Jacqueline Sullivan

Pediatric Pharmacist at Cincinnati Children’s🧸💕

[Brad Spellberg @BradSpellberg]

3 daily rants in one week? A new record!

It's a fair question. And the answer is, no. Even in immune suppressed patients there is no evidence that cidal vs. static means anything. Why?

[Brian Gantwerker, MD, FAANS, FACS 🟧🇮🇱 @cscla]

This needs to be shared. #MedTwitter We need patients' just as much as they need us.

[Ross Urry, PharmD @Ross_Urry]

Big takeaways from my first SCCM:

1) Increasing catecholamines leads to bad outcomes
2) Add vaso and ang-2 earlier rather than later
3) Phenobarbital 5-10mg/kg load for AWS is safe
4) 4F-PCC vs AA debate remains (publish ANNEXA-I!)

#SCCM2024

[Jacqueline Sullivan @jacisullivan_rx]

Speaking with some upcoming PGY1 applicants this week has me reflecting on how grateful I am for my wonderful PGY1 year at UMMC! If you’re looking for an acute care or ambulatory care program, check them out!! 🤍 @UMMCPharmacy @olemisspharmacy

[Scott Dietrich @PCC_PharmD]

At this point, everyone should be doing push-dose Keppra in their EDs for status

https://t.co/r2A8ilzCGo

[armyemdoc @armyemdoc]

Your patient is in cardiac arrest. You are giving epinephrine every 3 minutes.

Is that based on any evidence? Not really.

This study in Resuscitation actually measured the epinephrine level every minute after a bolus during cardiac arrest in humans. The half-time was 2.6 minutes. This suggests we may be dose-stacking if we give it every 3 minutes.

https://t.co/4CipYd7FYM

#emergency #emergencymedicine #foam #foamed #army #armymedicine #armyemdoc #tip #petpeeve #meded #trauma #icu #criticalcare #medx #medtwitter

[Nature is Amazing ☘️ @AMAZlNGNATURE]

Hello little bear 😊🥰

[. @AdiG1993]

@DavidJuurlink I remember this.

[David Juurlink @DavidJuurlink]

“What’s wrong with tramadol?” is something I get asked a lot

Answer: Plenty

Thread ->

[IMCrit @IM_Crit_]

10 in 10

(Random collection of) ICU Pharmacy Pearls (or: Pet Peeves):

I witnessed all of them the last month & decided to write them down. You may disagree with many of them but there we go:

1. If the patient is on warfarin, presents to the ED w massive upper GI bleeding &

[poorly drawn cats @poorlycatdraw]

as a halloween tradition: share your spooky cat pictures in the comments! the most liked ones will become spooky poorly drawn cats!

[Ryan O'Keefe @ROKeefeMD]

As a senior resident, I thought I had a pretty strong understanding of sepsis and septic shock.

But after doing a deep dive, I realized there's so much nuance.

Here's my approach to workup and management, along with some key pearls and lessons.

- Thread -

1/26

[Josh Trebach, MD @jtrebach]

this video was made for me

[Itebimien Peter @PeterItebimien]

@BrownJHM Foxglove(Digitalis purpurea) is a garden plant that contains digitalis &other cardiac glycosides.Ingestion of any parts of the plant can result in severe poisoning.Symptoms;nausea,headache,skin irritation,diarrhoea.severe;visual & perceptual disturbances & heart &kidney problems.

[Jacqueline Sullivan @jacisullivan_rx]

Pain meds are great but have you tried giving them an iPad? #PedsED #TwitteRx

[Jacqueline Sullivan @jacisullivan_rx]

@KelsiJamisonRx You got this 🙌🏼

[Jacqueline Sullivan @jacisullivan_rx]

When you find out that you passed your MPJE🥳 #TwitteRx

[Ha Phan, PharmD @HaPhanPharmD]

Another option for patients 10 and older. Although insulin may remain the most effective this is another option for kiddos 🧸 that are unable to reduce their A1c on just metformin and are afraid of 💉.

#diabetes #SGLT2i #TwitteRx

[Jacqueline Sullivan @jacisullivan_rx]

First resident bonding activity of PGY2 is a group hike! I think I found my people🤍 #TwitteRx @uncrxresidency