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The friendly folks at High-Yield MED Reviews were gracious enough to provide 20 free copies of two of my new eBooks. To get your FREE eBook, email me at iempharmd@gmail.com. But do it fast before all 20 are gone!

By |2019-10-26T12:06:35-05:00October 26th, 2019|EM PharmD Core|1 Comment

Diphacinone Toxicity

  Daniel Hu, PharmD, BCCCP Critical Care and Emergency Medicine Pharmacist Providence St. Peter Hospital Diphacinone (2-diphenylacetyl-1,3-indanedione, CAS Number 82-66-6) is an indandione-type anticoagulant.1,2 It falls into a class of compounds known as long-acting anticoagulant rodenticides, along with brodifacoum, bromadiolone, chlorophacinone, and difenacoum, which inhibit the synthesis of clotting factors II, VII, IX, and X. These compounds were developed to replace warfarin in rodenticides and many available mouse and rat baits today contain these superwarfarins.1 [...]

By |2019-11-16T15:38:05-05:00September 30th, 2019|EM PharmD Core|0 Comments

Dose Banding for Pediatric Medications

If you go to any medication aisle of a store, you can find a wide selection of medications for pediatric patients. Everything from analgesics, cough and cold medications, and agents for gastrointestinal relief. Being a new parent myself, in learning the many ins and outs of infanthood, I did notice something that struck me as rather interesting, perhaps because of my background as an emergency medicine pharmacist, that called my attention. On most over-the-counter medications [...]

By |2019-04-04T06:00:11-05:00April 4th, 2019|EM PharmD Core|0 Comments

DVT / PE

The coagulation cascade, at least the way I learned it in pharmacy school, needs to be burned. The next time you’re looking at an adaptation of this pathway, point out the platelet. If you can’t, don’t continue to read that source. 66 year old male being discharged from the ED with diagnosis of DVT. Will be started on oral anticoagulation, and followed in clinic. Which DOAC is preferred and should there be any bridge with [...]

By |2019-02-06T10:30:53-05:00February 6th, 2019|EM PharmD Core|0 Comments