The Tweet/EMail : (7) Sarah Cummins (@SC_PharmD) / X (twitter.com)The Response: 8) ACCP on X: “In the latest President’s Column, Elizabeth Farrington responds to member feedback from last month’s “From the Desk of the ACCP President.”...
Show Notes from the Pharm So Hard Podcast with Dr. Thom MaciulewiczOverviewToxic alcohols like methanol, ethylene glycol, and isopropanol can cause severe metabolic acidosis and organ damage when ingested. This post summarizes key learnings from a podcast episode with...
https://youtu.be/3BxzFe09pag Show Notes: Episode 102 – The Controversy of Cefdinir in UTIs In this episode, we dive into the hot topic of using cefdinir, a third-generation oral cephalosporin antibiotic, in treating urinary tract infections (UTIs). Despite its...
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How do you tell a medical doctor? Real doctors: *reluctant to state they are doctors in public/social forums* Non-MD/DOs: *take every opportunity to say they are a doctor…* (chiropractors, naturopaths, pharmacists, apothecaries, charlatans…) https://t.co/OSVrViNZS1...
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The Society for Academic Emergency Medicine is pleased to host EMPoweRx at SAEM23. The Emergency Medicine Pharmacotherapy with Resuscitation (EMPoweRx) Conference is an annual international, multidisciplinary conference dedicated to celebrating advancements in...
The Society for Academic Emergency Medicine is pleased to host EMPoweRx at SAEM23. The Emergency Medicine Pharmacotherapy with Resuscitation (EMPoweRx) Conference is an annual international, multidisciplinary conference dedicated to celebrating advancements in...
EMPoweRx Conference The Society for Academic Emergency Medicine is pleased to host EMPoweRx at SAEM23. The Emergency Medicine Pharmacotherapy with Resuscitation (EMPoweRx) Conference is an annual international, multidisciplinary conference dedicated to celebrating...
EMPoweRx Conference The Society for Academic Emergency Medicine is pleased to host EMPoweRx at SAEM23. The Emergency Medicine Pharmacotherapy with Resuscitation (EMPoweRx) Conference is an annual international, multidisciplinary conference dedicated to celebrating...
Trasncript Ep-89-transcript 20221019-25013-14ghykgDownload https://media.blubrry.com/pharmsohard/pdcn.co/e/http://feeds.soundcloud.com/stream/1369921234-pharmsohard-rocking-the-roc-the-reversal-of-nmba-for-neuro-exam-with-sara-hyland.mp3 Podcast: Play in new window |...
Monkeypox Show Notes SituationIn May 2022, the World Health Organization reported on a rapidly spreading outbreak of Monkeypox infections outside of Africa into non-endemic countriesFirst reported case in the United States was May 18, 2022At of the time of this...
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Article on Dr. Clery Dr. Clery Twitter Dr. Williams Twitter https://pubmed.ncbi.nlm.nih.gov/31655681/ https://pubmed.ncbi.nlm.nih.gov/34133829/ https://pubmed.ncbi.nlm.nih.gov/31999248/...
Related FOAM https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4143473/ https://www.tamingthesru.com/blog/intern-therapeutics/dental-infections-to-treat-or-not-to-treat...
Miano2022_Article_AssociationOfVancomycinPlusPipDownload https://media.blubrry.com/pharmsohard/pdcn.co/e/http://feeds.soundcloud.com/stream/1313096929-pharmsohard-episode-81-the-blessing-of-vancozyn-the-association-of-vancomycin-and-zosyn-in-aki.mp3 Podcast: Play in...
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Friday-0400-Jim-Priano-Alteplase-vs-TenecteplaseDownload Podcorn Huge thanks to Podcorn for sponsoring this episode. Explore sponsorship opportunities and start monetizing your podcast by signing up here: https://podcorn.com/podcasters/...
Urinary tract Infections Epidemiology In the United States, urinary tract infection is the most common bacterial infection. It has about more than 8 million visits yearly. UTI is more common in women in which 50% will experience it in their lifetime. Women are 6 times...
Introduction Pharmacology What does the Anesthesia Textbook Say? Evidence EMPoweRx Conference Home Study Etomidate for RSI in Seizure Pharmacy Friday Pearl...
Migraine is a common episodic disorder, the hallmark of which is a disabling headache generally associated with nausea and/or light and sound sensitivity For moderate to severe migraine attacks not associated with vomiting or severe nausea, oral migraine-specific...
Alcohol withdrawal syndrome (AWS) is a disease commonly treated in the emergency department, with~5% of cases leading to delirium tremens. In patients with a history of AWS, decreased GABA-A receptor sensitivity to GABA agonists may causebenzodiazepine (BZD)...
Ureteral Colic Imaging for renal colic Nephrolithiasis: Diagnosis and Management in the ED https://media.blubrry.com/pharmsohard/pdcn.co/e/http://feeds.soundcloud.com/stream/1225626436-pharmsohard-management-of-renal-colic-with-christian-kroll.mp3 Podcast: Play in new...
Resources to review Disparities in Health and Health Care: 5 Key Questions and Answers https://www.ahrq.gov/topics/disparities.html https://www.cdc.gov/healthyyouth/disparities/index.htm https://www.ajmc.com/view/5-things-about-medical-mistrust...
Here is The Reinhartz Rundown: https://zcu.io/dJ5y Follow Mobile Health Consultants at: https://www.mobilehealthconsultants.com/ https://www.linkedin.com/company/mobilehealthconsultants Dr. Victoria Reinhartz at: https://www.linkedin.com/in/victoriareinhartz/...
Picture based from : Godwin, Steven A. (2018). Procedural Sedation and Analgesia. Elsevier Inc. Chapter 4. p. 53. Picture taken from : Godwin, Steven A. (2018). Procedural Sedation and Analgesia. Elsevier Inc. Chapter 4. p. 53. Patanwala, A., Thomas, M., Casanova T.,...
Phorcas is ripping off our students and residents with this major glitch they’ve had. I’ve had many candidates reach out since phorcas is telling them “idk what happen have the program email use”. If a candidate doesn’t have all the info in the app, it may not be...
Vallentin MF, Granfeldt A, Meilandt C, et al. Effect of Intravenous or Intraosseous Calcium vs Saline on Return of Spontaneous Circulation in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial. JAMA. 2021 Nov 30. doi:...
The EM Pharmacy Project & Publications ROLLIN J. FAIRBANKS, DANIEL P. HAYS, DAVID F. WEBSTER. Clinical pharmacy services in an emergency department . 2004 Researching the use of Emergency Pharmacists in the ED Medical and nursing staff highly value clinical...
Hypokalemia-in-cardiac-arrest.-pharmacy-friday-Pearls.-jlp2-1-pageDownload https://media.blubrry.com/pharmsohard/pdcn.co/e/http://feeds.soundcloud.com/stream/1162080040-pharmsohard-episode-59-hypokalemia-in-cardiac-arrest-with-jimmy-pruitt-jlp1.mp3 Podcast: Play in...
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In this episode of Pharm So Hard, Jimmy Pruitt, PharmD, BCPS, BCCCP, and Craig Cocchio, PharmD, DABAT discuss his position at High Yields Med Reviews and how his recent experience of being a patient has changed him professionally. High-Yield Review PACU Pharmacy...
Listen Here: https://media.blubrry.com/pharmsohard/pdcn.co/e/http://feeds.soundcloud.com/stream/1143891802-pharmsohard-ivermectin-for-covid-19-with-id-pharm-panel-alaina-dekerlegand-meshell-maxam-andtheora-canonica.mp3Podcast: Play in new window | DownloadSubscribe:...
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Introduction Rapid sequence intubation (RSI) is a process whereby an induction agent and a neuromuscular blocking agent are given in rapid succession to facilitate endotracheal intubationThe immediate post intubation period in the ED is a critical time for continued...
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Tocilizumab and Baricitinib Mechanisms of Action COVID-19 Pathogenesis: Late COVID-19 In the late stage, pulmonary edema can fill the alveolar spaces with hyaline membrane formation, compatible with early-phase acute respiratory distress syndrome (ARDS). Joost...
Episode Summary: In this episode of Pharm So Hard, Jimmy Pruitt, PharmD, BCPS, BCCCP discuss the pharmacotherapy of cannabinoid hyperemesis syndrome....
Questions asked throughout the episode Can you describe pathophysiology of elevated ICP or cerebral edema? “I always teach trainees that as long as you understand the pathophysiology behind a problem and the mechanisms behind the drugs we have available, we can...
To view the handout for the Pharmacy Friday Pearl visit: https://www.pharmacy-pearls.com/home Introduction Insulin with dextrose is an effective method to lower potassium levels quickly in acute hyperkalemiaLiterature shows ranges of potassium reduction by 0.5-1.0 mEq...
Episode Summary In this episode of the Pharm So Hard Podcast, Jimmy Pruitt PharmD, BCPS, BCCCP discuss with Brian Cox, RN the various tasks and skills that we can improve on in the ED.Tweet Podcast Script Intro 0-3:17 EKG 3.21-8.24 IV Access Skills 8:29-18:14 Meds We...
Introduction Around 9,000 Americans are treated for snake bites and 5 die each year. Most are bitten by members of the Crotalinae subfamily (a.k.a. crotalids) of the pit viper family which includes copperheads, water moccasins, and rattlesnakes.Tweet Crotalid...
Series Title: Keeping Up With COVID-19 Part 2: Revisiting Remdesivir Situation (Jimmy).We are over a year into this pandemic and we have only one FDA approved medication for the treatment of COVID-19: Remdesivir.The purpose of this episode is to briefly review...
Residency Panel Sarah CummingsPharmD: Purdue PGY1: Thomas Jefferson University HospitalPGY2 EM 2020-21: UC DavisBritany ByrkitPharmD: WingatePGY1: Vidant Medical CenterPGY2 EM 2020-21: MUSC HealthTramauni E. BrockPharmD: Texas Southern University PGY1: MUSC Health...
Why this topic important?Accidental injury is the most common cause of death in the United States in individuals between the ages of 1 and 45Falls are the most common reasons for hospital admissions in this older age group and account for 87% of fractures.Open...
Background For continued growth and development, hospital pharmacist would benefit from leadership trainingPharmacy schools provide some administrative trainingHospital pharmacist may one day want to become a clinical or operations managerWith an increase in residency...
Show Notes 0:25 Introduction2:30 The importance of ultrasound-guided peripheral nerve blocks3:49 Overview of ultrasound-guided peripheral nerve blocks4:40 What are the training and credential required to perform ultrasound-guided peripheral nerve blocks7:58 What does...
Show Timestamps 1:14 Review of previous episodes of the series2:40 Pharmacy Friday Pearls3:24 EMPoweRx Conference5:28 Cardiac Arrest Patho of Acidosis6:04 Why have we been using sodium bicarbonate7:08 Adverse Effects of sodium bicarbonate9:29 History of sodium...
https://www.pharmacy-pearls.com/course/proton-pump-inhibitors-ppis-for-the-management-of-upper-gi-bleed https://www.instagram.com/pharmsohardpodcast/ Tweets by pharmso_hard...
Lyrics Brain to Vein Hook All you gotta do is try to maintainCause we taking that thang ……. (straight from where) brain to veinAll you got to is make sure you treat the pain,Cause we taking that thang ……. (straight from where) brain to...
Importance of Meetings •Establishes alignment: allows for discussion of complex issues and for the team to get on the same page. Helps leaders make better decisions when gaining insight from the team •Builds stronger relationships: free-flowing ideas and personal...
Pathophysiology of acidosis in DKA The unfavorable combination of insulin resistance and counter-regulatory hormones leads to the release of free fatty acids (FFA) from adipose tissue via lipolysis and decreased lipogenesis, which ultimately results in ketogenesis and...
Send up topics for the next Monthly Trap Up https://media.blubrry.com/pharmsohard/chtbl.com/track/69987G/http://feeds.soundcloud.com/stream/995281180-pharmsohard-episode-33-february-monthly-trapup-aka-wrap-up-with-oscar-santalo-and-jimmy-pruitt.mp3 Podcast: Play in...
What is Lean Thinking About? It is a way of managing a company or institution ensuring continuous improvement small changes in processes to deliver value to customers Defined as: Any operations system that can reduce waste without compromising quality or productivity...
Introduction Sodium bicarbonate was previously recommended for hyperkalemia treatment and was once considered a first-line agent for the transcellular shift.Studies evaluating the beneficial effects of sodium bicarbonate used an isotonic infusion commonly ~ 150...
If offered the COVID Vaccine, would you receive it? — The Pharm So Hard Podcast (@pharmso_hard) December 13, 2020 Why did I make this episode? FamilyFriendsCo-Workers Why I wasn’t going to get the COVID Vaccine Skeptical ofThe speed at which the vaccine was...
Definitions What is an HSPA Residency The Health-System Pharmacy Administration and Leadership (HSPA-L) Residency is a 24-month post- Doctor of Pharmacy training program. The PGY1 and PGY2 years are designed to flow seamlessly together, with no need to re-apply or...
PMID: 9217519 PMID: 30206503 Pubmed ID: 10499950 Jimmy’s Acute Agitation Guide Disclaimer This site is not meant to replace the judgement of healthcare professionals, and the information presented on this site does not represent the views or practices...
Situation SituationPantoprazole 80 mg in NS 100 mL drip is being used for GI Bleeds due to ulcers Problem:Evidence not being clear on optimal dosing strategy Opportunity to:Standardize dosing strategies for upper and lower GI bleedsFollow best practice strategies...
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The EM Pharmacist Research Project Website http://www.medicalhf.org/epharm/index.html https://www.ashp.org/-/media/assets/pharmacy-practice/resource-centers/emergency-care/Justification-referenced-document.ashx Link to EM Basic http://embasic.org/ Tweets by embasic...
Bryan Hayes Resources https://pharmertoxguy.com/ Welcome to the blog team: Bryan Hayes, PharmD https://www.aliemu.com/capsules/ Resources for EM Pharmacist https://www.ashp.org/Pharmacy-Practice/Resource-Centers/Emergency-Care...
Objectives Recognize the process of recruitmentUnderstand the methods of candidate selectionReview the components of staff retention Components of Recruitment Position descriptionSourcesPre-interview information Position Description Examples Position title, control...
Background Out-of-hospital tracheal intubation is an accepted practice that has increased in frequency due to advancements in aeromedical technology and transport. A flight nurse, sometimes referred to as a transport nurse, is an RN who is specially trained to provide...
Background In 2003 – 2014 inpatient hospital costs ranged from $3,018 to $5,040 per admission for a primary DVT diagnosisAverage DVT LOS can range from 4.9 – 7 daysRecurrent VTE that requires readmission could be up to 48% more costly than the initial eventProtocols...
Background More than 3,000 species of snakes are identified worldwide, with nearly 800 species considered venomous.All venomous species are classified taxonomically into one of 4 general groups.These include the families Viperidae, Elapidae, and Colubridae, as well as...
Definitions Benchmarking – Finding and implementing the best practices. Health-system administrators are turning to benchmarking vendors for help in improving operational performanceEfficiency – Avoiding waste or maximizing possible outputs from a...
Definitions Benchmarking – Finding and implementing the best practices. Health-system administrators are turning to benchmark vendors for help in improving operational performanceEfficiency – Avoiding waste or maximizing possible outputs from a set...
Stroll to the bottom for resources and protocols What is COVID-19 COVID-19 is a new strain of coronavirus first identified in December 2019 in Wuhan, China The disease was initially named Coronavirus disease 2019 (COVID-19). The virus has since been renamed Severe...
Download Pharmacy Friday Pearl Handout High-Dose-Nitroglycerin-for-SCAPE-Handout.-pharmacy-friday-Pearls-2.0-Download Introduction Acute heart failure (AHF) is a common underlying cause for dyspnea in patients presenting to EDs around the globe.1-2 SCAPE is a...
Questions for Dan Hu Can you descript how you got interested in evaluating pharmacy students for residency? What are some of the current challenges of evaluating students in the current model? Can you summarize your publication “ A Screening Tool to Identify Qualified...
Definition Merger & Acquisition – defined as the consolidation of companies.Differentiating the two terms, Mergers is the combination of two companies to form one, while Acquisitions is one company taken over by the other Background Throughout the 1990s,...
The Trauma team members There are many key members of the trauma team that include the trauma nurses, respiratory technicians, ED physicians, trauma surgeons, medical residents, PA/NPs, radiology techs, and anesthesiologists. What is a trauma center and what makes...
Definitions Formulary medication – A determination that the medication is “appropriate for routine use” in select patient populationsPer 2008 ASHP Guidelines on the Pharmacy and Therapeutics Committee and the Formulary SystemPharmacy and Therapeutics (P & T)...
Case Presentation TF is a 58-year-old 50 kg female that presented to the ED with a chief complaint of progressively worsening weakness and fatigue over the past day since ingesting MDMA (Ecstasy) and increased fluid intake over last 24 hours. During the physical exam,...
Bio Ashley and Brooke Barlow grew up in the suburbs of Philadelphia in Huntingdon Valley, PA. Both received their Doctor of Pharmacy Degree from Jefferson College of Pharmacy. Ashley’s current interests include cardiology, oncology, and critical care along with...
Oscar Santalo PharmD, MBA, MHA, BCPS Definition Opioid Sparing – providing multi – modal medications that limit the use and supply of opioidsOpioids – a class of drugs that act in the nervous system to produce feelings of pleasure and pain relief. Opioid...
Oscar Santalo PharmD, MBA, MHA, BCPS Definitions Opioid Sparing – providing multi – modal medications that limit the use and supply of opioidsOpioids – a class of drugs that act in the nervous system to produce feelings of pleasure and pain relief. Opioid...
Dosing Supraventricular tachycardia adenosine 6 milligrams (mg) may be given over 1 to 2 seconds followed by a 20 milliliter (mL) rapid saline flush. If there is no response in 1 to 2 minutes, a 12 mg IV bolus dose may be repeated twice followed by saline...
Oscar Santalo, PharmD, MBA, MHA, BCPS Pharmacy Operations and Compliance Coordinator Episode 4 Description: In this episode of Pharm So Hard, Oscar Santalo PharmD, MBA, MHA, BCPS with his learner Darla Quevedo PharmD 2021 candidate from the University of Florida...
Kyle Hultz, Pharm.DEmergency Medicine Clinical PharmacistTwitter: PharmDAware In this episode of Pharm So Hard, Jimmy Pruitt, Pharm.D and Kyle Hultz, Pharm.D discuss the excitement and the challenges of transitioning from residency to the role of an emergency medicine...
Gary Peksa, PharmD, BCPSEmergency Medicine Pharmacist Coagulation factor Xa [recombinant], inactivated-zhzo ( Andexxa ) Mechanism of Action Andexanet alfa binds and sequesters the FXa inhibitors rivaroxaban and apixaban. In addition, andexanet alfa inhibits the...
Brian Gilbert, PharmD, BCPS, BCCCPEmergency Medicine Pharmacist http://feeds.soundcloud.com/stream/679237017-pharmsohard-episode-1-factor-xa-inhibitor-reversal-using-pcc-with-brian-gilbert.mp3Pharmacology AgentApixabanRivaroxabanWarfarinDabigatranMechanism of...
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EMPoweRx Home Study This video is part of our Crazy Tox Case in the 2023 EMPoweRx Conference held in Austin, Texas. It was a requested topic of interest from many pharmacists and physicians in the emergency medicine world. In this video, we discuss the case study and...
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