Deepika Sivakumar

Emergency Medicine Pharmacist @MassGeneralEM| MS Clintox |@fishernews @northeasternsop @dmc_receiving alumna | Views mine💭| she/her💁🏽‍♀️

[JAMA @JAMA_current]

For #criticallyill patients who had both severe metabolic acidemia and moderate to severe acute kidney injury, sodium bicarbonate therapy did not significantly decrease day 90 all-cause mortality.

#LIVES2025 @ESICM

https://t.co/43zjrdjauU

[Deepika Sivakumar @dsivapharmd]

Here we describe a case of 7-OH withdrawal successfully managed with buprenorphine highlighting the emerging role in treating dependence from minimally regulated opioid substitutes. Open Access in Clinical Toxicology.

https://t.co/eACDkUVp48

Thanks to all involved in the case!

[SAEM AEMP @SAEM_AEMP]

AEMP is seeking new practitioners to present the YIR at AEMP 2026 at SAEM Congress next year! Apply today! #AEMP #AEMPlify #EMRx

[Deepika Sivakumar @dsivapharmd]

@EMPoisonPharmD @LabPoison @jessicakentrice ME TOO

[Deepika Sivakumar @dsivapharmd]

@iramnasreen @EMPoisonPharmD Congratulations! You did fantastic!

[SAEM AEMP @SAEM_AEMP]

🚑 Mark your calendars for the 2025 PharmERgency Conference to be held May 14-15!
💲Register by March 11 for early registration pricing and by May 1 for regular pricing! https://t.co/XOEtvI6hBo
👀 Be on the lookout for an overview of conference content soon!
@SAEMonline #AEMP

[SAEM AEMP @SAEM_AEMP]

💡💡🚨🚨REMINDER -- TOMORROW Jan 8 is the deadline for AEMP Innovative Practice submissions, AEMP Year in Review Submissions and IGNITE Pearl Submissions! Submit today!! 💡💡🚨🚨
@CBthePHARMD @MeganARech @EmergPharm @LRayRx

[SAEM AEMP @SAEM_AEMP]

💊Reminder for Year in Review Submissions!
⏱️Deadline January 8!
⁉️More info + Submit here: https://t.co/tpEA48yX6P
@CBthePHARMD @thatEMpharmgirl @MeganARech @LRayRx @EmergPharm @SAEMonline

[Scott Dietrich @PCC_PharmD]

I think we all already knew this, but new study showing benzo + olanzapine just as safe as olanzapine monotherapy in acutely agitated ED patients with low rates of cardiorespiratory depression

https://t.co/JjKxIwOusJ

[SAEM AEMP @SAEM_AEMP]

💊Are you a Pharmacy Student interested in Emergency Medicine?
🚑The SAEM25 Student Ambassador Program is an opportunity to collaborate with SAEM leadership in planning the SAEM Annual Meeting.
✏️Apply by January 8th for a chance to be involved! https://t.co/c0mZMKk7Gv

[Clinical Toxicology @Clin_Tox]

A retrospective review of mushroom mass poisoning cases in China revealed 15 cases of poisoning with amatoxin-containing mushroom Galerina cf. sulciceps, causing GI symptoms, liver damage, and thrombocytopenia. All patients recovered.

https://t.co/ogF2QNu0Nw

[Deepika Sivakumar @dsivapharmd]

Led by the awesome @hwatson98 this year‼️

[SAEM AEMP @SAEM_AEMP]

🚑Calling all medical & pharmacy residents ‼️
🔊 AEMP is OPEN for IGNITE! Resident pharmacotherapy pearl submissions until 1/8! 🗓️ Submit today ⬇️
https://t.co/CVMfAyVbBj
#AEMP2025 @SAEMonline @CBthePHARMD @thatEMpharmgirl @hwatson98

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

I just learned about a study on blue sky that I doubt I would have seen on here buried between all the outrage click engagement mining click bait constantly bothering my feed.

Finally, hope for a new venue to share and discuss science

[Deepika Sivakumar @dsivapharmd]

@ThommyTox @ohsnapimginger If it’s not a patients first time sometimes I do look to see what was required in the past and it’s a discussion with providers based on the clinical situation! Especially since most people drink some sort of caffeine and the half life is variable 📈

[Deepika Sivakumar @dsivapharmd]

Antidote you ask? Yes, DigiFAB can be used, if indicated (e.g. random total level ≥15 ng/mL or ≥10 ng/mL 6 h postingestion, arrhythmias, etc)
Dialysis? Usually not a great option since dig has a large Vd (4–10 L/kg)
🔌 call poison center for assistance 1-800-222-1222 🙂

[Deepika Sivakumar @dsivapharmd]

Not-so-foxy after all! Quick digoxin toxicity #toxpearls after doing some teaching earlier this week
MOA: Blocks Na/K Pump ➡️ NCX receptor to loses its gradient ➡️ increased intracellular Ca++ concentrations ➡️ increased force of cardiac contraction❗

[Deepika Sivakumar @dsivapharmd]

Pts can present w/ 🤕,🤢, 🤮 and/or ♥️ manifestations!
♥️🕐Early on ⬆️ vagal tone causes AV nodal blockade
🤍🕗Later on bradydysrhythmias or ventricular tachydysrhythmias can occur via direct toxicity
⚡Lytes! Toxicity typically causes hyperK (hypoK increases toxic effects)

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

YOU TOO CAN BE A PHARMACIST COME HANG OUT.

Seriously, if your an EM provider in SAEM help us reach our goal of becoming an academy!

[Deepika Sivakumar @dsivapharmd]

@SagetheEDRPh Update! No empiric dose reduction warranted like maybe needed in anemia, just slow the rate

[Deepika Sivakumar @dsivapharmd]

@NLesh_PharmD Yes we do! So does @CBthePHARMD I believe!