12 06, 2017

EM Pharmacotherapy Guidelines and Position Statements: Resource for ED Rotations

2017-06-15T19:18:32+00:00

EM Pharmacotherapy GuidelinesSeveral years ago I created a resource for my ED rotation that I share with pharmacy students, pharmacy residents, and EM physician residents. It contains most of the guidelines and position statements on EM drug therapy that I utilize most often and is updated as new iterations are published. We’d like to share this tool with you to be used/modified to meet your rotation needs.
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1 05, 2017

ACMT Toxicology Visual Pearls: Exotic Viper Envenomation

2017-04-30T14:04:03+00:00

exotic snake envenomation

A man was bitten twice on the dorsal radial aspect of his right hand while feeding his pet West African Bush Viper. The patient immediately tied multiple tourniquets around his right arm before presenting to the emergency department. During examination he is complaining of swelling and severe pain in his right upper extremity, but has no other complaints. What are the appropriate next steps in managing this patient?

  1. Apply ice to the bites
  2. Measure compartment pressures in the right arm and forearm
  3. Perform a fasciotomy
  4. Remove the tourniquets and order hematologic studies
  5. Use a venom extractor to reduce venom burden

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5 01, 2017

Top 8 Must-Know EM Pharmacotherapy Articles of 2016

2017-03-05T14:18:39+00:00

Top 8 must-know EM pharmacotherapy articles of 2016For the third consecutive year, we provide a quick summary of some important Emergency Medicine pharmacotherapy articles from the last 12 months. We have tried to focus on articles you may have missed, but are potentially high-impact for improving clinical practice in the ED. Without further ado, we present the 8 must-know EM pharmacotherapy articles of 2016.

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30 12, 2016

Trick of the Trade: Warfarin tablet strength identification

warfarinMedical providers commonly encounter patients in the emergency department who state they are anticoagulated with warfarin, but they have no idea what dose they are taking. “I know that I take two pills of warfarin daily.” Dosing becomes critically important especially when continuing their medication as an inpatient, refilling their medications, or adjusting their outpatient dose because of an inappropriately high or low INR level. How can you determine the patient’s warfarin dose?
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27 12, 2016

AIR-Pro: Toxicology (Part 2)

Welcome to the Toxicology (Part 2) AIR-Pro Module. Below we have listed our selection of the 12 highest quality blog posts related to 5 advanced level questions on toxicology topics posed, curated, and approved for residency training by the AIR-Pro Series Board. The blogs relate to the following questions:

  1. One-pill-could-kill ingestions for pediatrics patients
  2. Decontamination techniques
  3. Physostigmine
  4. Alcohol Withdrawal
  5. High dose insulin therapy

In this module, we have 8 AIR-Pro’s and 4 Honorable Mentions. To strive for comprehensiveness, we selected from a broad spectrum of blogs identified through FOAMSearch.net and FOAMSearcher.

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26 10, 2016

Magnesium for Rapid Atrial Fibrillation Rate-Control in the ED

2017-03-05T14:18:45+00:00

magnesium-ivWe love magnesium in the Emergency Department. It’s been said that magnesium is second-line for everything (kind of like doxycycline). But what about rate/rhythm control in atrial fibrillation (AF)? The 2014 AHA/ACC/HRS guideline for the management of patients with AF doesn’t mention magnesium at all.1 Dr. Josh Farkas (@PulmCrit) wrote about magnesium infusions for atrial fibrillation and torsade last year. His post looked at its use for cardioversion, rhythm-control, and rate-control in critically-ill patients. Our post will focus specifically on the IV magnesium data for rate-control in ED-related settings.

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