Pharmacy To Dose: The Critical Care Podcast
@PharmacyToDose
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And I'm your host Nick Peters @accpcritprn & @chiesigroup Partner #PharmICU #TwitteRX Subscribe:
Near the Hospital Ice Machine
Joined October 2013
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🎉Nominations are now open for the 2024 Pharmacy to Dose Awards! 🍾🎊
Nomination form:
TEN Pharmacist awards with a nomination process that couldn't be easier.
We all know how hard our peers and colleagues work, so let's give them the recognition they
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The COGENT trial would like a word
If a patient takes omeprazole 20 mg with clopidogrel 75 mg, what will happen ?🤔
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The next episode has been by far the most requested topic.
Bruce Mueller
@BAMPharmD
joins me to discuss Medication Dosing in CRRT.
This is a Masterclass from a Critical Care/Nephrology guru. You won’t want to miss this!
Episode releases this week.
#PharmICU
#TwitteRX
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What an AWESOME presentation by Brooke Barlow
@theABofPharmaC
So well done on a sometimes controversial topic! 🙌🏻👏🏻
#PharmICU
#TwitteRX
#SCCM2023
#NeuroTwitter
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Changes coming:
1. Episodes limited to ~1 hr
2. Critical care literature review every 2ish months
3. New show notes that will summarize information in a succinct 1-2 page document
Things that won't change:
1. Incredible guests
2. Even better listeners
3. My laugh
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🚨NEW POD ALERT🚨
Arrhythmias in the Emergency Department
ft. Kyle DeWitt
@EmergPharm
and Lance Ray
@LRayRx
BB v. CCB in AF ⚔️
EKGs for PharmDs 🫀
Atropine for all? 🤔
Mg doesn't treat TdP? 🤯
Esmolol in refractory VT/VF 👎
Spelling arrhythmia 🛑
& more!
Reference list has
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🚨NEW POD ALERT🚨
@AndreaSikora
comes back for an Introduction to Mechanical Ventilation!
😷 Indications for MV
🍜 MV Alphabet soup
⚔️Pressure v. volume control
🦪Ventilator weaning pearls
📖Book recommendations
& MORE!
#TwitteRX
#PharmICU
#MechanicalVentilation
#MedEd
#Pulm
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🚨NEW POD ALERT🚨
PCCs for PharmD Part II with Returning Guest Scott Dietrich
@PCC_PharmD
⚖️ Fixed dose for all?
⚔️ PCC v. Andexxa
🤝 PCC and Andexxa?
🩸 Non-reversal indications
📖 New Guideline Recs
AND MORE
Download/subscribe:
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🚨NEW POD ALERT🚨
Rapid Reaction: ANNEXA-I
Where did hemostatic efficacy definition come from? 🧠
When did they reconstitute andexanet alfa? 💉
Balancing efficacy and safety ⚔️
Summarize protocol amendments (7 pages worth!) 📜
Questions we still need
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🚨Trauma Alert 🚨
Melanie Smith Condendi
@Tribidibidy
joined me to discuss the ICU management of critically ill trauma patients!
In Part II of this series we cover VTE prophylaxis, PAD challenges, TBI pearls, bowel regimens (wait, what?), AND MORE!
Episode drops next week
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Hope everyone's ready!
Kent Owusu
@tigernole13
joined me to talk about Alcohol Withdrawal.
Timely episode during the Holiday season 🤣
So many great tips/tricks/pearls throughout!
Episode drops later this week.
#PharmICU
#TwitteRX
#NeuroTwitter
#AlcoholWithdrawal
#MedEd
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BIG news!
So, so happy to finally announce the new partnership with an organization I love.
@accpcritprn
More to come...
#PharmICU
#TwitteRX
#critPRN
@HeavnerPharmD
@SESmithPharmD
@ACCP
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In preparation for this week’s episode... this is a fantastic primer! 😂
Thanks for sharing!!
excuse the backtrack but if I am ever deemed worthy enough to lecture a pharmacy class I will find a way to put this in my lectures 😂
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🚨NEW POD ALERT🚨
Things We Wish We Knew During Residency
Featuring
@accpcritprn
Officers
@HeavnerPharmD
@SESmithPharmD
and Twitter-less Leslie Hamilton
Work/life balance ⚖️
What would we do different ⏳
Transitioning post-residency 💼
Critical Care PRN roundtable 🔬
& MORE!
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Emergency ANNEXa-I pod coming in the next 24 hrs...
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Dear
@ACCP
and Elizabeth Farrington,
An open invitation to come on the podcast and have a dialogue about this. Here's a copy of the email I sent, for anyone curious.
(I'd only be moderating, if you want to join to voice your concerns and give your point of view send me a
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Did you think I forgot? We don't stop for the holidays!
Coming tomorrow:
@AmyDzierba
joined me to discuss ECMO. This episode is a GOLD MINE!
From the basics, to PK/PD changes, ECMO protocols and... SO. MUCH. MORE.
#Happy2020ToUs
#FOAMed
#TwitteRX
#PharmICU
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So lucky to be joined by
@CMageePharmD
and
@BissellBrittany
to talk about Updates to the Surviving Sepsis Campaign Guidelines
What did they like? Dislike? Historical controversies?
Future hopes?
Such a fun episode with 2 amazing Pharmacists
Pod drops tomorrow
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🚨New Pod Alert🚨
Aaron Cook
@amcook0
joins to discuss the Management of Cerebral Edema
1st part: Behind the scenes of the guideline writing process (Aaron is 1st author )
2nd part: Discussion on the guidelines/recommendations
Episode releases tomorrow
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🚨NEW POD ALERT🚨
Patrick Wieruszewski
@pwierusz
joins me for Vasoactives in Septic Shock Part II
When NOT to use Norepi first-line 🚫
Vasopressin controversies ⚔️
Broad-spectrum vasopressors 📊
Angiotensin II defense 🤝
When are Christmas Lights OK 🎄
AND MUCH MORE!
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Let’s talk through some preliminary ANNEXA-I results!
What questions do you still want answered?
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🚨NEW POD ALERT🚨
Versus Series: Amiodarone v. Lidocaine (1st ever)
featuring Matt Wanat
@mattywanat
Amio (Matt) v Lido (Nick) 🥊
OOHCA ⚡️
IHCA 💔
Refractory VA ❤️🩹
Potpourri 💐
Closing Statements 🧑⚖️
Stay tuned to vote on the ultimate winner! 🗳️
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🚨NEW POD ALERT🚨
Emergency Medicine Clinical Pearls and Highlighting the EMPoweRx Conference
Special guest:
@MeganARech
Why register for
@EMPRx23
🤠
TXA in epistaxis 👃
DDAVP in ICH 🩸
AWP 👀
EMPHARM-NET 👏
Rutgers Crit Care Symposium 6⃣
& MORE
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An extremely special episode this Wednesday, Jan 29.
I had the chance to talk with Morgan Jones
@gmjones09
about his personal experience with PICS and PICS-F.
This incredibly inspiring and heartbreaking story will change your practice in the ICU for the better, I promise.
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I’ve been feeling pretty nervous recently about the uncertainty regarding the COVID-19 coronavirus. One thing that always helps is dog photos. So let’s start a happy thread. Here’s Franklin (black) and Eleanor (blonde)
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🚨NEW POD ALERT🚨
Pharmocotherapy for the Critically Ill Pregnant Patient: Part I
ft. Melissa Thompson Bastin
@mtbastin
and Allison Lankford
Pregnancy + ICU PK/PD changes 📈
Vasoactive agents to avoid 🛑
Same ACLS algorithm? 🥇
Preferred corticosteroid? Can we use at all? 🏆
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Thrilled to announce that the next episode will feature
@AFlanneryPharmD
talking about “Vasoactives in Sepsis”
@UKCritCarePharm
#PharmEd
#Twitterx
#FOAMed
#PharmacyToDose
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🚨NEW POD ALERT🚨
The amazing Joanna Stollings
@JoannaCCPharmD
joined me to discuss the ICU Liberation Bundle
#ABCDEF
Incredible insight into a standard of care for ventilated AND non-ventilated ICU patients.
Episode drops this week.
#PharmICU
#TwitteRX
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Kevin Betthauser is out here fighting the good fight at
#SCCM2023
trying to stop un-necessary anaerobic coverage. It’s improving but still have ways to go.
#IDTwitter
#PharmICU
#TwitteRX
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This week's episode is FANTASTIC!
Craig Beavers
@beaverspharmd
joined me to discuss anticoagulant/antithrombotic therapy w/ cardiac devices.
We tried a case-based format, excited for everyone to listen.
Episode releases tomorrow!
#PharmICU
#TwitteRX
#CardioTwitter
#MedEd
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Awesome new episode!
Brian Murray
@uncrx_critcare
joined me to talk all things related to Pulmonary Hypertension.
From ICU supportive care, meds to avoid in PH, reviewing PH meds, transitions of care concerns, and so much more! Episode drops later this week.
#PharmICU
#TwitteRX
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It’s not just fluid, it’s also salt.
1L NS has the salt content of 1.5 lbs of potato chips!
@criticalbeansmd
#DietStartsMonday
#SCCM2023
#PharmICU
#TwitteRX
#PeeToBeFree
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🚨NEW POD ALERT🚨
The incredible Heather May
@HPersonett_May
joined me to discuss "Immunotherapy Toxicity in the ICU"
Amazing, insightful, and helpful advice for all, regardless of your ICU setting!
Episode will be released next Wednesday 😀
#PharmICU
#TwitteRX
#HemeOnc
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BIG alert for the day after Thanksgiving!
@GilbertPharmD
joined me to discuss all things trauma!
#TraumaAlert
In part 1 (2-part pod) we cover acute management in the trauma bay.
Episode drops later today.
#PharmICU
#TwitteRX
#Trauma
#MedEd
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A preview of the next episode opening.
#HeForShe
@rebeccaraesmith
and all of our female peers, colleagues, friends, and family... you have my full support.
#PharmICU
#TwitteRX
we need you as well!
Please sign the petition below if you haven't already
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This week's new episode is extremely meaningful and timely. Earnest Alexander, Jason Jones, and Sheriff Gbadamosi joined me to discuss the Black Lives Matter movement and racial inequality in healthcare.
@EDPharmD06
@SheriffGbadamo2
(Thread 1/)
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AWESOME pod this week, joined by Jimmy Leonard
@leonardjbRx
to go through all the nuances and tips to treat BB/CCB overdoses.
Episode closes with an incredible new segment:
"What Would Really Happen: Medicine in the Movies"
Pod drops this week
#PharmICU
#TwitteRX
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Highlighting 25 PharmD speakers from the 2023 SCCM Congress both in clinical sessions and star research awards with 3 different episodes releasing later today (or tomorrow)
We highlighted their talk, answered some questions, & we had fun
Here's a preview with
@iamahawkins
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BIG Announcement!
Our first episode of the Literature Review Series will be posted this week! So lucky to be joined by
@epaigemorgan
and
@AbbeyCazRx
as my first two guests.
Much more to come, but hope you all are as excited as I am!!
#PharmICU
#TwitteRX
#MedEd
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🚨NEW POD ALERT🚨
Acetaminophen Overdose with Jimmy Leonard
@leonardjbRx
Rumack-Matthew Nomogram 📊
GI Decontamination 🤮
Massive OD 😱
Standard v. High Dose NAC ⚔️
NAC ADE 😳
Adjunct Fomepizole 🍸
& More!
Download/subscribe:
#PharmICU
#TwitteRX
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Lucky to be joined by Matt Wanat
@mattywanat
to discuss Ventricular Arrhythmias.
We talk about anti-arrhythmics, stroke risk, atrial v. ventricular arrhythmias, and so much more!
New episode drops later this week.
#PharmICU
#TwitteRX
#CardioTwitter
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This is the only way we should pick authorship order for future manuscripts
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🚨NEW POD ALERT🚨
2023 Pharmacy to Dose Award Winner Celebration!!
@MeganARech
@GilbertPharmD
@mtbastin
@AMeester_PharmD
@graceerdman
@AJWPharm
@CMageePharmD
@HeavnerPharmD
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🚨NEW POD ALERT🚨
Acute Coronary Syndromes with Nick Servati
@PharmDtotheLAD
MONA myths 🚫
P2Y12 pre-treatment 💊
Thrombolytics 🩸
IV anticoagulants and antiplatelets 💉
STEMI pharmacotherapy checklist 🗒️
& much more!!
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Possibly the most exciting part of the podcast is the announcement that
@AndreaSikora
and I will be co-hosting a quarterly book club
#PharmacyToRead
📚🤓
This will kick-off in January 2020!
The books will focus on personal and/or professional development.
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Do you panic when verifying a pediatric order?
Forget common differences between kids and adults?
Luckily, Joe LaRochelle
@JoeLaRx
joined me to discuss Pediatric Critical Care, the first in a series!
Episode drops tomorrow.
#PedsTwitter
#PharmICU
#TwitteRX
#ThePICUPharmacist
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🚨NEW POD ALERT🚨
Rapid Reaction: ACORN trial
Featuring: Michael Behal
@MLB_PharmD
and Joanna Stollings
@JoannaCCPharmD
Why is this trial design so unique? ⭐️
Is the AKI question finally answered? 🤔
Can we actually blame the cefepime? 🫤
Trial fun facts 🏅
& much, more!
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Shoutout to 2 PharmDs… lead author Patrick Wieruszewski
@pwierusz
and Brittany Bissell Turpin!!
So proud to present the work of this joint
@SCCM
@ESICM
task force on norepinephrine reporting & formulations. Will present the full story at
#SCCM2024
@CritCareMed
@SOCCA_CritCare
@SCCMPresident
my hope is that this helps us harmonize the use of this common vasopressor!
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🚨
#AEMP24
Programming Alert!
🎯 Code Blue Dilemma will be a series of Pro/Con Debates on Cardiac Arrest Pharmacotherapy
📢Moderated by Dr. Jenny Koehl
@jlkoehl
@PharmacyToDose
@Curt_Geier
@AM_EM_PharmD
@WardiGabriel
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Great summary slide with references and take-home points on pharmacotherapy in pediatric acute agitation
#emprx23
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🚨NEW POD ALERT🚨
April 2022 Literature Review Series
Featuring:
@AndiRayPharmD
and
@PhilipJacobson_
Topics include:
Multimodal vasopressors 📉
Sodium Bicarb in ACLS 🤡
AED in pregnancy 🤰
MRC-ICU 📝
Vasopressin rebranding 🏷️
& MORE!
Subscribe:
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🚨NEW POD ALERT🚨
Trial of the Week: CHAMPION PHOENIX
Ft. Jack Pluenneke
@JackPluenneke
CHAMPION trilogy 🥉
Comparator group using clopidogrel? 😵💫
Cangrelor v. GPIs ⚔️
IV to PO P2Y12 transition 💊
PCI v. Bridge dosing 🌉
Cangrelor’s place in therapy 📜
& much, more!
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In honor of Selection Sunday (RIP), want to officially release the Critical Care Medication March Madness bracket today. We have 4 Regions (CV, ID, PAD, Potpourri), and YOU will get to vote in a Listeners bracket as well. Voting will start Tuesday. So get ready!
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Makeshift SCCM recording studio
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A very fun episode recapping the 2020 SCCM Congress is coming
#CCC49
#PharmICU
#TwitteRX
#ConferenceCorrespondent
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🚨NEW POD ALERT🚨
Scott Dietrich
@PCC_PharmD
joins us to discuss: “PCCs for PharmDs”
History, non-reversal indications, fixed v. weight-based, Kcentra v. FEIBA, and SO MUCH MORE.
And we of course talk about Andexxa.
#TwitteRX
#CriticalCare
#FOAMed
#PharmICU
#MedEd
#PCC
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🚨SUPRISE POD ALERT🚨
Deepali Dixit
@deepalipharmd
joined me to discuss HTN Crises (Emergencies/Urgencies)
Topics covered include:
IVP v. IV infusion 🌊
Scariest end organ damage 🫀
Autoregulation 🧠
Hydralazine 🤬
AND more!
Download and subscribe:
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Stay tuned for the first
#TrialOfTheDay
What is the Trial of the Day? 60 second videos reviewing landmark or notable articles.
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Our next episode features (the Twitter-less) Chris Droege discussing:
The Value and Importance of ICU Pharmacists
I hope everyone is able to listen to this episode.
We discuss advancing practice, getting FTEs, the past/present/future of clinical pharmacy, AND SO MUCH MORE!!
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🚨NEW POD ALERT🚨
ANNEXa-I Deep Dive: Part I
Ft. Scott Dietrich, Brian Gilbert, & Todd Miano
@PCC_PharmD
@GilbertPharmD
@Miano81
Why is andexanet alfa so polarizing? 🌟
Utility in anti-FXa levels? 🔎
Hemostasis v. mRS/mortality primary outcome ⚔️
Change in sample size/interim
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🚨NEW POD ALERT🚨
Corticosteroids in the Critically Ill
Ft. Andrea Nei
@Dre_pharmd
@MayoPharmRes
Retiring CIRCI 🪦
Working with Annane 🤩
Sepsis/ARDS/CAP recommendations 📜
Influence of CAPE COD trial 📈
Challenging PICO questions 🤔
Working with your spouse 😍
& much, more!
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Just because it's ❄️doesn't mean the 🔥stops here on
#PharmacyToDose
Our next guest is Andrea Sikora Newsome
@AndreaSikora
from the
@ugac3
discussing all things ARDS
We also have a BIG announcement at the beginning of the episode
#PharmacyToRead
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Looking for non-COVID content? I was joined by Stephanie Bass
@StephanieNBass
to discuss Acute Liver Failure.
We talk about her unique ICU, RX management, and a review on the Guidelines for ALF Management.
Subscribe:
Episode releases Wednesday!
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🚨NEW POD ALERT🚨
ECPR
Ft: Caitlin Brown
@CBthePHARMD
and Patrick Wieruszewski
@pwierusz
Landmark ECPR trials 🏔️
ED to cannulation timeline 🗺️
Acute complications 🫀
ACLS v ECPR ⚔️
Advice for new programs 🙋🏻♂️
The ECMO backpack 🎒
& much, much more!
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🚨BIG MONDAY NEWS!🚨
Excited to announce our next episode with
@PCC_PharmD
discussing "Prothrombin Complex Concentrates (PCCs) for PharmDs" being released this Wednesday!
Simply from his Twitter handle alone, Scott was well-qualified for this talk!
#FOAMed
#TwitteRX
#PharmICU
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Great infographic from
@emoryhealthcare
on their COVID-19 anticoagulation management.
#COVID19
#PharmICU
#CardioTwitter
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Love this, two great smartphone apps that help as well are Journal Club and ICUTrials (the latter has a PharmD author - Sean Kane)
One of my post residency endeavors has been committing myself to (re)learning landmark ICU trials.
Sharing two great resources I’ve come across below ⬇️
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I also just returned from a tour of the National Parks... And I can't recommend this highly enough for EVERYONE! (Mask only removed for the pic of course)
#SelfCare
#NatureIsWild
#ColderThanItLooks
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Had to step back to fit everyone in one frame! Packed house listening to
@MeganARech
at
#AEMPlify
@SAEM_AEMP
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🚨NEW POD ALERT🚨
Pulmonary Hypertension Part II
Featuring Zach Smith
@ZRSmith16
@HFHPharmRes
Recommended initial treatment? 🏅
RV failure in the ICU 🫀
Review non-PO routes of administration 💉
Safe use of home parenteral agents 🥽
Role of ICU Pharmacist 🤩
I butcher a drug
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🚨NEW POD ALERT🚨
Special Guest: Matt Wanat
@mattywanat
Topics include:
Atrial v. ventricular arrhythmias 🫀
SVT & Adenosine 💉
VF/VT ⚡️
Anti-arrhythmic drug review 💊
Stroke risk 🩸🧠
World Series Game 7 ⚾️
AND MORE!
Subscribe:
#PharmICU
#TwitteRX
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As I teased last week, there's one more very fun announcement.
@GilbertPharmD
@JosiahSmith
@MattRubertus
@Tribidibidy
and I have been working to create a bracket to find the best medication in Critical Care.
(Thread 1/3)
#PharmICU
#TwitteRX
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ICMYI:
@PCC_PharmD
joined for a Rapid Reaction episode focusing on the PROCOAG trial.
Here’s an infographic from the AMAZING
@rxtoriarsenault
highlighting some of the big take-aways from the trial
Download/subscribe:
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Okay, I can't wait (Thread 1/4)
If you're a resident/student and interested in being on the podcast... fill out this form!
I'm starting a literature review series & residents/students will be featured!
Application deadline: Mon Mar 1 @ 2359 EST
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BIG News:
A little over a year into
#COVID
... Where are we now? Updates in COVID-19 Pharmacotherapy with
@AmyDzierba
and
@MitchBPharmD
(Yes, you read that right!!) will drop early this week.
#PharmICU
#TwitteRX
#COVID19
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🚨🚨🚨ANOTHER NEW POD ALERT🚨🚨🚨
Part II SCCM 2023 PharmD Speakers
Featuring:
@salia_farrokh
@ChelseaTurns
@JoannaCCPharmD
@MeliSantiSamp
@HPersonett_May
@AnneRainRX
@TuqaAlkh
@BethanyRuth26
Luma Succar and Kevin Betthauser
Download/subscribe:
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This is an all-time cringeworthy email.
#Accordingtowikipedia
#bigyikes
For those of you confused about the commotion, here are the receipts:
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A BIG announcement for students/residents who are Friends of the Pod is coming soon. 👀
Keep your eyes/ears peeled! Much more to come in the near future.
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