Pantoprazole bolus and stop the infusion for GI Bleed, a guest post by Mark Culver, PharmD, BCPS (@EMdruggist). A common controversy of late has been whether lower doses of proton pump inhibitors (PPIs) can be used in the high-risk upper gastrointestinal bleeding (UGIB) patient after endoscopy instead of the standard high-dose PPI bolus, followed by a 72-hour continuous infusion. The continuous infusion use stems from  guidelines formed after an international consensus conference on nonvariceal UGIB [...]

Is Ketamine A Sympathomimetic? Probably not. Ketamine, as we all know, is a popular yet polarizing drug in emergency medicine. For some, it's the drug of choice for any and every indication in the ED. For others, it's avoided at all costs since it causes brains, hearts and eyes to explode. With regards to exploding hearts, providers are often concerned that the drug should never be used in patients with cardiovascular disease because of the FACT that ketamine is a [...]