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Kevin Mercer, PharmD, MPH Profile
Kevin Mercer, PharmD, MPH

@ohsnapimginger

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🚑🚨 Emergency Medicine Pharmacist #TwitteRx 😼🎓 UKY PharmD & MPH @UK_COP & @UKCPH 🐦📃 re/tweets ≠ professional recommendations 👁🔬views are my own

Houston, TX
Joined April 2012
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
3 years
Good morning, #TwitteRx ! Follow me today, as I guide you through a typical day as an #EMPharmD @MHMemCityRx #threadseries
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Kevin Mercer, PharmD, MPH
3 years
Stop calling norepi “levo” 💉
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
3 years
Apply for that job. Date that person. Move to that city. Give that ciprofloxacin to a 94 year old little old lady with no urinary symptoms. Do things that scare you, they're worth it.
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
3 years
Being a pharmacist is really hard sometimes.
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Kevin Mercer, PharmD, MPH
4 years
I am so tired of giving CAP treatment for COVID.
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Kevin Mercer, PharmD, MPH
2 years
Please stop prescribing clindamycin. Your patients are failing outpatient therapy and coming into the ER.
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Kevin Mercer, PharmD, MPH
3 years
I can do all things through this chart, which strengthens me.
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Kevin Mercer, PharmD, MPH
2 years
“Undifferentiated sepsis” is not an indication for antibiotics. It’s an indication that you haven’t completed your workup.
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
2 years
He’s still got it 💅🏼 @Natasha_Pettit @UChicagoMedRx
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Kevin Mercer, PharmD, MPH
5 years
Fluoroquinolone FDA Warnings 2020:❓ Sep 2019: valvular regurgitation Dec 2018: aortic aneurysm Jul 2018: hypoglycemia-induced coma 2016: strengthened past warnings 2016: resistance in URTI & UTI 2013: peripheral neuropathy 2011: myasthenia gravis 2008: tendon rupture
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
4 months
What I’m good at: - infectious diseases - cardiac arrest resuscitation - pharmacokinetics - stroke management What my family asks me about: - OTC allergy medicines - if insurance will cover toe pain - pneumococcal vaccines - Ozempic availability
@ClementLeeMD
Clement Lee, MD, MSc
2 years
What I’m good at: - hyponatremia - pneumonia - sepsis - heart failure What my family asks me about: - ear itch - boob pain - random rashes - “am I farting too much?”
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Kevin Mercer, PharmD, MPH
2 years
Betcha didn’t know ED pharmacists are worth their weight in gold?
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Kevin Mercer, PharmD, MPH
3 years
Did you know if your order set orders the wrong drugs, doses, frequencies, and/or monitoring and a #PharmD has to re-enter the right drugs, doses, frequencies, and/or monitoring after sifting through e-mails to find the right thing then there is no point in having an order set?
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Kevin Mercer, PharmD, MPH
4 years
Now that everything is officially official, I’m excited to announce that I’ve accepted a position as an EM PharmD at @memorialhermann Mem City campus in HTX! Wish me luck! 👨🏼‍⚕️💊
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
3 years
MD: We should do Plan A. PharmD: We could try Plan B? MD: No, we need to contact consultant. Consultant: Do Plan C. PharmD calling Consultant: Hey! I think Plan C sounds totally reasonable but we haven’t tried Pla- Consultant: You haven’t tried Plan B?? Do that first then.
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
4 years
Being an adult is calling your cable company each year to tell them your service price went up, threatening to switch to the competitor, and receiving a new promotional offer and signing another year contract over and over again until you die.
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Kevin Mercer, PharmD, MPH
4 years
Happy to announce that I’m now a double board certified clinical pharmacist! 😁 #BCCCP #BCPS @BPSweb
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Kevin Mercer, PharmD, MPH
4 years
AJHP: *releases new vancomycin guidelines* Me: *telling pharmacy trainees how we used to dose vanc in residency* @IDpharmresearch @ASHPOfficial @IDSAInfo @PIDSociety @SIDPharm
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Kevin Mercer, PharmD, MPH
5 years
Day 8: I have forgotten how to pharmacist. All I know is #COVID19 .
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Kevin Mercer, PharmD, MPH
3 years
You know you’re an #EMPharmD when you have a million of these pics saved in your phone.
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Kevin Mercer, PharmD, MPH
4 years
Them: What’s it like being an EM pharmacist? Me: Well...
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
5 months
And now I’m a triple board certified clinical pharmacist! 😅 #BCEMP #BCCCP #BCPS @BPSweb
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
4 years
Happy to announce that I’m now a double board certified clinical pharmacist! 😁 #BCCCP #BCPS @BPSweb
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Kevin Mercer, PharmD, MPH
5 years
Proud to be a part of something so much bigger than myself 😌
@DebtCrisisOrg
Student Debt Crisis Center (SDCC)
5 years
Today, the student debt crisis reached $1,641,131,917,655
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Kevin Mercer, PharmD, MPH
3 years
As an EM PharmD, all I want today is to never do a #TPN again.
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Kevin Mercer, PharmD, MPH
2 years
I just typed “vancomycin” into my @googlemaps so that’s how I’m doinggggggg.
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
2 years
EM PharmD presence decreases time to 4F-PCC regardless of weight-based or fixed-dose strategy. There is no replacement for an #EMPharmD at the bedside! Thanks to my team, @hudzpharmd , @emergentologist , and @Zindoctor , for the support! #SCCM2023 @MHMemCityRx @SCCM_CPP @SCCM_EM
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Kevin Mercer, PharmD, MPH
4 years
When the team calls me “pharmacy” during the code
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
5 years
Opinion: vancomycin + cefepime + metronidazole (VCM) is superior empiric therapy than vancomycin + piperacillin/tazobactam (VPT) for *most* indications in the emergency department. There are five reasons why I believe this to be true. #inthisessayiwill
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Kevin Mercer, PharmD, MPH
5 years
BCPS 🙂
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Kevin Mercer, PharmD, MPH
4 years
Last weekend, I called off work (very rare for me) for a case of hysterical COVID. Thankfully, my team forgave me for it. #COVIDAbnegative #Chipotleshits #cookiecakeismylovelanguage
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Kevin Mercer, PharmD, MPH
3 years
I love it when my #ERtravelnurse friends text me to say “Kevin this ER needs a pharmacist so bad.”
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Kevin Mercer, PharmD, MPH
1 year
Develop a debriefing program in your clinical pharmacy on-call program to address and prevent poor mental health patterns among pharmacy residents. I am thrilled to report I have [finally] published my @UChicagoMedRx PGY1 project with JPP! #CPOP
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
3 years
When your patient has >4 allergies and one of them says “all mycins” 🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
3 years
@jtrebach **Anyone in healthcare who yells at anyone — why?
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
3 years
@jtrebach *Physicians who yell at anyone — why?
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Kevin Mercer, PharmD, MPH
3 years
Giving vitamin K to your DOAC bleed patient for “nutritional deficiency.”
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Kevin Mercer, PharmD, MPH
2 years
#EMPharmD takeover at the #SCCM2023 Emergency Medicine reception! @SCCM_EM
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Kevin Mercer, PharmD, MPH
5 years
First day as an Emergency Medicine Clinical Pharmacist @GulfCoastRMC ! Can’t wait to serve the patients of Panama City, FL! #badgeofficial
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Kevin Mercer, PharmD, MPH
4 years
How close I am to losing my shit.
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Kevin Mercer, PharmD, MPH
1 year
True Life: I am addicted to Slicer Dicer.
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Kevin Mercer, PharmD, MPH
5 years
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Kevin Mercer, PharmD, MPH
3 years
So today the residents told me I’m a meme…
@RamyaPharmD
Ramya
3 years
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Kevin Mercer, PharmD, MPH
3 years
Comparison is the thief of joy.
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Kevin Mercer, PharmD, MPH
4 years
*making friends in FL* New friend: You should come with us to the Trump Boat Parade! Me: While I would love to chill on a boat and discuss the disparities of black on white crime media coverage and listen to Nickelback, it’s actually my basil’s 3 month birthday 🌿
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
3 years
When you type ceftriaxone into your GPS instead of Chick-fil-A 😳
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Kevin Mercer, PharmD, MPH
1 year
Happy Women Pharmacists Day to all of my incredible women pharmacist colleagues! #WomenPharmacistDay @ASHPOfficial
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Kevin Mercer, PharmD, MPH
3 years
The look you give your critical care pharmacist when you’re both in the cafeteria and the code blue alert goes off.
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
2 years
In patients requiring RSI in acute TBI, there was no difference in mortality or length of stay in those receiving rocuronium compared to succinylcholine. Congrats to @PharmD_ED on the first prospective study to examine these differences #SCCM2023 @SCCM_CPP @SCCM_EM
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
2 years
Dear everyone misinterpreting this tweet. Thank you so much for telling me what sepsis is. I had only heard of it just yesterday.
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
1 year
@jtrebach “Calling hospitalists to see if they can accept patients with XYZ insurance” “Figuring out which anticoagulant to discharge a patient on who doesn’t have insurance” “Patients sent from dialysis… without receiving dialysis… for high blood pressure who need… dialysis…”
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
2 years
Hey did you guys know that when you check into the emergency department you should provide a working telephone number where you can be reached? Follow me for more tips!
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
3 years
If you suspect chlamydia and/or gonorrhea enough to test for it, you suspect it enough to provide empiric treatment. Thanks for coming to my #KevTalk .
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Kevin Mercer, PharmD, MPH
7 years
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Kevin Mercer, PharmD, MPH
3 years
*5 seconds after I walk in the door* Dad: Did you see the parasite medicine helped Joe Rogan?
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Kevin Mercer, PharmD, MPH
1 year
Continuing the @accpemedprn Focus Session - Status Traumaticus: Updates in Evidenced-Based Care in Trauma at the @ACCP Annual Meeting with a discussion of coagulopathies! 🩸 @GilbertPharmD provides a review of the role of viscoelastography in the ED! #TEG #ACCP23 #ACCPAM23
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Kevin Mercer, PharmD, MPH
6 months
What did you think of the adenosine vs CCBs in SVT debate⁉️ Are you Team CCB? 🔵🥊 Are you Team Adenosine? 🔴🥊 @EMToxRx #TwitterlessNLyons Let us know below! #PharmERgency #AEMP24 @SAEM_AEMP @SAEMonline
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Kevin Mercer, PharmD, MPH
8 years
Ecstatic to announce that I have #matched with the University of Chicago Medical Center for PGY1 Pharmacy Residency #UKMatch2017 #MatchDay
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
3 years
I’m not sure if anything would bring me greater joy than deleting the COVID folder in my e-mail.
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
3 years
@EM_Pharm Did you also know that if the order set cannot be updated to best serve your specific institution because it must be updated at the system level and that everyone cannot agree on how to move forward, then there is no point in having an order set?
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Kevin Mercer, PharmD, MPH
3 years
Omg I was at Wal-Mart on vacation, and I found the toy one of my patients got stuck in their butt!
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Kevin Mercer, PharmD, MPH
2 years
Rivastigmine is a reasonable alternative to physostigmine for anticholinergic overdose. It has pharmacokinetic advantages like its long half life and slower CNS penetration. @wein_rachel reviews the use of rivastigmine in the prolonged physostigmine shortage #SCCM2023 @SCCM_CPP
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Kevin Mercer, PharmD, MPH
5 years
I’m a PHARMACIST. I work in an EMERGENCY DEPARTMENT. I like THOUGHTFUL MED SELECTION. I don’t COUNT PILLS. I drink WAY TOO MUCH COLD BREW COFFEE. I love SURPRISING PROVIDERS WITH HOW HELPFUL I CAN BE. If you don’t like it MOVE. 🦅🇺🇸✊🏼💊💉👨🏼‍⚕️🦅🇺🇸✊🏼
@DGlaucomflecken
Dr. Glaucomflecken
5 years
I’m an OPHTHALMOLOGIST. I love 3 DAY WEEKENDS. I eat CATERED LUNCHES. I don’t know how to change the OIL in my CAR. If you don’t like it. MOVE.
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Kevin Mercer, PharmD, MPH
2 years
@RyanMarino Why she gotta shit on pharmacists tho? 🙄
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Kevin Mercer, PharmD, MPH
2 years
@sweetchinchilla @toxicologist12 At my new job, my physician colleagues introduce me to patients as “Dr. Mercer, our clinical pharmacist.” It blew my mind the first time it happened. My mouth dropped under my mask haha They didn’t even call me a pharmacologist! (no disrespect to pharmacologists I’m just not one)
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Kevin Mercer, PharmD, MPH
2 years
High-dose, long duration beta-lactan therapy remains the mainstay of therapy for infective endocarditis. Gentamicin and rifampin-containing regimens are no longer necessary #MeganHicks provides updates on endocarditis and cardiovascular infections #SCCM2023
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Kevin Mercer, PharmD, MPH
5 years
I’m excited to announce that I’m moving to #PCB to serve as an Emergency Medicine Clinical Pharmacist @GulfCoastRMC ! Thanks to everyone who supported me in realizing this dream! #buystockinCoppertoneSport #SPF100 #yesIhaveaguestroom #SB4E #nextcareergoalistobecomeJimmyBuffet
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Kevin Mercer, PharmD, MPH
3 years
When do residency-related nightmares end? #seeyouintherapy
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Kevin Mercer, PharmD, MPH
10 months
Have a collaborative practice agreement for your #EMPharmD practice? Ensure it allows for expedited partner therapy and HIV prophylaxis! Check out our primer for the @AJHPOfficial themed issue on healthcare considerations in sexual and gender minorities!
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
3 years
Happy Holidays from the ED #smeyes 😁🎄
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Kevin Mercer, PharmD, MPH
3 years
I was helping a #travelnurse yesterday with a patient when she told me that all of her favorite assignments have been when she has a pharmacist in the ED 😊
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Kevin Mercer, PharmD, MPH
3 years
It’s a great day because one of my faves is back from maternity leave, and I get to wear a gay mask 🏳️‍🌈😷 #takebacktherainbow
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Kevin Mercer, PharmD, MPH
4 years
As someone who doesn’t even like to curse in front of his students much less send inappropriate photos, I’m so sorry that women have to deal with this bullshit. #HeForShe
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Kevin Mercer, PharmD, MPH
3 years
I just learned that you can win a Pulitzer Prize in criticism, and I suddenly have a new life goal.
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Kevin Mercer, PharmD, MPH
3 years
Me: I was hoping to talk to you about your medication allerg- Patient: I’m allergic to all oral antibiotics. Me:
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Kevin Mercer, PharmD, MPH
5 years
She told me she had a nephew who was in nursing leadership at another ED across the country who she’d have to tell about this because *every* ED should have a pharmacist. Holiday made 😊
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Kevin Mercer, PharmD, MPH
3 years
I work in the emergency department, yet nothing causes me more stress-induced neck spasming than spending time with my family during the holidays.
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Kevin Mercer, PharmD, MPH
8 months
Congrats to all the pharmacy residents today! 😁 #RxMatchDay #RxMatchDay2024 @ASHPOfficial
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@ohsnapimginger
Kevin Mercer, PharmD, MPH
5 years
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Kevin Mercer, PharmD, MPH
3 years
New goal: Convince one of the scribes at work that pharmacy is cool enough to pursue over medicine. Apparently, they don’t want to be a pharmacist because they think I do chemistry all day…? 🤷🏼‍♂️
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Kevin Mercer, PharmD, MPH
5 years
Weird. This is kinda like being a pharmacist 🤔
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Kevin Mercer, PharmD, MPH
6 months
Shaking up the resident party at #SAEM24 ! 🎉 Here's to the @SAEM_AEMP #EMPharmD crew proving that when it comes to mixing fun and learning, pharmacists always measure up! #AEMPLify the night! @SAEMonline
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Kevin Mercer, PharmD, MPH
3 years
I’m not crying, you’re crying 😭
@POTUS
President Biden
3 years
Today, my Administration is extending the pause on federal student loan repayments for an additional 90 days — through May 1, 2022 — as we manage the ongoing pandemic and further strengthen our economic recovery.
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Kevin Mercer, PharmD, MPH
4 years
My dad asked me if I was counting pills and giving them out in the ED.... and he wasn’t kidding.
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Kevin Mercer, PharmD, MPH
2 years
Best preceptor gift 😊 @Valdemuerta #Yolandagotmearock
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Kevin Mercer, PharmD, MPH
2 years
Great catching up with @Itsalltox at #NACCT2022
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Kevin Mercer, PharmD, MPH
2 years
Great talk by Kristin Bohnenberger, PharmD, DABAT on special considerations for NAC in acetaminophen overdose at the @accpemedprn focus session on toxicologic emergencies #ACCPGC22
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Kevin Mercer, PharmD, MPH
4 years
Fully vaccinated against #COVID ! 💉 #letthewhiningbegin #thisisourshot
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Kevin Mercer, PharmD, MPH
1 year
New and *reduced* membership pricing with @SAEMonline for the new Academy of Emergency Medicine Pharmacists #AEMP 🚑💊 Check out the resident and student pricing as well! 👀 #EMPharmD #TwitteRx
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Kevin Mercer, PharmD, MPH
4 years
It me.
@jtrebach
Josh Trebach, MD
4 years
When your team member is calling out intubation meds and they list the paralytic before the sedative:
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Kevin Mercer, PharmD, MPH
3 years
Happy National Pharmacist Day! 👨🏼‍⚕️
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Kevin Mercer, PharmD, MPH
2 years
Finishing #PharmAcademic like “The resident did good. They did not do bad.” #whyamithisway @JahnaviMadhava
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Kevin Mercer, PharmD, MPH
2 years
Hey #TwitteRx , I was once told while amio and lido are considered equal for VF arrest there is data pointing to better outcomes for lido in ischemic heart disease (CAD, CABG, etc). However, I’ve never found the data. Is anyone familiar with this concept? Can you share some lit?
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Kevin Mercer, PharmD, MPH
3 years
Seeking: Friends who are on a 7 days on, 7 days off schedule who are DTF (down to fly) ✈️
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Kevin Mercer, PharmD, MPH
3 years
The face ➡️ the personality
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@RamyaPharmD
Ramya
3 years
The face ➡️ the personality
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Kevin Mercer, PharmD, MPH
3 years
Editors: This needs much more detail. Please describe the program in depth. Kevin: *does extensive research, adds significant amount of content* Editors: This is now way too long for publication. Can we cut it by about half? Do you need the appendices? Be more concise. Kevin:
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Kevin Mercer, PharmD, MPH
2 years
@toxicologist12 At my first job after JHH, they legit called me “Kevin Pharmacy”
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