Intracranial surgery within the past three months is a contraindication to thrombolytics for acute ischemic stroke...is a coil for a cerebral aneurysm an intracranial surgery?
@ASHP_EMPharm A6: "Fun" story, I actually identified a batch of marijuana contaminated with a synthetic opioid after we had several cases in our ED. The pts required high dose naloxone followed by an infusion. I was able to work with the poison center and narcotics agency to help track it.
@ASHP_EMPharm A5: Very rarely in adults, but on a pretty regular basis in our pediatric ED. Typically patients only need monitoring, but I have seen a few cases that required benzodiazepines and even intubation.
@ASHP_EMPharm A2: Usually pts get a dose of zofran before we identify hyperemesis syndrome. Once we know what's going on lorazepam, haloperidol, and/or capsaicin. I like capsaicin if they can tolerate it, because you can send it home with the pt...maybe prevent readmission.
I've presented a clinical pearl several times now. This is a fun, low commitment way to increase your involvement with ASHP. If you're on the fence...just go for it! You won't regret it!
@ASHP_EMPharm This was a great session as always! I really enjoyed the conversation around diversity and inclusion. One takeaway I gained was to switch to virtual residency interviews, even after the pandemic, to prevent the exclusion of candidates due to the cost of traveling to interviews.