@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!
🧠 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
🚨🚨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
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 😑
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
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
@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!
#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
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.