@EM_crap

I'm not a doctor, and I don't play one on TV. Emergency Medicine Pharmacist at Queen of the Valley Medical Center in Napa CA

 Napa, CA
emcrap.home.blog/
Joined August 2019
  • Tweets186
  • Following69
  • Followers136
33Media
#protips for management of #GIBleeds 👨🏼‍⚕️👩🏿‍⚕️🩸 focus on appropriate use of #Protonix: 40mg IV BID 🔁 8 mg/hr drip, ⬇️resources & #Octreotide: reserve for esophageal varices! 👨🏽‍🎨 credit: V. Vijey, TUC P4 student #medtwitter #pharmtwitter #mededucationboard – at California, USA
6
He’s a 10 but he’s on the Supreme Court
1
1
tPA ➡️ TNKase® for Acute Ischemic Stroke 😶‍🌫️ #pharmacyeducationboard ✅ easy to mix 💿 ✅ 5 second IV push 💉 ✅ may be superior for LVOs 🧱 ⏰ is 🧠! #twitterx #stroke #MedTwitter #tnkase #tenecteplase #tnkase #alteplase #tpa #ais #pharmacy #thrombolysis
3
I think I’m in the minority of pharmacists who are more OK with giving thombolytic for AIS in setting of DOAC in last 48 hours. Even with low pt numbers there isn’t a signal toward harm, right? You do have to be extremely careful on which pts have severe enough sx to merit tx
Natalija Farrell, PharmD, BCPS, DABAT, FAACT@NatalijaFarrell12 Feb 2022
Only 47 patients had last NOAC dose recorded of which half were within 48 hr preceding tPA. IMO, not enough patients to change recommendations even when combined with existing NOACs + tPA or Pradaxa + Praxbind then tPA case reports or retrospective studies
According to Zoom transcription, Professor Evan teaches about expanding the vascular spaceballs #zoomrecording #zoomtranscription #vascularspaceballs #twitterx #medtwitter
1
1
Texting with hospitalists is so fun… Beta Carelto for PE coming soon 🥕👨🏿‍🌾🧑🏻‍🌾🫁 #carrotsforpulmonaryembolism #MedTwitter #pharmtwitter #twitterx #xarelto #carrot
2
1
5
🎄TIS THE SEASON for merrymaking 🥂🍾 so watch out for “Holiday Heart Syndrome” in the ER 🚑🏥: 🍻 EtOH-induced cardiomyopathy 💓 atrial fibrillation These patients may need cardioversion ⚡️ or antiarrhythmic tx 💉 #pharmacyeducationboard by the Twitterless Brenda Luke – at Lake Mohawk, NJ
2
2
19
Hehehehe – at Napa, CA
1
2
DEFINITELY seeing an uptick in STI cases with reopening and summer wild oat sowing … Friendly reminder to increase that ceftriaxone dose to 500 mg IM and to add doxycycline if chlamydia not ruled out! Consider azithro 1g dose in ER if pt expected to have barriers to compliance – at Napa, CA
1
1
3
1/2: The other day I did a Med Rec on a patient who happened to be drunk and on meth (#nojudgment). I was passing by the room later and he yelled out “Doctor!” I came in and said “We met, I’m the pharmacist. what’s up?” – at Napa, CA
1
more replies
3/4 The part 3 you didn’t ask for but are getting… 30 min later the hospitalist sits down next to me and says “I had a bioethical discussion with that pt.” I was thinking omg does he want assisted suicide? The doc goes “He told me he likes to commit crimes.” – at Napa, CA
1
4/4 She continues “but he said he doesn’t like to be caught. He said it’s better to do a crime outright than threaten to because if you threaten to and get caught then you don’t get any of the benefits.” #ayyiyi – at Napa, CA
1
Got an anterior nosebleed? 👁👃👁 👄🩸 You could use a 🦏 🚀 ... but here are some alternatives! (🤭 surprise... TXA might not be as effective as we once thought) Thanks @TILEDPharmD Brittany & @Joshpark322! #pharmacyeducationboard #twitterx #medtwitter #nursetwitter
1
14
3
92
Personal hospital pet peeve: when a coworker who isn’t familiar with you stares at your badge to figure out your name and title instead of just asking you who you are
1
New #fixeddoseKcentra protocol for warfarin and DOAC reversal ✅ similar outcomes to 25-50 unit/kg ✅ quicker time to administration ✅ less guesswork and thrombosis risk #MedTwitter #pharmtwitter #anticoag #anticoagreversal #emergencymedicine #emed #emedtwitter by @m00sultani
4
Love getting a shout out in ER providers notes! Macrobid sucks for people over 80! That is all. #edpharmacist #medtwitter #citeyourpharmacist
3
And now for a #pharmacyeducationboard inspired by the new ED-AWARENESS study (and my own personal soapbox)! 📢😲 There continues to be more and more literature detailing the harmful psychological effects of inadequate or no sedation post-RSI 😢 (1/6)
3
37
4
127
Switching up the pharmacy board! How is this for a remix: “A spoonful of activated charcoal can help the medicine get out” ? Thankful to the ED team for such a valuable and rewarding rotation! @PharmD_ED @LaurenStambolic @SNunezCruz @DharatiDesai @EMRxJaxson
2
33
1
138
Tell me you’re an ER pharmacist without telling me you’re an ER pharmacist 😷🤡👀👨🏼‍⚕️💉 #propofol #propofolpapi #ketamine #ketaminekat @DnaMasks
Load more