Emergency Medicine Updates, Career Support & More2019-12-12T11:18:26-05:00

Screw up Kcentra reconstitution?

Screw up Kcentra reconstitution? Yea, I do it too. Kcentra, our beloved four-factor prothrombin complex concentrate comes packaged as a lyophilized powder from the manufacturer. When needed, it is reconstituted with its accompanying diluent and handy-dandy transfer device. Then, the transfer device becomes a port to withdraw the now reconstituted drug from and either into an empty bag, or syringe for administration. In real life, that process can sometimes go [...]

By |January 24th, 2020|Categories: Uncategorized|0 Comments

The Vitamins Trial – EM PharmD Podcast

  Do you think we should use Vitamin C + Thiamine + Hydrocortisone in sepsis? Welcome to the EM PharmD podcast! In this episode, I'll breakdown the recent VITAMINS trial published in JAMA. The question has been on everyone's mind - should septic patients get Vitamin C? Have questions or comments? Email me at craig@empharmd.com Don't forget to check www.empharmd.com for new updates and the latest information about everything emergency [...]

By |January 22nd, 2020|Categories: Uncategorized|0 Comments

Tyler Perry’s Colchicine Part 2

Tyler Perry's Colchicine Part 2 In a previous post, I discussed the use of colchicine following acute MI in the COLCOT study. Leading up to the discussion, I briefly touched on the pharmacology of colchicine. But since this drug is so unique and fascinating, particularly with regards to its toxicology, I wanted to have a separate post to discuss just that. It often seems as though the interest in a [...]

By |January 15th, 2020|Categories: Uncategorized|0 Comments

COLCOT- Colchicine for acute myocardial infarction

COLCOT- Colchicine for acute myocardial infarction If you started to practice after 2011, you likely have no experience with colchicine. Before the FDA began its unapproved drug initiative in 2006 which sought formal regulatory review of medications that previously fell under “grandfather” laws. Since colchicine was available prior to the 1938 Food, Drug, and Cosmetic Act, it was never required to establish safety and efficacy for FDA approved indications.[1,2] The [...]

By |January 8th, 2020|Categories: Uncategorized|0 Comments

Is metformin the fountain of youth?

Is metformin the fountain of youth? Growing up, I was an avid listener of Paul Harvey. My parents would turn on the radio every morning so I could listen to “the rest of the story.” I would eat my breakfast on the floor, sitting in front of the radio- as if by sitting closer would bring me closer to the story. Each time I click onto the Apple Podcast app [...]

By |January 2nd, 2020|Categories: Uncategorized|0 Comments

How to evaluate references of residency candidates

How to evaluate references of residency candidates: the meta reference. A practice that I have been developing over the past few months has been to wait 24 hours before responding to certain emails, questions, or inquiries. By doing so, it has been intended to help be become less reactive and more thoughtful when encountering these events. While it is a bit of an exercise itself to learn what can wait [...]

By |December 30th, 2019|Categories: Uncategorized|0 Comments

Capsaicin – It’s is one hot therapy

Capsaicin for cannabinoid hyperemesis syndrome - It’s is one hot therapy. As a result of cannabis liberalization policies in many states, interest in methods to manage cyclic vomiting syndromes are heating up. By now, many ED providers are aware of the common complaint of patients with excessive vomiting with reported histories of marijuana consumption.[1,2] These cases, patients describe vomiting that was once resolved by hot showers, is no longer controlled. [...]

By |December 26th, 2019|Categories: Uncategorized|0 Comments

How PGY2 interviews differ from PGY1

How PGY2 interviews differ from PGY1 You’re in it for another year. Congratulations. The time spent now will pay dividends in the future. Since you’re in the market for a PGY2, it likely means you’ve also been successful in landing a PGY1. From your experience in the interview process, you can take much of what made you an attractive candidate the first time around and apply it again this time. [...]

By |December 23rd, 2019|Categories: Uncategorized|0 Comments

Pharmacy Residency Interview Tips

Pharmacy Residency Interview Tips: the onsite edition. Although ASHP Midyear is over, the interview season is just getting started. The deadline for most residency applications is around the corner and many programs will start sending out onsite invitations sometime in January. While the anticipation and stress can start to get to you, this is no time to lose focus. So let’s begin to prepare how to nail your onsite interview. [...]

By |December 21st, 2019|Categories: Uncategorized|0 Comments

PillPack by Amazon Pharmacy

PillPack by Amazon Pharmacy: The healthcare disruptor we’ve been waiting for.  This post was co-authored by Timothy Dy Aungst, PharmD, a digital health expert who blogs regularly at the The Digital Apothecary. Alexa, what’s my last blood sugar reading?  Your last blood sugar reading form 38 minutes ago was 145 mg/dL. Your pharmacist has adjusted your next pre-meal insulin dose to 8 units based on the diet ordered through Whole [...]

By |December 19th, 2019|Categories: Uncategorized|0 Comments

Let’s go on a trip with Ayahuasca

Let's go on a trip with Ayahuasca. What does Ayahuasca have to do with Parkinsonism? History doesn’t repeat itself, but it rhymes. Concocting a synthetic derivative of a desirable drug, created to evade regulation or the law, sounds like a story out of a 2019 headline. But it would be naive to think this is a unique point in drug abuse history. In fact, it’s happened before (and will likely [...]

By |December 9th, 2019|Categories: Uncategorized|0 Comments

Anavip: is the juice worth the squeeze?

Anavip: is the juice worth the squeeze Authors: Scott Dietrich, PharmD, BCCCP, @PCC_PharmD Ryan Rogoszewski, PharmD, BCCCP, @RyanRogoPharmD Craig Cocchio, PharmD, BCPS, DABAT, @iEMPharmD Background  Over 5,000 snakebites are reported to US poison centers each year.[1] The vast majority of snakebites in the US result from the Viperidae (aka “pit viper”) family of snakes. The sub-family most commonly found in the US includes the Crotalids which are made up of [...]

By |December 7th, 2019|Categories: Uncategorized|3 Comments

The Argument for BPS Certification of EM Pharmacists

The Argument for BPS Certification of EM Pharmacists: Looking forward, not back.  EM Pharmacists are indispensable assets to modern healthcare. This petition for EM recognition by BPS is an anthology of the amazing efforts of EM pharmacists that have transformed emergency care. Each pharmacist innovating practice in EDs has established high levels of care, earned recognition on merit, and has been regarded in the medical community as experts. They have [...]

By |December 5th, 2019|Categories: Uncategorized|2 Comments

Reapplying To Pharmacy Residencies

Didn’t match last year and are reapplying to pharmacy residencies? Use your experience to your advantage and don’t forget to lean on your friends. There’s no secret that if you want to work in a hospital setting, you need to have at least a PGY1 residency. The job market is simply too competitive in most urban settings, that one additional year of training will get your foot in the door. [...]

By |December 4th, 2019|Categories: EM PharmD, Uncategorized|0 Comments

5 things to know before going into a PGY2 interview

5 things to know before going into a PGY2 interview Midway through you’re PGY1 year and you’re in it to win it. That’s right, you’re going for a PGY2. It’s not so much that you’re a glutton for punishment, but you know a PGY2 will increase your chances of getting the job you want. Particularly knowing that the job market for pharmacists is already competitive, this next-level training will help [...]

By |December 2nd, 2019|Categories: EM PharmD, Uncategorized|2 Comments

Reddit AMA – I’m a PGY-2 RPD Part 2

Reddit AMA - I'm a PGY-2 RPD Part 2 For a recap, here's Part 1 Recently on Reddit, I conducted an “ask me anything” conversation on the r/pharmacyresidency community. The inspiration behind the AMA was simply to help residency hopefuls feel more comfortable in the upcoming recruitment season. There were a number of individuals who asked questions and I wanted to share some of the top questions and answers provided. [...]

By |December 1st, 2019|Categories: Uncategorized|0 Comments

Reddit AMA – I’m a PGY-2 RPD

Reddit AMA - I'm a PGY-2 RPD Recently on Reddit, I conducted an “ask me anything” conversation on the r/pharmacyresidency community. The inspiration behind the AMA was simply to help residency hopefuls feel more comfortable in the upcoming recruitment season. There were a number of individuals who asked questions and I wanted to share some of the top questions and answers provided. Before going further, I do want to emphasize [...]

By |November 30th, 2019|Categories: Uncategorized|0 Comments

November New Articles And Evidence Updates 

November New Articles And Evidence Updates  Trying to stay up to date is tough. New articles and evidence updates don’t just find you… right? Let’s make staying up to date in the literature a whole lot easier. Who wants to search through journals and PubMed? Nobody. To tons of people, including myself, this task makes staying up to date a chore. What’s worse is that it will turn some folks [...]

By |November 29th, 2019|Categories: EM PharmD, Uncategorized|0 Comments

Oral Nitroglycerin for Esophageal Foreign Body

Oral Nitroglycerin for Esophageal Foreign Body As family and loved ones gather around the table for Thanksgiving dinner, we generally have a different experience in the ED. We sit and wait in the ED for the fork stabbing victims and alcohol-induced turkey fryer accidents. Office-pools thrive on the sort of things that come through the ED triage on turkey day. These unique cases present an opportunity to apply the enhanced [...]

By |November 25th, 2019|Categories: EM PharmD, Uncategorized|3 Comments

FOAM for EM pharmacists November

FOAM for EM pharmacists November A weekly roundup of FOAMed content for EM pharmacists.   ICU Physiology in 1000 Words: Pulmonary Embolism & Pulmonary Vascular Resistance: PulmCCM Jon-Emile S. Kenny MD [@heart_lung] What if I told you that in acute pulmonary thromboembolism [PE] that the initiation of intravenous norepinephrine [NE] decreases the calculated pulmonary vascular resistance [cPVR]? Would you believe me? Certainly, you would trust that an infusion of a [...]

By |November 25th, 2019|Categories: EM PharmD, Uncategorized|0 Comments

Nail your pharmacy residency interview

Nail your pharmacy residency interview If you want to land a PGY1 or PGY2 pharmacy residency, attending the ASHP Midyear meeting can certainly help. Despite its name, this meeting, which occurs annually in December is smack in the middle of most residency calendars. This meeting is also one of the largest gatherings of pharmacists in the United States. But more importantly, it is the epicenter of residency recruiting. In this [...]

By |November 24th, 2019|Categories: EM PharmD, Uncategorized|0 Comments

5 Tips For A Successful Showcase at ASHP Midyear

Turkeys are frying, posters are printing, and pharmacy students and residents everywhere are getting ready for ASHP Midyear. While the location rotates on a yearly basis, the excitement and frenzy around Midyear never change. Primarily because this is the one meeting that either makes or breaks your pursuit of pharmacy residency training. The main events for residency interviews are split into PPS (Personal Placement Service) and a gauntlet known as [...]

By |November 23rd, 2019|Categories: EM PharmD, Uncategorized|Tags: |0 Comments

New articles and evidence updates

New articles and evidence updates Trying to stay up to date is tough. New articles and evidence updates don't just find you... right? Let's make staying up to date in the literature a whole lot easier. Who wants to search through journals and pubmed? Nobody. To tons of people, including myself, this task makes staying up to date a chore. What's worse is that it will turn some folks off [...]

FOAM for emergency medicine pharmacists

FOAM for emergency medicine pharmacists: PharmFOAM Don't waste time searching through updates to see what's new anymore. This is the best way to stay up to date in FOAM and be aware of the latest evidence based medicine updates. I call it PharmFOAM: FOAM for emergency medicine pharmacists. Here's what I'm reading and following today: [feedzy-rss feeds="https://emcrit.org/feed, http://www.emdocs.net/feed, http://www.emlitofnote.com/feed, https://first10em.com/feed, https://rebelem.com/feed, http://thesgem.com/feed, https://litfl.com/feed" max="8" feed_title="yes" refresh="1_days" title="140" summary="yes" summarylength="140" [...]