Hannah Brown

Emergency Medicine Pharmacist | Tweets ≠ Medical Advice | Opinions = My Own

[Hannah Brown @theEMpharmacist]

@ASHP_EMPharm A1: Sadly, I'm not surprised by these numbers at all. I think we should all be very concerned by them.

[Hannah Brown @theEMpharmacist]

@ASHP_EMPharm EM pharmacist in Atlanta

[Hannah Brown @theEMpharmacist]

@KaitEMPharmD In this particular case it was smaller than <10 mm so it didn't meet the aneurysm exclusion.

[Hannah Brown @theEMpharmacist]

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?

[Hannah Brown @theEMpharmacist]

My neurologist is saying it is an intravascular procedure and therefore not a contraindication, but that doesn't sit right with me.

[Hannah Brown @theEMpharmacist]

@AmberHeff @ASHP_EMPharm @pharmso_hard I'm all about the triconnector!

[Hannah Brown @theEMpharmacist]

@Shelb_RX @ami__odarone 💯%, followed closely by code blue labor and delivery....I'm not trying to lose a baby or their momma

[Hannah Brown @theEMpharmacist]

@ASHP_EMPharm A10: It's not legal here so it's not an issue, but I can imagine this comes up frequently.

[Hannah Brown @theEMpharmacist]

@STL_Biotech @ASHP_EMPharm I love that the anticoag clinic managed the patient. What a good use of available resources.

[Hannah Brown @theEMpharmacist]

@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.

[Hannah Brown @theEMpharmacist]

@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.

[Hannah Brown @theEMpharmacist]

@ASHP_EMPharm A3: Nope

[Hannah Brown @theEMpharmacist]

@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.

[Hannah Brown @theEMpharmacist]

@GilbertPharmD @ASHP_EMPharm That's what I was going to say. You can hear a hyperemesis patient come in from across the ED.

[Hannah Brown @theEMpharmacist]

@ASHP_EMPharm Hannah: Novant Health - Charlotte, NC (not legal)

[Hannah Brown @theEMpharmacist]

@ASHP_EMPharm A2: concerns over liability from providers, lack of outpatient follow-up options

[Hannah Brown @theEMpharmacist]

@ASHP_EMPharm A1: Unfortunately no

[Hannah Brown @theEMpharmacist]

@ASHP_EMPharm Hannah Brown - EM Pharmacist in Charlotte, NC

[Hannah Brown @theEMpharmacist]

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!

[Hannah Brown @theEMpharmacist]

@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.