Shyam Patel

@the_BMC ICU/ED PharmD, BCCCP | @BMCPharmRes and @UConnHealthRx alum | @UConnPharmacy grad | he/him/his

[Shyam Patel @ShyamLPatel]

Today, I finished up 20 years of school/training on my last day as a critical care pharmacy resident.

Tomorrow, I start my dream first job as an ICU/ED clinical pharmacist at @The_BMC.
(1/x)

[Megan Rech, PharmD, MS @MeganARech]

Buh-bye 👋

[Matthew Parent, PhD @MatthewParent1]

Great UConn alumni (@UConnAlumni) event in Boston tonight!

[I talk hoops 🏀 @trendyhoopstars]

UConn stands alone.

They’re the only program in college basketball history to win both the men’s and women’s NCAA championships in the same year.

And today, they added another milestone—becoming the first program ever to produce two WNBA/NBA Rookies of the Year in the same season.

A truly legendary program. 🐺💙✨

[Giacomo De Luca @jackdeliuc]

🎬 2nd chapter

...🧵This a thread about 1.3% sodium bicarbonate🧂 (aka isotonic bicarb drip) in critical care.

☝🏻 If you missed the first part about 8.4% bicarb, I would strongly recommend you to read it before moving on 🏃🏻.
https://t.co/pInsTgPXjg

[CHEST® Journal @journal_CHEST]

How I Do It: Interpreting Clinical Trial Results

Read the full research in the December issue of #journal_CHESTCritCare: https://t.co/9bU8yqxpu5
#MedEd #JournalCHEST

[小谷祐樹 Yuki Kotani｜集中治療医 @YukiKotani5]

Top 10 Important ICU Papers: Second Half of 2024
From the ICU papers published between July and December 2024, I have selected the top 10 key ones, including RCTs, guidelines, and narrative reviews.
I hope you like this list.

[Scott Dietrich @PCC_PharmD]

Wow!!

Look at this new Annexa-I data! Those mRS numbers and VTE data do NOT look good to me….

[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.

[Scott Dietrich @PCC_PharmD]

New SRMA on AA vs 4PCC showing no diff in mortality but increased thrombotic events. Not sure on the TE event numbers they entered from Annexa-I, but still, lots of data included in this open-access analysis

https://t.co/qjigGW6vYT

[Scott Dietrich @PCC_PharmD]

New Letter to Editor re Dobesh et al's AA vs 4PCC review (showing AA's superiority) written by CA pharmacists questioning methodology and therefore results

Open access at https://t.co/bFs4Yi0AaE

[Josh Farkas MD 💊 @PulmCrit]

I honestly don’t know how to interpret a study where 15% of the control group received no therapy.

And there is no subgroup analysis excluding these patients?

I guess given increased risk of ischemic stroke & no difference in overall NIHSS, maybe a neutral study ??? 🤷‍♂️ (1/2)

[Adrian Wong @notthewongrx]

It is finally published! Time to read ANNEXA-I, published in @NEJM today!

https://t.co/7zga5JmVV8

[Nick Panos @NG_Panos]

Now that ANNEXa-I is officially published, are you motivated to add andexanet alfa to your formulary or are you sticking with PCC as your primary reversal agent for factor Xa-inhibitor associated intracerebral hemorrhage?

[Eddy J. Gutierrez, MD @eddyjoemd]

The debate of milrinone vs. dobutamine will likely continue for the rest of our careers as there is rarely a one-size-fits-all strategy in the ICU. DOREMI-2 might help. This paper complements the chapter on the topic in my book. 🎩 tip to the authors.

https://t.co/4Ise540F2X

[Bryan Gendron @BryanGPharmD]

Interested in working at the busiest level 1 Trauma Center in New England? I’m looking for an ED 7-on/7-off overnight pharmacist to join our team @The_BMC!

https://t.co/eJGmQMsmbI

Feel free to reach out with any questions!

#TwitteRx

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

Our Letter to the Editor (and response) in @Neurology regarding @AANmember @SCCM @AmerAcadPeds Brain death guidelines.

https://t.co/mIYYu2iPlY

Determination of Brain death after overdose is complex and toxicologists should be involved. Five half lives not adequate.
#MedEd

[Alex Littler, PharmD, BCPS, BCEMP @EDPharmHand]

This is a solid way to convince me to approve meropenem

[Nick Mark MD @nickmmark]

Here’s a critical care puzzle & illustrates some important cardiopulmonary physiology:

These two pictures were taken just an hour apart. What intervention was done in between that changed the respiratory pattern? (Red box)

Multiple choice & answers in the 🧵.

1/

[Shyam Patel @ShyamLPatel]

@BMCPharmRes https://t.co/Uz6hMPni3F

[Shyam Patel @ShyamLPatel]

Follow us at https://t.co/Uz6hMPni3F!

[BMC Pharmacy Residency @BMCPharmRes]

Hooray! We have migrated over to Instagram. While we won’t be posting on here any longer, we’ll be sharing quality content on IG. Come check us out at @bmcpharmres #TwitteRx #Out 🎤💊