ACCP EMED PRN @accpemedprn Twitter profile

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ACCP EMED PRN

@accpemedprn

2 years

Transitioning to tenecteplase for acute ischemic stroke does not increase door to needle times! Pharmacist presence improves time to fibrinolysis. Great poster for EM walk rounds by @EDWieru #ACCPGC22

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ACCP EMED PRN

@accpemedprn

2 years

Thanks to Dr. Jenrette who presented today about the use of prophylactic levetiracetam in ICH (PEACH trial).

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ACCP EMED PRN

@accpemedprn

2 years

Thanks to Dr. Franco for presenting about this study about phenobarbital dosing in benzo-resistant severe alcohol withdrawal syndrome.

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ACCP EMED PRN

@accpemedprn

2 years

Thanks to Dr. Kelsey Lock for teaching us about the efficacy of amiodarone v lidocaine for VT/VF related IHCA. Lidocaine was shown to have higher rates of ROSC, 24h survival, survival to DC, and favorable neuro outcomes. So are you #teamamidoarone or #teamlidocaine ?

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ACCP EMED PRN

@accpemedprn

2 years

Thanks to Dr. Uttaro who presented today about the use of the "B52" versus the "52" for acute agitation in the ED.

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ACCP EMED PRN

@accpemedprn

6 years

Hot off the press!! Call for petition in EM Pharmacist certification!

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ACCP EMED PRN

@accpemedprn

5 years

Hyponatremia is the topic of the week & this article is a great place to start: #lowsodium

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ACCP EMED PRN

@accpemedprn

3 years

Dr. Megan Vandergriend, EM PGY2 resident @ Denver Health will also present during our JC. She will be discussing "Epinephrine versus norepinephrine in cardiac arrest patients with post-resuscitation shock." Intensive Care Med published March 2022.

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ACCP EMED PRN

@accpemedprn

4 years

Congratulations to all those who have successfully matched & positive vibes for everyone moving into Phase II! #MatchDay2021 #twitterx

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ACCP EMED PRN

@accpemedprn

6 years

Did you know Andexanet alfa is pro-thrombogenic? Rates of thromboembolism are 11% in unpublished interim analysis of ANNEXA-4. Compared to 5-7% with FFP and 4-factor PCC. #FOAMed #TheMoreYouKnow

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ACCP EMED PRN

@accpemedprn

11 months

Congratulations to all the newly minted #BCEMP ! 🥳🎉🍾

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ACCP EMED PRN

@accpemedprn

5 years

Octreotide is the antidote for sulfonylurea toxicity & is used as an adjunct to dextrose when managing hypoglycemia. It works by inhibiting pancreatic beta-cell insulin release. For more, read here @kavitababu @toxandhound #FOAMTox

Tox & Hound - Pour Some Octreotide on Me

by Kavita Babu In 1999, a toddler encountered glipizide during an exploratory ingestion. When he wouldn’t wake up from a nap, the

toxandhound.com

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ACCP EMED PRN

@accpemedprn

2 years

Thanks to Dr. Hess for his presentation about this recent publication about thrombolysis in patients receiving DOAC in the 48 hours prior to arrival with stroke symptoms.

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ACCP EMED PRN

@accpemedprn

2 years

Successful first session of Professor Rounds this morning! Thanks to Dr. Nicole Aquisto for sharing the research of a great group of clinicians about practice advancement of pharmacists. #ACCPGC22 #EMEDprn

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ACCP EMED PRN

@accpemedprn

11 months

This systematic review included 30 studies with varied settings. Overall, pharmacist involvement is beneficial for initiating time critical meds, ⬆️med appropriateness, and ⬆️guideline adherence. It was underpowered to ID patient oriented outcomes like mortality or LOS. #EMRx

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ACCP EMED PRN

@accpemedprn

2 years

Congrats to all the #PGY2EM bound pharmacy residents out there! #Match2023 ! 🚑

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ACCP EMED PRN

@accpemedprn

3 years

Dr. Kailey Denny, EM PGY2 @ MUSC, will be one of our presenters and will discuss "Sub dissociate dose of ketamine with haloperidol versus fentanyl on pain reduction in patients with acute pain in the ED" Am J Emerg Med Feb 2022.

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ACCP EMED PRN

@accpemedprn

5 years

A common debate for cerebral edema - Mannitol vs Hypertonic Saline. Which is your first line agent for trauma patients?

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ACCP EMED PRN

@accpemedprn

4 years

Up this week: the BRASH Syndrome [Bradycardia, Renal Failure, AV Nodal Block & Hyperkalemia]. Check out (hot-off-the-press review) and by @pulmcrit #BRASH

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ACCP EMED PRN

@accpemedprn

5 years

Hypertonic saline - misunderstood & underutilized? Is fear of this drug preventing its safe & appropriate use - and at what cost? Interesting read: #lowsodium

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ACCP EMED PRN

@accpemedprn

1 year

Thanks to everyone who joined us today. Dr. Apato ( @amanda_apato18 ) shared with us about the use of SQ insulin in mild-mod DKA. The SQuID protocol used 0.2 units/kg lispro every 2 hours. Overall, there was no difference in safety events &shorted ED LOS for SQ patients. @RushPharm

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ACCP EMED PRN

@accpemedprn

4 years

AHA 2020: IV preferred over IO in cardiac arrest. Recent meta-analyses including 5 retrospective studies found improved ROSC & survival to hospital discharge. However, no differences were found in subgroup analyses of 2 prospective RCTs. See here:

Intravenous vs. intraosseous administration of drugs during cardiac arrest: A systematic review -...

We identified a limited number of studies comparing IV vs. IO administration of drugs during cardiac arrest. Pooled results from four observational studies favoured IV access with very low certainty...

pubmed.ncbi.nlm.nih.gov

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ACCP EMED PRN

@accpemedprn

1 year

The TICH-NOAC trial provided 1g TXA to patients with non-traumatic ICH within 12 hours from onset and who had their last NOAC dose within 48 hours. TXA did not provide a statistically significant difference in hematoma expansion. Rates of death and disability were similar.

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ACCP EMED PRN

@accpemedprn

5 years

Trauma. Season. Is. Here. This week, we'll be discussing all things pharmacy-related in trauma patients! To start, check out this review of prophylactic antibiotics in trauma.

Current concepts of prophylactic antibiotics in trauma: a review - PubMed

Traumatic injuries cause 5.8 million deaths per year globally. Before the advent of antibiotics, sepsis was considered almost inevitable after injury. Today infection continues to be a common...

pubmed.ncbi.nlm.nih.gov

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ACCP EMED PRN

@accpemedprn

4 years

Up this week: AHA 2020 Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care - see the highlights here:

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ACCP EMED PRN

@accpemedprn

2 years

So when should patients get NAC? Indications for NAC include: acute toxic level on the Rumack-Matthew nomogram, APAP level > 10 mg/mL with unknown ingestion time, acute doses of 150 mg/kg or 10 g in adults, chronic ingestions > 4g/day with elevated LFTs.

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ACCP EMED PRN

@accpemedprn

7 years

Let’s give a giant round of applause to @nacquisto - new fellow of @ACCP ...you’re an inspiration to all of us! #accpam17

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ACCP EMED PRN

@accpemedprn

2 years

Thanks to Dr. Doug Nulph for his discussion about SVT and adenosine dosing. Pts who had successful conversion with 6 mg were significantly lower in weight compared to who failed conversion. Should we be starting with 12 mg in our larger patients? Considering alternative agents?

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ACCP EMED PRN

@accpemedprn

4 years

What's your agent of choice for acute agitation in the ED? "Drop" your preference below, then tune in tomorrow @ 1230 EST to see which agent reigns supreme

Randomized Double-blind Trial of Intramuscular Droperidol, Ziprasidone, and Lorazepam for Acute...

Droperidol was more effective than lorazepam or either dose of ziprasidone for the treatment of acute agitation in the ED and caused fewer episodes of respiratory depression.

pubmed.ncbi.nlm.nih.gov

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ACCP EMED PRN

@accpemedprn

4 years

AHA 2020: Recommendation strengthened to administer epinephrine as soon as feasible in non-shockable cardiac arrest. Based on recent meta-analysis combining 2 RCT's that compared epinephrine vs placebo. See here:

Vasopressors during adult cardiac arrest: A systematic review and meta-analysis - PubMed

Controlled trial data suggest that epinephrine improves return of spontaneous circulation, survival to hospital discharge, and 3-month survival in out-of-hospital cardiac arrest. The improvement in...

pubmed.ncbi.nlm.nih.gov

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ACCP EMED PRN

@accpemedprn

5 years

#Phenobarbital for EtOH withdrawal in the ED: Love it? Hate it? News to you? This week we'll be focusing on recent evidence for an emerging indication with this workhorse barbiturate!

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ACCP EMED PRN

@accpemedprn

1 year

The PROCOAG trial included trauma patients at risk for massive transfusion. Overall, the use of 25 units/kg 4FPCC did not improve outcomes including number of blood products required, mortality, or ICU free days. A potential increased risk for VTE was seen. #EMRx #TwitterRx

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ACCP EMED PRN

@accpemedprn

5 years

Don't forget to join us tomorrow for our March JC! We'll be examining the VITAMINS trial and an RCT comparing Olanzapine and Clonidine for opioid withdrawal Check your email for log in info!

An open-label randomized trial of intramuscular olanzapine versus oral clonidine for symptomatic...

Background: Patients with opioid withdrawal often present to the Emergency Department (ED), but many EDs do not have the infrastructure in place to initiate treatment with opioid agonists (methadon...

www.tandfonline.com

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ACCP EMED PRN

@accpemedprn

5 years

Congratulations to our EMED PRN Member Nominees for the ACCP Awards! #ACCPAM19

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ACCP EMED PRN

@accpemedprn

6 years

Happy #RxMatchDay to all and special congratulations to the next class of PGY2 #EmergencyMedicine residents!

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ACCP EMED PRN

@accpemedprn

5 years

Splawski: The ED staff changes daily, but your pharmacist is your consistent presence in the ED. We know the protocols, policies, and metric-based outcomes #ACCPAM19

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ACCP EMED PRN

@accpemedprn

3 years

ACCP EM JC happening this Monday Oct 25 @ 1230 CT. Dr. Daria Szczepanek, PGY2 EM resident, from Rush University Medical Cener will present on IV Haloperidol v Ondansetron for Cannabis Hyperemesis Syndrome. (Ann Emerg Med 2021)

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ACCP EMED PRN

@accpemedprn

3 years

We all know TXA is one of our favorite ED drugs!

Kellie Wang, PharmD, BCCCP, BCEMP

@kelliemwang

3 years

Check out our review article on all things TXA! Extremely proud of our work and collaboration on this one @ThePeoplesRuben Free full access here:

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ACCP EMED PRN

@accpemedprn

1 year

Come hang out with the EMED PRN and ID PRN while we discuss Antibiotic Stewardship in the ED! #ASPxEM #TwitterRx #EMRx 💊💉🚨🏥

ACCP INFD PRN

@accpinfdprn

1 year

📢 Join the ID PRN & EM PRN for an X chat on Antibiotic Stewardship in the Emergency Department 🧫🚑 📆 Tuesday, October 17 ⏰ 7-8 PM ET #ASPxEM #IDTwitter #IDX

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ACCP EMED PRN

@accpemedprn

7 years

2017 #ACC Blood Pressure Guideline: Hypertensive Emergencies (SBP >180 and/or DBP >120) Degree of BP reduction dependent on presence of compelling indications (eg aortic dissection, pheochromocytoma crisis, pre/eclampsia)

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ACCP EMED PRN

@accpemedprn

7 years

Now the Acute Ischemic Stroke Guidelines from @American_Heart have recommendations for what to do when things take a turn for the worst after tPA administration (sICH)

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ACCP EMED PRN

@accpemedprn

2 years

Here is a diagram which delineates the mechanism of NAC in acetaminophen toxicity. When glutathione store are low, NAPQI can accumulate and lead to direct damage to the liver. NAC serves as a glutathione donor to allow for the removal of NAPQI as cysteine and mercapturic acid.

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ACCP EMED PRN

@accpemedprn

2 years

@_Ginny_Rhoades shared the HI-Dose SCAPE study. Patients received > 200 mcg/min of IV NTG within the 1st hr. HDN appears to be safe and an appropriate alternative to intermittent nitro boluses for SCAPE. #TwitterRx #EMRx

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ACCP EMED PRN

@accpemedprn

5 years

"Beer potomania": excessive beer drinking w/ poor nutritional intake ➡️ hyponatremia...have you seen these patients? ED cases, patho & unique management strategies reviewed here: #lowsodium

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ACCP EMED PRN

@accpemedprn

2 years

Great presentation by Jeff Kamta, PharmD, BCPS, our resident travel award winner this year, on his research evaluating hydroxocobalamin use for the treatment of suspected cyanide toxicity secondary to smoke inhalation! #ACCPGC22

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ACCP EMED PRN

@accpemedprn

7 years

Did you catch the updated recommendation for blood pressure reduction in spontaneous, non-traumatic ICH in the new 2017 #ACC BP Guidelines? Reducing SBP to < 140 mmHg now considered harmful after 2016 ATACH-2 results

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ACCP EMED PRN

@accpemedprn

2 years

Are you team TNK or team ALT? @KLowRx reported on the recent TRACE-2 trial utilizing TNK for AIS. Overall, TNK was non-inferior to ALT in patients eligible for thrombolytics but ineligible for thrombectomy. #EMRx #TwitterRx

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ACCP EMED PRN

@accpemedprn

4 years

Lunch plans? Join us TODAY for this month's #emedprnjc @ 1pm EST! Article 1: HALT-IT Trial Article 2:

Effectiveness and Safety of Direct Oral Anticoagulants versus Warfarin in Obese Patients with Acute...

To our knowledge, this is the largest clinical study to date showing that patients with obesity can be treated effectively and safely with a DOAC compared with warfarin for acute VTE. Thus DOACs...

pubmed.ncbi.nlm.nih.gov

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ACCP EMED PRN

@accpemedprn

11 months

Applauding our secretary and treasurer, @giles_slocum , for getting married and [unfortunately] missing #ACCPAM23 ! 👏🏼🤵🏻‍♂️

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ACCP EMED PRN

@accpemedprn

4 years

We would as well! Sounds like an EM/ID #chat opportunity in the making??

ACCP INFD PRN

@accpinfdprn

4 years

I was just talking to my co-resident today about how the treatment of asymptomatic bacteriuria can be a major stewardship struggle 😟. Are there any institutions that have stewardship measures set up in their ED? I would love to hear about them!

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ACCP EMED PRN

@accpemedprn

3 years

Don't forget about this month's EMED PRN Journal Club coming up on Wednesday September 29 @ 1230 CT. Dr. Cassie Schmidt, PGY2 EM resident at Mayo Clinic Rochester will present "Effect of Phenylephrine Push Before Continuous Infusion Norepinephrine in Patients with Septic Shock.

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ACCP EMED PRN

@accpemedprn

7 years

Congrats to @KyleWeant - recipient of the PRNs Mentor of the Year Award! @AbbyMBaileyEM @EMpharmgirl #accpam17

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ACCP EMED PRN

@accpemedprn

5 years

Many providers are unaware they can still treat patients for up to 72 hrs without a waiver. Based on COWS, the NIDA provides the following algorithm for ED-initiated buprenorphine & other resources for managing these patients in the ED at

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ACCP EMED PRN

@accpemedprn

5 years

Risk of contrast-associated #AKI influenced by agent, procedure & patient-related factors - this very recent review is worth a read:

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ACCP EMED PRN

@accpemedprn

7 years

In renal insufficiency, 5 vs 10 U of insulin associated w/ similar K reduction & less hypoglycemia

A Comparison of Insulin Doses for the Treatment of Hyperkalemia in Patients with Renal Insufficie...

In patients with renal insufficiency and hyperkalemia, 5 units of insulin reduced serum potassium to the same extent as 10 units of insulin but with a lower rate of hypoglycemia. Further controlled...

pubmed.ncbi.nlm.nih.gov

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ACCP EMED PRN

@accpemedprn

8 years

Newly elected officers at #ACCPAM16 ! Secretary/Treasurer @EMpharmgirl Chair-Elect @Nadia_EMPharmD Chair @memusselman #mnm @feminemtweets

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ACCP EMED PRN

@accpemedprn

6 years

Looking to brush up on TEG interpretation and fibrinolysis shutdown prior to next week's journal club? Check out this summary blog by @PCC_PharmD

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ACCP EMED PRN

@accpemedprn

6 years

QTc prolongation, sudden cardiac death – why was the 2001 BBW so controversial? Two excellent reviews of the evidence: #droperidol

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ACCP EMED PRN

@accpemedprn

5 years

A breakdown of true hyponatremia by @kidney_boy found at @WeAreCanadiEM #lowsodium

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ACCP EMED PRN

@accpemedprn

5 years

Splawski: Adding an Emergency Medicine Pharmacist adds a layer of safety to patient care. #ACCPAM19

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ACCP EMED PRN

@accpemedprn

5 years

European guidelines for cardiac arrest due to PE recommend 60-90 min of CPR. Some of the referenced literature behind this recommendation: , &

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ACCP EMED PRN

@accpemedprn

5 years

Are push dose pressors utilized at your institution? Little data to support or refute outside of the peri-operative/anesthesia setting.

Push dose pressors: Experience in critically ill patients outside of the operating room - PubMed

PDPs were used in a variety of patient diagnoses and for select indications. Overall, they were efficacious but associated with adverse drug events and medication errors.

pubmed.ncbi.nlm.nih.gov

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ACCP EMED PRN

@accpemedprn

7 years

Let’s wrap up with some misc. EtOH withdrawal management – Is the banana bag really necessary? A nice ALiEM review courtesy of @EMPharmGirl and systematic review

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ACCP EMED PRN

@accpemedprn

1 year

The ARAMIS trial compared DAPT (clopidogrel + ASA) v standard dose alteplase for patients with suspected acute stroke and NISSS less than/equal to 5. Overall, DAPT was found to be non-inferior to alteplase when comparing functional outcomes (mRS). @marissagrillo26 #TwitterRx

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ACCP EMED PRN

@accpemedprn

1 year

This week on the podcast: Early vs Late IV Magnesium for Severe Pediatric Asthma Exacerbations. @EmmaHaught1 Available on YouTube or your favorite podcast app.

ACCP Emergency Medicine PRN

www.youtube.com

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ACCP EMED PRN

@accpemedprn

1 year

This week on the podcast: The SQuID Protocol: SQ Insulin in DKA. @amanda_apato18 Available on YouTube or your favorite podcast app. #TwitterRx #EMRx

ACCP Emergency Medicine PRN

www.youtube.com

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ACCP EMED PRN

@accpemedprn

7 years

We’ve got three chairs! Immediate Past Chair @memusselman Chair @Nadia_EMPharmD and Chair-Elect @iEMPharmD #accpam17

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ACCP EMED PRN

@accpemedprn

5 years

Results of 10 yr prospective study evaluating drug-induced severe hyponatremia ➡️ Highest incidence = thiazides. Elderly patients = most vulnerable population. See the rest here: #lowsodium #hotoffthepress

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ACCP EMED PRN

@accpemedprn

6 years

Doxy has less affinity for calcium than older tetracyclines, and did not induce dental staining in this 2015 IHS study

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ACCP EMED PRN

@accpemedprn

5 years

A few members of our PRN rounding at this afternoons Scientific Poster Session at #ACCPAM19 . Join our walking rounds each session!

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ACCP EMED PRN

@accpemedprn

2 years

Great talk today from Dr. Melissa Thompson-Bastin ( @mtbastin ) on TDM in patients receiving therapies such as CRRT&ECMO. She shared this slide about changes in Vd in critical illness. Important implications for drug dosing from the ED to the ICU. #ACCPGC22

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ACCP EMED PRN

@accpemedprn

5 years

Up this week IV lidocaine for pain. IV lidocaine may be an alternative to opioids for pain management in the ED. Two systematic reviews describe the use of lidocaine for analgesia: and @painfreeED @MeganARech

Safety and Efficacy of Intravenous Lidocaine for Pain Management in the Emergency Department: A...

There is limited current evidence to define the role of intravenous lidocaine as an analgesic for patients with acute renal colic and critical limb ischemia pain in the ED. Its efficacy for other...

pubmed.ncbi.nlm.nih.gov

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ACCP EMED PRN

@accpemedprn

1 year

New Feature -- Journal Club Podcasts! The ACCP EMED PRN will be releasing previously completed Journal Clubs to our new YouTube and Podcast accounts. Catch up on JC you missed or wanted to hear again! @ACCP

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ACCP EMED PRN

@accpemedprn

5 years

Acquisto: Initiatives don’t end at implementation, they end with culture change. Emergency Medicine Pharmacy is an endurance sport. #ACCPAM19

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ACCP EMED PRN

@accpemedprn

5 years

The 48h mark generally differentiates acute vs. chronic hyponatremia...read more on management and compare the guidelines here:

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ACCP EMED PRN

@accpemedprn

2 years

Dr. Ashley Franco ( @AFrancoRx ), PGY2 EM Resident @ UChicago Medicine will present "Front-Loaded Versus Low-Intermittent Phenobarbital Dosing for Benzodiazepine-Resistant Severe Alcohol Withdrawal Syndrome" (Shah et al/J Med Toxicol. 2022)

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ACCP EMED PRN

@accpemedprn

1 year

Second up is Dr. Sarah (Temi) Sofeso, PGY2 EM resident at Boston Medical Center @BMCPharmRes . She will discuss the TICH-NOAC trail looking at TXA in ICH patients taking NOACs. #EMRx #TwitterRx

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ACCP EMED PRN

@accpemedprn

11 months

Bonding with our PRN 💞 @PillinAPocket #ACCPAM23

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ACCP EMED PRN

@accpemedprn

5 years

Hot off the press - Fluid Management in #AKI .

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ACCP EMED PRN

@accpemedprn

4 years

Trying something new this week! Starting tomorrow, join our Q&A with authors ( @e_rozycki @MBNYPharmD ) of a recently published survey study on burnout among EM Pharmacists! #EMPharmburnout Can't access the article? Download it here!

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ACCP EMED PRN

@accpemedprn

5 years

2019 Article Throwback 3: Compared to saline, balanced crystalloids associated w/ lower in-hospital mortality and major renal adverse events at 30d in critically ill patients w/ sepsis. Check out SMART trial secondary analysis:

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ACCP EMED PRN

@accpemedprn

5 years

The age-old provider-to-pharmacist question: “Could any meds be causing this #AKI ?” More for your toolbox: ➔ another hot-off-the-press review w/ international perspective. Includes some well-known agents, plants, animal venoms, and illicit drugs.

Acute toxic kidney injury

Substances toxic to the kidney are legion in the modern world. The sheer number and variety, their mutual interactions and, metabolism within the body are a challenge to research. Moreover, the kid...

www.tandfonline.com

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ACCP EMED PRN

@accpemedprn

4 years

Plenty of opportunities to get involved today with the EM PRN! 💊1130am EST PRN Journal Clubs 💊12-130pm EST Virtual Poster Professor Walk Rounds 💊145-315pm EST Virtual Poster Professor Walk Rounds Check your emails for log in info

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ACCP EMED PRN

@accpemedprn

2 years

Dr. Kyle Hess, EM PGY2 resident at Mayo Clinic will present on "Intravenous Thrombolysis with Alteplase at 0.6 mg/kg in Patients with Ischemic Stroke Taking DOAC" published this year in J Am Heart Assoc.

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ACCP EMED PRN

@accpemedprn

5 years

Developing an EM pharmacy business plan? Here is a jumping off point. A review of clinical pharmacy services in the ED and all the ways you can impact care in the short and long term!

Clinical pharmacy services in the emergency department - PubMed

The emergency department (ED) is a fast-paced, high-risk, and often overburdened work environment. Formal policy statements from several notable organizations, including the American College of...

pubmed.ncbi.nlm.nih.gov

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ACCP EMED PRN

@accpemedprn

11 months

Popping onto the Pod this week: the TICH-NOAC trial - TXA for ICH in Patients on Non-Vitamin K Antagonist Oral Anticoagulants. @sssofeso_27 . Available on YouTube or your favorite podcast app. #EMRx #TwitterRx

ACCP Emergency Medicine PRN

www.youtube.com

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ACCP EMED PRN

@accpemedprn

6 years

Have you read through the new guidelines for antithrombitic therapy in atrial fibrillation from @accpchest ? Go check them out:

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ACCP EMED PRN

@accpemedprn

10 months

🚨🚨Get ready for the first JC of the month this Monday, Dec 11th, from 1-2pm EST! The session includes a retrospective study on fludrocortisone + hydrocortisone vs. hydrocortisone alone in septic shock + the INTERACT3 trial. Register HERE: #EMRx #TwitteRx

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ACCP EMED PRN

@accpemedprn

3 years

What's the next step for trauma resuscitation? TXA 2 gram bolus? Empiric calcium administration? Polls this week will be covering these and more! Check out some recommendations and discussions: &

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ACCP EMED PRN

@accpemedprn

1 year

First up is the secondary analysis of the AcT trial looking at TNK v ALT for LVO stroke. Overall, there was no difference in functional outcomes or symptomatic ICH when comparing 0.25 mg/kg TNK or 0.9 mg/kg ALT. @DeannaF35907289 #EMRx #TwitterRx

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ACCP EMED PRN

@accpemedprn

1 year

Dr. Melissa Porter from Denver Health will also join us for JC this week. She will discuss propafenone v. amiodarone for SVT in septic shock. @mnporter17

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ACCP EMED PRN

@accpemedprn

4 years

Be sure to join us TODAY @ 130 PM EST for this months #EMPRNJC Our presenters will be discussing the ITACTIC trial and a comparison of Andexanet Alfa vs 4F-PCC for Reversal of Xa Inhibitors in ICH

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ACCP EMED PRN

@accpemedprn

1 year

⏰📅🚑Mark your calendars for our November JC next Monday Nov 6th from 1-2 EST. Coming up this week: Dexmedetomidine v propofol in combo w/ ketamine for procedural sedation AND high dose cryoprecipitate for trauma! Sign up at the link below!

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6

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ACCP EMED PRN

@accpemedprn

5 years

The ACCP Annual Meeting is fast approaching! Mark your calendars for the EMED PRN Focus Session on Established & Evolving Roles for Emergency Medicine Pharmacists on Sat 10/26 @ 330PM! #ACCPAM19

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ACCP EMED PRN

@accpemedprn

6 years

Alternative 4F-PCC dosing strategies for anticoagulant reversal may help conserve stock without effecting outcomes. Let’s discuss this week in light of 4F-PCC shortages. #FOAMed

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ACCP EMED PRN

@accpemedprn

6 years

Calling all EM Pharmacists! Please complete the 5-10 min survey below. Responses will help support the recognition of EM as a Board Certified Pharmacy Specialty. Deadline for completion is April 19th - 1 week from today! @ACCP @ASHPOfficial @ASHP_EMPharm

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ACCP EMED PRN

@accpemedprn

5 years

Special thanks to @iEMPharmD and all of his efforts the past 2 years as chair and chair-elect!

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15

ACCP EMED PRN

@accpemedprn

6 years

Cannabinoid Hyperemesis Syndrome (CHS) often resistant to standard antiemetics. See review of various therapies:

Pharmacologic Treatment of Cannabinoid Hyperemesis Syndrome: A Systematic Review - PubMed

Cannabinoid hyperemesis syndrome (CHS) has become more prevalent with increasing cannabis use. CHS is often resistant to standard antiemetics. The objective of this study is to review the current...

pubmed.ncbi.nlm.nih.gov

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7

16

ACCP EMED PRN

@accpemedprn

6 years

Up for discussion this week - hot-off-the-press ID in ED articles! Stay tuned for groundbreaking papers and share your favorite new ID articles with us!

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