Kevin Mercer, PharmD, MPH
@ohsnapimginger
Followers
3,250
Following
4,803
Media
590
Statuses
6,670
🚑🚨 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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Pinned Tweet
Good morning,
#TwitteRx
! Follow me today, as I guide you through a typical day as an
#EMPharmD
@MHMemCityRx
#threadseries
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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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Being a pharmacist is really hard sometimes.
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I am so tired of giving CAP treatment for COVID.
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Please stop prescribing clindamycin. Your patients are failing outpatient therapy and coming into the ER.
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I can do all things through this chart, which strengthens me.
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“Undifferentiated sepsis” is not an indication for antibiotics. It’s an indication that you haven’t completed your workup.
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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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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
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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Betcha didn’t know ED pharmacists are worth their weight in gold?
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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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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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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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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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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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Them: What’s it like being an EM pharmacist?
Me: Well...
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Proud to be a part of something so much bigger than myself 😌
Today, the student debt crisis reached $1,641,131,917,655
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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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When the team calls me “pharmacy” during the code
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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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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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I love it when my
#ERtravelnurse
friends text me to say “Kevin this ER needs a pharmacist so bad.”
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Kudos to
#EMPharmD
Sylvia Narciso
@DanburyHospital
and the rest of Team Pharmacy!
#ASHP22
@ASHP_EMPharm
@united
💊
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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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When your patient has >4 allergies and one of them says “all mycins” 🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩🚩
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Giving vitamin K to your DOAC bleed patient for “nutritional deficiency.”
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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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So today the residents told me I’m a meme…
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*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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When you type ceftriaxone into your GPS instead of Chick-fil-A 😳
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Happy Women Pharmacists Day to all of my incredible women pharmacist colleagues!
#WomenPharmacistDay
@ASHPOfficial
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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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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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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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@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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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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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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Very thankful to announce I’ll be headed to Baltimore for
#PGY2EmergencyMedicine
at
@HopkinsMedicine
#ASHPMatch2018
#PGYDONE
#UKMatch2018
#UKCOPalum
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*5 seconds after I walk in the door*
Dad: Did you see the parasite medicine helped Joe Rogan?
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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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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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Ecstatic to announce that I have
#matched
with the University of Chicago Medical Center for PGY1 Pharmacy Residency
#UKMatch2017
#MatchDay
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I’m not sure if anything would bring me greater joy than deleting the COVID folder in my e-mail.
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@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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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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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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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.
🦅🇺🇸✊🏼💊💉👨🏼⚕️🦅🇺🇸✊🏼
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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@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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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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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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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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📢 Check out my first coauthored pub in
@Clin_Tox
! 😁
This evaluation dives into the rare complication of
#pulmonaryedema
after
#naloxone
administration.
Discover the findings and implications for opioid overdose treatment below.
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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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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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I’m excited to announce that my team is recruiting for an
#EMPharmD
position
@MHMemCityRx
!
Please DM me for details and see the position posted below!
@accpemedprn
@ASHP_EMPharm
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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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Thrilled to announce our latest pub in
@AJHPOfficial
on medication utilization in
#cardiacarrest
in the ED! 💉
Proud to have collaborated with an incredible team of
#EMPharmD
leaders in my first
@EMPHARM_NET
study! Here’s to many more!
#TwitteRx
#EMRx
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I just learned that you can win a Pulitzer Prize in criticism, and I suddenly have a new life goal.
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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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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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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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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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Weird. This is kinda like being a pharmacist 🤔
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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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I’m not crying, you’re crying 😭
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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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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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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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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It me.
When your team member is calling out intubation meds and they list the paralytic before the sedative:
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Finishing
#PharmAcademic
like “The resident did good. They did not do bad.”
#whyamithisway
@JahnaviMadhava
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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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Seeking:
Friends who are on a 7 days on, 7 days off schedule who are DTF (down to fly) ✈️
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The face ➡️ the personality
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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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