD, BCCCP, BCEMP & Ruben Santiago, PharmD #EMRx sciencedirect.com/science/articl…

Guess what got started between these two levels? 4/2 is admit level, 4/3 was insisted upon by me (recommendation to d/c again denied) after noticing the offending agent was started in the first place against the original pharmacist's recommendation 😑

✅ out our 🆕📄❗️ 🤔do we deviate from 7-& 21-day lead-in doses of #apixaban or #rivaroxaban for tx of #VTE❔ ⬇️ #OFXAi lead in infreq. ➡️ older, w/ ⬇️ #CrCL &⬆️🫀dz ⁦Serena Arnouk⁩ ⁦Matt Williams PharmD⁩ ⁦Eugene Yuriditsky⁩ ⁦John Papadopoulos⁩⤵️ link.springer.com/article/10.100…

🚨🚨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…

🧠 to #tPA or not to tPA w/recent DOAC? 📄in ⁦JAMA Network⁩ suggested lytics w/in 7 days of #DOAC use in 👥 w/stroke was not associated with #ICH but ⚠️ 🤯 ⏱ as with life, timing is 🔑 ✅ our response⁩ ⁦Stroke AHA/ASA⁩ ⁦NYU Langone Health⁩ jamanetwork.com/journals/jama/…

Another year for the books. My first class of PGY2s are leaving me to become amazing EM Pharmacists. Couldn’t be more proud of them 😭🤧

Hey #TwitteRx and #PharmICU An opening for a #CriticalCare #pharmacist position will be opening at my hospital in Queens, NY linkedin.com/posts/veronica…

Hi all, in patients with an open skull fracture, what is your go-to antimicrobial prophylaxis? #TwitteRx #idtwitter #traumarx #empharm #EMPRx23 #EMRx

Hi Rx community. When dosing phenobarbital (10 mg/kg) for EtOH withdrawal, do you adjust for obesity? #TwitteRx #idtwitter #traumarx #empharm #EMPRx23 #EMRx #emergencymedicine