I did it!!! I tried 20+ new Minnesota State Fair foods and drinks!! Here are my hot takes and food photos:
🏆 Wins:
MinneCookieDough Pie, Dill Pickle Cheese Curd Tacos, Dreamsicle Slushy and Boozy Salted Caramel Milkshake, Cheesecake Curds�� 🧵
✅Summary of Important RCTs in ICU for the First Half of 2023!
Quickly summarize the intensive care RCTs published from January to June this year!
Specifically, 13 trials in NEJM, JAMA, and Lancet!
I hope this 🧵 is a useful review of important literature👇👇
#FOAMcc
How many people know about the origin of the first ambulance crew in the country?
The Black crew in Pittsburgh persevered through tons of racism and changed prehospital care forever.
Literally EVERYONE needs to listen to this episode! @PhoebeVJudge
https://t.co/Ts8DG7rFTM
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?
@EMPoisonPharmD teaches us about using shock index to mitigate hypotension and cardiac arrest post-intubation
🔑 takeaway: SI >= 0.8 predictive of post-intubation hypotension @ASHP_EMPharm
@HennepinRx will be at the mid year showcase as well as PPS, but we’ll also be holding another virtual open house after midyear for those who aren’t attending!
"In comparison w/ trough-based vancomycin dosing, our results suggest that use of AUC-based #vancomycin dosing in combination with piperacillin-tazobactam, meropenem, or cefepime may result in a lower overall incidence of AKI."
#PharmICU#TwitteRx
https://t.co/gpLbzV3YIE
@pharmacypearls_ There’s some evidence that Succ can be stored at room temperature for a few months, ~ 4-8months. Stating 6 months might be a safe bet
Very useful for crash cart & REA bay
https://t.co/yPdceRPN5G
https://t.co/VPvBm64cZz
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
Never underestimate the power of influence. You can change someone’s life for the better within minutes and never know it. Keep being great, keep saving lives, happy national pharmacist day. #twitterx
Friendly reminder: do NOT give steroids to #COVID+ patients on room air…please!
Crothers et al found 76% increased risk for 90-day mortality for patients on room air that got dex.
That’s bonkers. Why would you ever risk that?!
https://t.co/7PmWIlx94S