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" ] That's it for PharmFOAM: [...]
What do a 45 mL infusion, L-carnitine and Androgel have in common?
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 [...]
Thiamine IV push? @raviempharmD (Ravipal Singh, PharmD, BCCCP) dives deep to answer this question
Guest post by Evan Mulvihill, PharmD on the hot topic of Cannabinoid Hyperemesis Syndrome
A discussion of antivenom for pit viper envenomations.
Single dose aminoglycoside for urinary tract infections, a guest post on empharmd.com Looking for a single dose, no compliance issues, inexpensive, safe, and effective option to treat urinary tract infections? An older therapeutic option might be the answer. A recent systematic review by Goodlet et al. looks into the utility of single dose aminoglycoside for urinary tract infections.1 Article A Systematic Review of Single-Dose Aminoglycoside Therapy for Urinary Tract Infection: Is It Time To [...]
Atrial fibrillation - the old debate of rate versus rhythm rages on but there are fundamental aspects that all EM pharmacists must know. - Art credit: "Autumn Rhythm" Jackson Pollock
I Have Andexxa Issues, 2: A Formulary Toolkit, a guest post by Zahra Nasrazadani, PharmD, BCPS. Dr. Nasrazadani is an Emergency Medicine Clinical Pharmacist at Salina Regional Health Center. A few months ago, Kristina Kipp wrote her inaugural EMCrit article enumerating her (extremely justified) concerns with the data we had available at the time regarding andexanet alfa…or should I say “coagulation factor Xa (recombinant), inactivated-zhzo”(1)? Since then—and in a somewhat perverse order of operations—the drug has been [...]
Why is dose banding for pediatric medications important? 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, [...]