Matt Williams PharmD

Emergency Medicine PharmD, views are my own

[Matt Williams PharmD @PharmWilliams]

@drtimothyli @BradSpellberg @DrToddLee @IdVilchez @ABsteward @syctong Maybe ceftaroline plus Bactrim

https://t.co/Y5TuaGS3WE

[Matt Williams PharmD @PharmWilliams]

Hi Rx community. When dosing phenobarbital (10 mg/kg) for EtOH withdrawal, do you adjust for obesity? #TwitteRx #idtwitter #traumarx #empharm #EMPRx23 #EMRx #emergencymedicine

[Matt Williams PharmD @PharmWilliams]

Hi all, in patients with an open skull fracture, what is your go-to antimicrobial prophylaxis? #TwitteRx #idtwitter #traumarx #empharm #EMPRx23 #EMRx

[Matt Williams PharmD @PharmWilliams]

@rxtoriarsenault If you aren’t geographically limited and okay with moving to NYC feel free to DM me!

[Matt Williams PharmD @PharmWilliams]

@PharmD_intheED Thanks for all of your hard work Dr. Pruitt! I just started EM clinical pharmacy services at Jamaica Hospital in Queens. We are a level 1 trauma center and the contract hospital for JFK airport!

[Veronica Zafonte @VBZafonte]

Hey #TwitteRx and #PharmICU
An opening for a #CriticalCare #pharmacist position will be opening at my hospital in Queens, NY

https://t.co/fMuKwRKaGw

[Ankit Gohel PharmD BCCCP @emergencyrph]

Another year for the books. My first class of PGY2s are leaving me to become amazing EM Pharmacists. Couldn’t be more proud of them 😭🤧

[Tania Ahuja 👩🏻‍💻🫀 @TaniaAhuja]

🧠 to #tPA or not to tPA w/recent DOAC?
📄in ⁦@JAMANetwork⁩ suggested lytics w/in 7 days of #DOAC use in 👥 w/stroke was not associated with #ICH but ⚠️ 🤯
⏱ as with life, timing is 🔑
✅ our response⁩
⁦@StrokeAHA_ASA⁩ ⁦@nyulangone⁩ https://t.co/n1NUZC6UTK

[Chilla PharmD, BCEMP @ChillaPharmD]

🚨🚨Spoiler alert: Andexxa no better than Kcentra for ICH 🧠🩸 associated with apixaban or rivaroxaban.

💉💸🔥🗑🔥

Level of excellent hemostasis achieved after AA= 71.1%, 4F-PCC= 70.7%❗️

https://t.co/mwcSj19iUm

[Tania Ahuja 👩🏻‍💻🫀 @TaniaAhuja]

✅ out our 🆕📄❗️
🤔do we deviate from 7-& 21-day lead-in doses of #apixaban or #rivaroxaban for tx of #VTE❔
⬇️ #OFXAi lead in infreq. ➡️ older, w/ ⬇️ #CrCL &⬆️🫀dz
⁦@ArnoukSerena⁩ ⁦@PharmWilliams⁩ ⁦@CardsNYC⁩ ⁦@JPCritCarePharm⁩⤵️ https://t.co/FY75tDpXH5

[Brent C. Beckner PharmD, BCPS, BCCCP @BCB_PharmD]

Guess what got started between these two levels? 4/2 is admit level, 4/3 was insisted upon by me (recommendation to d/c again denied) after noticing the offending agent was started in the first place against the original pharmacist's recommendation 😑

[Mark "Tony" Mixon @IDintheED]

TXA in a nutshell

I see you @kelliemwang & @ThePeoplesRuben #EMRx

https://t.co/krNuLeoDwA

[Haley Fox, PharmD, BCEMP @yelahfox]

Never thought I’d be consulted on a sea urchin sting in Milwaukee in the middle of winter, management includes:

🌵 Spine removal
💧 Hot water (40.6-46.1 C)
💉 Td update
💊 Analgesia +/- ABX (comorbid/immunosupp)
🦠 Cover Step/Staph, Vibrio, M. marina

[Ankit Gohel PharmD BCCCP @emergencyrph]

Congratulations to those that matched today! For those who haven’t don’t let this deter you. If you’re a phase 2 P4 student interested in a large tertiary care, level 1 trauma, comprehensive stroke & cardiac center check out Maimo. #TwitteRx #rxmatch2022 https://t.co/P8ltjrPt7x

[Matt Williams PharmD @PharmWilliams]

@EmergPharm We are actually looking at this now at Maimonides Medical Center in New York City. We piloted the project in February and saw a potential cost savings of roughly $60,000 that month. We are planning to share our data following completion of the manuscript!

[Andy Webb @AJWPharm]

Next time you give phenobarb, remember its origin story

[Critical Care Explorations @CritCareExplore]

#CritCareExplore @SCCM In an observational study of pts w/ septic shock, lower arterial pH was associated with less effective vasopressin response. Similar to other vasopressors, the clinical effectiveness of vasopressin appears to be impaired in acidemia. https://t.co/z7CXQ51WM7

[Matt Williams PharmD @PharmWilliams]

Looking forward to incorporating the EMPIRE-C study in our findings. https://t.co/oiodlUGAQD

[Matt Williams PharmD @PharmWilliams]

Just one of the many reasons an ER pharmacist is needed overnight. Looking forward to advocating for 24h pharmacy coverage at Maimonides Medical Center through our pilot program.