I’m not going to lie. Being an pharmacist.. specifically an emergency medicine clinical pharmacist has been one of the greatest things to happen to me.
Exciting news! My book, Code Blue Pharmacotherapy, is finally out! 📚
After countless hours of research and writing, I’m thrilled to share this labor of love with you.
Thank you for all your support – it means the world to me. 🙏
#twitteRx
#EMRx
Don’t be a Lexi Pharmacist. Meaning, you only look at an alert, reject an order, call the provider with no recommendations. Please stop doing this! Use the info you have available, make an assessment, and have recommendations.
Myself and a team of well respected EM pharmacists will be hosting a virtual 2 day conference that will be in a FUBU (for us by us) fashion for that will include ~12 speakers. There will also be a resident session that will be for research. It will be for CE credit
Let’s talk about post residency/graduation fog.
When the last ~25 years of your life have been “planned” with rapid succession of events, it’s okay to just be a regular person and not striving to be an “candidate” for anything other than what makes you happy.
#twitteRx
Me looking for the resident who ordered calcium, insulin 10 units and Kayexalate for a potassium of 5.3 with no EKG changes and ESRD.
#pharmicu
#twitteRx
#foam
Had a vfib arrest come to my shop. Treated hyperk and STEMI on EKG. Cards didn’t take to cath so I urge team to give Tpa now it they believe it’s a STEMI. Gave it and 24 hour later went to cath with RCA occlusion. Today he’s getting ready to walk out the hospital.
#pharmsohard
Wouldn’t it be great if EM pharmacy had their own conference? With topics and presenters that you picked and got CE credit for? Residents presented research and other projects all related to emergency medicine pharmacotherapy? Would be kinda sweet right?
EM Pharmacy we did it. So many great speakers, so many great conversations, so many connections will be built off of this one moment in time. Definitely dropped a few tears thinking about what it took to get here and we did. Powered by EM pharmacists…EMPoweRx
#EMPRx22
#EMPRx23
Just a reminder there are a few of us that love our career and are happy. I know that things are tough, burnout is real, and there’re many things to improve in life but there’s a such thing as finding happiness in it.
Half full or half empty 🤷🏾♂️
Today, im choosing half full
I’ve gotten to the point where I can’t tolerate any unnecessary secondary trauma. I don’t like sad movies, watch gruesome videos, or discuss the “craziest things” I’ve ever seen. Tbh I’m fine with that. It’s how I cope with this. Anyone else this way?
#EMRx
#TwitteRx
Don’t let them tell you that you’re not good enough. Don’t let them tell you that you don’t “belong in this profession” , “you’re not a gifted speaker”, “you’re an inner city kid.” So many people and experiences help transform me over 10 years
#twitteRx
#pharmdsohard
🚨🚨🚨Incoming PGY1 and PGY2 residents!
1. Do not think you supposed to know everything already. It’s takes time, patient load, and space retrieval to master this
2. It takes a year of training to be PGY1/PGY2 trained
3. Every project will not be perfect
Now I get to be part of the solution to generations of poverty, gang affiliations, and the “other drug” problem. All through pharmacy. All In the ED. Where I can connect with a variety of people and provide the best care possible. Thank God I’m a pharmacist.
#twitteRx
I was worried that my “aggressive” style of pharmacy practice wouldn’t be accepted when I came here. I’m grateful of the appreciation from the great physicians, nurses, and other healthcare workers at
@musc_em
. I have the best job in the world.
#twitteRx
#foamed
#pharmsohard
Phorcas is ripping off our students and residents with this major glitch they’ve had. I’ve had many candidates reach out since phorcas is telling them “idk what happen have the program email use”. If a candidate doesn’t have all the info in the app, it may not be there fault.
The moment we've all been waiting for! The EMPoweRx Conference. Powered by EM Pharmacists worldwide. With over 700 attendees from 11 countries, this has been amazing. Please reach out to us via support
@empowerx
-conference.com for any issues.
#EMPRx22
#twitteRx
Most of you know I’m not personal at all but with all that’s going on…. I just hug my little one a little tighter as I couldn’t let her go to school today. The reason I pharm so hard.
Congratulations to everyone who was involved in the process of getting the
#bcemp
approved and congratulations to all the official board certified EM Pharmacists! Big moment for all of us!
Finally took time off for the first time in a while after having 4 days off last month. I highly recommend not going straight from working as intern to pgy1 to pgy2 to specialist job without time off
#pausethepharmsohard
Crofab, Kcentra, Hypertonic saline, mannitol, etomidate/roc, etomidate/succ, norepinephrine/vasopressin/epi, sugammadex, nicardipine x 3. Tonight was a long night.
#pharmaohard
Happy Pharmacy Friday!!! Our conference will be name the EMPoWRx Conference or the Emergency Medicine Pharmacotherapy & Resuscitation Conference! Shout out to
@jim_priano
,
@EmergPharmED
, and
@MeganARech
for coming up with it!! But I still have more surprises for you
#twitteRx
I feel like I’m a healthcare professional but I could be wrong. I’ll continue to not speak on political and financial matters that I’m educated on, especially in public, especially on an entire group of professional with doctorates
#pharmacistproblems
#pharmsohard
#pharmdrip
Tomorrow is my biggest accomplishment yet, I’ll be honored with the Alumni of the Year Award and be the keynote speaker for
@presbycol
school of Pharmacy Hooding Ceremony and Commencement. As usual a win for me is a win for
#Empharm
#twitteRx
and -
#foamed
#pharmsohard
I have a phenomenal few days to end the week. I’m honored to be in this position and haven’t had a chance to feel like I’ve got a win in a while. Truly and honor to
#pharmsohard
Guess what day it is??!?! Pharmacy Friday!!! Please enjoy the out short Pharmacy Friday Pearl on Adenosine vs Calcium Channel Blockers for SVT. For more info visit
Is anyone down to let me interview them and talk about their ED/CC? Group dinner full of PharmDs then brunch/pool party/kickball/hiking/theme part later?
Not like I'm planning a Pharm So Hard tour this summer or something.
#pharmsohardtour22
#EMRx
#twitteRx
#PSH22
I just read a letter of rec that was amazing. Thank you for all the people who are gifted in writing and accuracy get their point across. It made me think how my letters are a work in progress! If you see my LOR just call me instead 😂
#twitteRx
Shout out to all the mentors and people of encouragement out there. I’m always thankful because one interaction with my chemistry professor took me from a lifestyle of gangs, drugs, and poverty to where I get to provide a different viewpoint for “inner city” kids.
#pharmsohard
When I was deciding on coming to
@MUSCPharmRes
,
@NeyensRon
reached out and told me that I could make my experience here great due to the support from the physicians.
@musc_em
team have given me so much satisfaction in my job and I’m beyond thankful for the award.
#twitteRx
2/2
4. All feedback has some level of truth. Evaluate all feedback and try to find a way to get better without taking it personal
5. Please give feedback to make rotation/preceptor better
6. Everything is a learning experience
7. Love on your coresidents
#twitteRx
#pharmres
Today I graduate my PGY2 EM pharmacy Residency at
@GradyHealth
. I’ve been able to be trained by some amazing people (RNs, RTs, PharmDs,MD, EMTs, ect) and experience some of the highest acuity patients in the SE. Would do it all over again. Next stop
@AUG_Health
#PGYdone
This is where it all began! The first text. It grew from there to being 5 days away from the largest international gathering of EM Pharmacists ever! No major organization, no corporate agenda, just EM pharmacists trying to make a difference. That’s Power.. EMPoweRx
#EMPRx22
I wanted phenobarbital today and the doc was like 10 mg/kg for etoh and I was pleasantly surprised. Usually I have to play the game of 130-260 mg at a time to get to the total dose I want.
#twitteRx
What a day! Created our first sim lab for trauma at
@MUSCPharmRes
with help of coworkers to run the course. Had multiple critically ill patients, Tylenol OD, taught our Pharm Series “ 4 drugs you can’t screw up”, and more. It was an emergency medicine day!
#pharmsohard
#twitteRx
Story time. During my PGY1 at
@AdventHealth
, I was on my ED rotation with
@jim_priano
and
@EmergPharmED
. We had just resus’d a patient and after a while people went away to chart and put in orders, leaving
@jim_priano
there to teach me about cardiac arrest pharm (1/3)
Another day another bogus person attacking pharmacists when it just they have a poor understanding of the situation and didn’t get what they wanted immediately.
#EMRx
1️⃣You’re probably wondering how we got here with bicarb in ACLS? 🤔 Back in ‘74, JAMA’s first ACLS guidelines made it a star for acidosis in cardiac arrest. Who knew baking ingredients could be so heart-stirring?
#ACLS
#EMRx
Was running trauma with new director at Grady and asked did he want TXA. He replied we’re getting rapid TEG and will resuscitate based on that so we give pt what they need. Legit turned into
@GilbertPharmD
with enthusiasm for a second.
#FOAMed
Introducing our second Horizon Speaker for the
@SCCM
Pre-Congress
#CPPForum
"Back to the Future - Critical Care Pharmacy" on 01/26/2021 at 5-7 PM CST!
This is Dr. Jimmy Pruitt, PharmD, BCPS, BCCCP.
Profile in link:
#PharmICU
#GoProgram
#CPP50
Seems like
@daijahd_pharmd
will be sticking around for another year. Been working on this moment for some years now and happy to see it through.
#EMRx
#TwitteRx
FOAM world I’m excited to announce that I will be competing in SAEM’s Got Talent presenting Pharmacy Friday Pearls tomorrow at 7 PM EST! I’ll need your help as part of the score is based on Twitter buzz. I’ll release more information as we get closer!!
#twitterrx
#pharmsohard
Never underestimate the power of influence. You can change someone’s life for the better within minutes and never know it. Keep being great, keep saving lives, happy national pharmacist day.
#twitterx
Phase 2 does not mean inferior program or candidate.
Decrease candidate pool + ⬆️ competition for certain programs = ⬆️ unmatched programs/candidates
Just my opinion
I’m thankful for the opportunity from
@SAEMonline
and excited to officially announce that Pharmacy Friday Pearls won SAEM’s Got Talent! There were so many amazing contestants. This one is for all of pharmacy,
@EmoryEM
, and
@ResidencyEm
. via
@YouTube
Next Monday I’ll release my big announcement. Residents, RNs, MD/DOs, NPs/PAs, EMS, X-ray Techs, PCTs, and PharmDs that work in the ED I have something special for you.
Proud to be an EM Pharmacists! Think back to the 10-15 years ago we would never think that EM Pharmacists would have option of 30 + presentations dedicated to them.
For Us and By Us
#EMRx
#EMPRx24
Almost wish this was an actual trial comparing the two agents versus cherry picking to find a group of patients from two different trials and doing statistical gymnastics. Someone please do a real intervention vs comparison trial with a patient centered primary outcome.
#twitteRx
Here's a HUGE paper showing a 60% relative reduction in DOAC-related
#ICH
growth in patients treated with Andexxa vs usual care (the 4F-PCC Kcentra).
if I'm bleeding in my brain while on a DOAC please -- give me rational therapy with andexanet alfa.
Best part is that over the next few months you will have the opportunity to tell us what you want hear and from whom! I’d like to make this the largest EM pharmacotherapy conference in the world so let’s make it happen.
#pharmsohard
Hypertonic Bicarb is trash in cardiac arrest (routine use and not tox), hyperkalemia, and DKA.
It’s done for reasons that can’t be explained by an abundance in data and emotion-based medicine.
EMPoweRx was a huge success but we must keep the momentum going! I’ll be in the lab over the next few days with merch and a way to communicate better. If you have any suggestions on things you would like to see DM me.
#EMPRx22
Do you want to train at a level 1 academic medical center with preceptors that are PGY2 trained and you could end up on one of the most popular EM pharmacy podcasts in the nation??? Come check us out
🚨Interested in Emergency Medicine?
Don't miss these 2 opportunities to learn more about the
@MUSChealth
PGY2 EM program! 🚑
⬇️ Registration
11/19 6:30-7:30pm EST:
11/23 5:30-6:30pm EST:
Getting on social media and seeing some of the comments the lay public and politicians have about COVID and the treatments is really disheartening. We should put them in the ICUs to manage the patients since it doesn’t take any training at all when you have a doctorate of Google.
Not something you see too often in the pharmacy, definitely not in the ED at one time. This has been a special month for me as a preceptor and mentor.
“With everything you do, make sure you pharm so hard!”
#wearedei
#TwitteRx
#EMRx
We made a quick episode on the issues that candidates have been having with their residency applications.
@PharmD_intheED
really didn’t hold back on this one.
#twitteRx
Apple:
Spotify:
We are excited to bring you guys EMPoweRx on March 11. Check out of agenda for day 1 of the conference with some amazing speakers from all over!
For more details, go to
#twitteRx
#empoweRx
#foamed
#Emergency
I had a patient walk out of the hospital with good neurological outcome after cardiac arrest 2/2 STEMI that I was significantly involved in that I’ll never get over. I get one of those a year and it drives me every to
#pharmsohard