Emma Haught, PharmD, BCEMP

EM PharmD 🚑| EM PGY2 at @UVARxResidency| PGY1 @PHUofSCPharmRes| PharmD at @pittpharmacy| Pronouns: she/her

[Emma Haught, PharmD, BCEMP @EmmaHaught1]

@PharmacyToDose Wow this sounds like such a good lecture! Especially for helping residents understand different imaging and what it shows. Is there anywhere to pay to listen to it?

[Emma Haught, PharmD, BCEMP @EmmaHaught1]

Everyone at work yesterday: what’s wrong??
Me: ….? Take a wild guess.

[Emma Haught, PharmD, BCEMP @EmmaHaught1]

@PhlawlessPharm This boils my blood on your behalf!!! Gross.

[Ryan Feldman (empoisonpharmd.bsky.social) @EMPoisonPharmD]

Voting themselves to death

[Emma Haught, PharmD, BCEMP @EmmaHaught1]

And is this 2020 ASRA checklist what others follow? Seems like the fixed doses for wt >70 kg was recommended to simplify things

[Emma Haught, PharmD, BCEMP @EmmaHaught1]

Anyone have experience with using ILE for LAST?? I have questions about weight based dosing (IBW?) and administration on a pump when the rate would sometimes be >999 ml/hr!

@EMPoisonPharmD @NatalijaFarrell @adamoverberg @GToxPharmD @thephenobarber

[Nick Mark MD @nickmmark]

There is an IV fluids shortage (0.9% MS & LR) due to hurricane Helene.

Because of the shortage everyone should stop ordering routine maintenance fluids for the next 2-4 weeks.

Because of good medical practice everyone should stop ordering routine maintenance fluids forever.

[Emma Haught, PharmD, BCEMP @EmmaHaught1]

@PharmDFarmD HR of 91 and…that’s it actually. HR of 91. Sepsis alert. Blood cultures. 30 ml/kg of fluid too despite normal BP and lactic. All while in a blood culture bottle and Iv fluid shortage 🥴

[Andrew Desio, PharmD BCPS BCCP BCCCP BCIDP @PharmDFarmD]

“Patient presents with a”
“SEPSIS”
“…heart failure exacerbation with”
“SEPSIS”
“…a BNP of”
“SEPSIS”
“And 2 week history of bilateral”
“SEPSIS! Start zosyn! SEPSIS!”

[Michael Calderwood, MD, MPH @CalderwoodMD]

In a retrospective cohort study at 12 hospitals (2017-2019), 25,560 out of 35,415 (72%) patients who received antibiotics within 3hrs of SIRS did not meet “true sepsis” definition. These “overtreated” patients had longer LOS and higher rates of C diff. https://t.co/6YQv2VMCAF

[John Knebel @HurdleBoss]

Pharmacist: "curious what source we're dosing vanco for."
Attending: "no one should die in the ICU without vanco."

Pharmacist: *looks for new job*

[Emma Haught, PharmD, BCEMP @EmmaHaught1]

@PharmacyToDose Or the patient has moved around since 👀

[SIDP @SIDPharm]

Happy Fall! 🍁 Enjoy these articles with a pumpkin spice latte ☕ #IDTwitter

[Emma Haught, PharmD, BCEMP @EmmaHaught1]

@catxkuhlman I do not! But I feel like the value I could provide at my institution IV wise is if I was trained in ultrasound IVs! Feels like everyone is a hard stick here and that’s what they always need.

[Emma Haught, PharmD, BCEMP @EmmaHaught1]

@propofolpapi661 The “how does this fall under pharmacy” is a daily question I have

[Timothy Li @drtimothyli]

Blood culture stewardship

Clinical Situations Where Blood Cultures are Low Yield and Generally Not Recommended in the Absence of Severe Sepsis/Septic Shock

https://t.co/xwyZRKwV15

[Clinical Infectious Diseases @CIDJournal]

Rapid Implementation of Blood Culture Stewardship: Institutional Response to an Acute National Blood Culture Bottle Shortage

✅ Just Accepted
🔗 https://t.co/X0KAq71f48

[Emma Haught, PharmD, BCEMP @EmmaHaught1]

@AndreaSikora I do think another factor is that, especially for large programs, preceptors can only come up with so many ideas for research and not all are worth publishing. Coming up with ~10 publishable ideas every year for 1 program feels impossible. Plus there’s thousands of programs.

[Emma Haught, PharmD, BCEMP @EmmaHaught1]

🚨 STROKE ALERT 🚨 (again) 59 y/o M w/ R sided facial droop, R arm drift & aphasia starting 1 hour ago. Of note, he is on Xarelto 10 mg daily (taken last night) for recent TKA. Normal renal fxn. Would you give TNK?

[Emma Haught, PharmD, BCEMP @EmmaHaught1]

#TwitteRx #EMPRx24

[Emma Haught, PharmD, BCEMP @EmmaHaught1]

🚨 STROKE ALERT 🚨 (again) 59 y/o M w/ R sided facial droop, R arm drift & aphasia starting 1 hour ago. Of note, he is on Xarelto 10 mg daily (taken last night) for recent TKA. Normal renal fxn. Would you give TNK?