Shows
ER-Rx: An ER + ICU PodcastEpisode 94- "Don't Set the Precedent": Precedex for Alcohol WithdrawalAre you using Precedex for alcohol withdrawal? Hear my take on why I don't like this idea, with evidence from a recently-published meta-analysis.Follow HERE!References:All references for Episode 94 are found on my Read by QxMD collectionSupport the showFind ER-Rx: - On Instagram: @ERRxPodcast - On the website: errxpodcast.com - On YouTube Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational...
2023-06-0111 minER-Rx: An ER + ICU PodcastEpisode 93- An Expert Talks: Managing Hyperglycemia in the ERThis week, Dr. Michael Paddock answers some common insulin and diabetes management questions we have all had. Don't miss out! Follow HERE!Support the showFind ER-Rx: - On Instagram: @ERRxPodcast - On the website: errxpodcast.com - On YouTube Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you...
2023-05-1854 minER-Rx: An ER + ICU PodcastEpisode 92- Naloxone for ACE-I overdoseLearn how naloxone can be used in the setting of an ACE-I overdose. Who would have thought?Need a new logo for your brand or company? Click HERE Tell him ER-Rx Podcast sent you for a 10% discount!Follow HERE!References:All references for Episode 92 are found on my Read by QxMD collectionSupport the showFind ER-Rx: - On Instagram: @ERRxPodcast - On the website: errxpodcast.com - On YouTube Disclaimer: The information...
2023-05-0409 minER-Rx: An ER + ICU PodcastEpisode 91- Which patients respond best to Angiotensin II?This week, I discuss which patients respond best to ATII and when to start it (hint: it's earlier than you think)Follow HERE! References:All references for Episode 91 are found on my Read by QxMD collectionSupport the showFind ER-Rx: - On Instagram: @ERRxPodcast - On the website: errxpodcast.com - On YouTube Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only...
2023-04-0609 minER-Rx: An ER + ICU PodcastEpisode 90- PharmSoHard meets ER-Rx: Status EpilepticusIn this episode, I sit down with Jimmy Pruitt of the PharmSoHard podcast and talk about my favorite; status epilepticus. Support the showFind ER-Rx: - On Instagram: @ERRxPodcast - On the website: errxpodcast.com - On YouTube Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein m...
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The Pharm So Hard Podcast: An Emergency Medicine and Hospital Pharmacy PodcastEpisode 97. Straight Outta Control: Managing Status Epilepticus Like a Boss with Adis KericThe post Episode 97. Straight Outta Control: Managing Status Epilepticus Like a Boss with Adis Keric appeared first on The Pharm So Hard Podcast.
2023-03-1455 minER-Rx: An ER + ICU PodcastEpisode 89- Let's talk BRASHIn this Fresh Fruit episode, we talk about BRASH syndrome. Who gets it? How do they present? And how are they managed? Follow HERE!References:Majeed H, Khan U, Khan AM, et al. BRASH syndrome: a systematic review of reported case. Current Problems in Cardiology (2023). Support the showFind ER-Rx: - On Instagram: @ERRxPodcast - On the website: errxpodcast.com - On YouTube Disclaimer: The information contained within the ER-Rx podcast episodes, er...
2023-03-0907 minER-Rx: An ER + ICU PodcastEpisode 88- Can we treat staph aureus bacteremias with oral antibiotics?Oral antibiotics can be an option for gram negative bacteremias, but what's the data for their use in treating staph aureus bacteremias?Follow HERE!References:All references for Episode 88 are found on my Read by QxMD collectionSupport the showFind ER-Rx: - On Instagram: @ERRxPodcast - On the website: errxpodcast.com - On YouTube Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is...
2023-02-2306 minER-Rx: An ER + ICU PodcastEpisode 87- Should we give IV magnesium to all patients in AF?Magnesium- the wonder drug. Should it be something you always give with a rate-controlling agent for patients in atrial fibrillation?Follow HERE!References:All references for Episode 87 are found on my Read by QxMD collectionSupport the showFind ER-Rx: - On Instagram: @ERRxPodcast - On the website: errxpodcast.com - On YouTube Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ e...
2023-01-2607 minER-Rx: An ER + ICU PodcastEpisode 86- Why is my patient on two beta-blockers?Having a patient on two beta-blockers isn't always a medical error. Find out when and why this may be indicated this week. Click HERE to leave a review of the podcast!Follow HERE!References:All references for Episode 86 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a pro...
2023-01-1205 minER-Rx: An ER + ICU PodcastEpisode 85- "It Takes 1 to Roc": Part Two: Is 1 enough?In Part Two of this "Mini Grand Rounds" series, let's look at the 1 mg/kg dosing of roc. Could it be optimized? Click HERE to leave a review of the podcast!Follow HERE!References:All references for Episode 85 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a pr...
2022-12-2907 minER-Rx: An ER + ICU PodcastEpisode 84- "It Takes 1 to Roc": Part One: ABW, IBW, or LBW?In Part One of this "Mini Grand Rounds" series, we discuss the factors that determine how to dose meds, in this case rocuronium, in obesityClick HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 84 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not...
2022-12-1508 minER-Rx: An ER + ICU PodcastEpisode 83- An Expert Talks: Awake and Walking ICUsYour intubated patients would love it if you heard this episode! Learn about the dangers of sedation with our guest, Kali Dayton, DNP, AGACNPClick HERE for the ABCDEF Bundle Click HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 83 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to...
2022-12-0157 minER-Rx: An ER + ICU PodcastEpisode 82- "Bad Shrooms": Part Two: TreatmentWrapping up the two-part series discussing poisonous mushrooms. This week, we focus on treatment with agents like silibinin.To obtain silibinin (Legalon SIL):- Contact the FDA at 301-796-3400 (8AM- 4:30 PM on weekdays/ after 4:30 PM or on weekends, contact the emergency call center at 866-300-4374) OR email druginfo@fda.hhs.gov. They will provide you with an Expanded Access IND number. - In Canada, use the Special Access Program (613-946-8711 OR email hc.sap.devices.mdb.sc@canada.ca). Outside normal hours call 613-410-9186. - Contact the manufacturer (Emergency_Legalon...
2022-11-1706 minER-Rx: An ER + ICU PodcastEpisode 81- "Bad Shrooms": Part One: AmatoxinThe first of a two-part series discussing poisonous mushrooms. This week, we focus on amatoxin toxicity and presentation. Click HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 81 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and...
2022-11-0305 minER-Rx: An ER + ICU PodcastEpisode 80- One-time aminoglycosides for cystitisLet's revive an old practice that may one day help you treat uncomplicated cystitis without having to admit your patient to the hospital Click HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 80 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a p...
2022-10-2006 minER-Rx: An ER + ICU PodcastEpisode 79- An Expert Talks: Scorpion sting vs. stimulant exposure in pediatric patientsWhat do scorpions and meth have in common? Tune in as Drs. Rebecca Gragg and Daniel Brooks share their insights in this tox episode Click HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 79 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not con...
2022-10-0659 minER-Rx: An ER + ICU PodcastEpisode 78- "If it ain't broke...": Fixed versus variable Kcentra dosingHow does a 1500 IU fixed dose of Kcentra stack up to FDA-approved variable dosing for reaching a specific INR target? Let's talk about it. Click HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 78 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not con...
2022-08-1106 minER-Rx: An ER + ICU PodcastEpisode 77- "Cutting cost and waste": Rabies immune globulin dose roundingWant to save your site and your patient money while at the same time reduce drug waste? Listen now for one tip on how to do just that. Click HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 77 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical jud...
2022-07-2807 minER-Rx: An ER + ICU PodcastEpisode 76- Can we treat bacteremia with cephalexin?Or any other beta-lactam antibiotic? Or do we have to use a fluoroquinolone or Bactrim? Find out on this week's Pharmacy Consult episode. Click HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 76 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a p...
2022-06-0208 minER-Rx: An ER + ICU PodcastEpisode 75- Does caffeine reduce the efficacy of adenosine?Why didn't adenosine work? Not giving it rapidly enough? Is the coffee your patient just drank to blame? We focus on the latter. Click HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 75 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a pr...
2022-05-1907 minER-Rx: An ER + ICU PodcastEpisode 74- An Expert Talks: Intricacies of Hyperkalemia ManagementNot your average hyperkalemia episode! Jimmy Pruitt, host of the Pharm-So-Hard podcast, shares some pearls on hyperkalemia managementClick HERE to leave a review of the podcast!Subscribe HERE!Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, incomplete, or outdated, and users are to...
2022-05-051h 07ER-Rx: An ER + ICU PodcastEpisode 73- "Alcohol Withdrawal? Try Phenobarbital!": Part 3: An Expert TalksIn the final part of this "Mini Grand Rounds" series, the author of a recently-published study discusses his experience with phenobarbitalClick HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 73 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient rel...
2022-04-2145 minER-Rx: An ER + ICU PodcastEpisode 72- "Alcohol Withdrawal? Try Phenobarbital!": Part 2: Dosing + MonitoringIn Part 2 of this "Mini Grand Rounds" series, we discuss the data behind phenobarb and how to dose and monitor itClick HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 72 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient re...
2022-04-0710 minER-Rx: An ER + ICU PodcastEpisode 71- "Alcohol Withdrawal? Try Phenobarbital!": Part 1: History + PK/PDIn Part 1 of this "Mini Grand Rounds" series, we review the history and the pharmacodynamic/ pharmacokinetic profile of phenobarbital Click HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 71 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you...
2022-03-2408 minER-Rx: An ER + ICU PodcastEpisode 70- "Revisited": Can we give levetiracetam as an IV push?The first ever "Revisited" episode will go all the way back to Episode Two- where we discussed giving Keppra as an IV pushClick HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 70 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a...
2022-02-2409 minER-Rx: An ER + ICU PodcastEpisode 69- Do anticoagulated patients with ACS get IV heparin?Let's answer a very important, slightly nuanced question that can lead to a lot of confusion in an already stressful scenarioClick HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 69 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient re...
2022-02-1006 minER-Rx: An ER + ICU PodcastEpisode 68- "Back to the Future?": Vasopressin + steroids during cardiac arrestThis week, we review a meta-analysis that may make you rethink the contents of your code carts...Click HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 68 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and th...
2022-01-2709 minER-Rx: An ER + ICU PodcastEpisode 67- What options exist for outpatient COVID treatment?What are these new oral antiviral agents for COVID and how well do they work? We answer these questions and a few more this week. Click HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 67 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does no...
2022-01-1310 minER-Rx: An ER + ICU PodcastEpisode 66- Surviving Sepsis: Updated recommendations and clinical pearlsThis week, we review some key recommendations and updates from the 2021 surviving sepsis campaign guidelinesClick HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 66 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. In...
2021-12-3009 minER-Rx: An ER + ICU PodcastEpisode 65- When can we use oral ketamine for procedural sedation?This week, we talk about how to use oral ketamine for (minor) procedural sedation in the agitated/ combative patientClick HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 65 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between yo...
2021-12-0205 minER-Rx: An ER + ICU PodcastEpisode 64- What happens when we give Kcentra to patients with liver failure?Do you use Kcentra to reverse the INR in patients with liver failure to reduce bleeding risk? Is this good practice? Click HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 63 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient rel...
2021-11-1808 minER-Rx: An ER + ICU PodcastEpisode 63- "I don't think it means what you think it means": INR values in liver diseaseIn this Mini Grand Rounds series, we discuss the meaning of an elevated INR in the setting of acute or chronic liver disease Click HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 63 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a p...
2021-11-0408 minER-Rx: An ER + ICU PodcastEpisode 62- Walking Home from the ICU meets ER-Rx: PropofolListen as Kali Dayton and I discuss ICU sedation and the good, bad, and ugly of propofol on the Walking Home from the ICU podcastClick HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 62 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does no...
2021-10-2142 minER-Rx: An ER + ICU PodcastEpisode 61- PharmSoHard meets ER-Rx: ICU sedationIn case you missed our discussion on ICU sedation on the PharmSoHard podcast, we're playing the episode on ER-Rx as well. Yes, it's that important. Click HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 61 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not...
2021-10-071h 02ER-Rx: An ER + ICU PodcastEpisode 60- Should we load vancomycin?Does loading vancomycin lead to achieving target levels within the first 24 hours? Does it increase the risk of nephrotoxicity? Click HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 60 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you...
2021-09-2306 minThe Pharm So Hard Podcast: An Emergency Medicine and Hospital Pharmacy PodcastJust A Diet Prop for Me: Post-Intubation Analgesia and Sedation with Adis KericIntroduction Rapid sequence intubation (RSI) is a process whereby an induction agent and a neuromuscular blocking agent are given in rapid succession to facilitate endotracheal intubation The immediate post intubation period in the ED is a critical time for continued patient stabilization. While physical adjuncts like securing the tube, in line suctioning, and elevating the […]
The post Episode 52. Just A Diet Prop for Me: Post-Intubation Analgesia and Sedation appeared first on The Pharm So Hard Podcast.
2021-09-101h 01ER-Rx: An ER + ICU PodcastEpisode 59- "Something old, something new": Propylhexedrine abuseThis week we discuss a warning issued by the FDA regarding the abuse of propylhexedrine, a drug commonly found in OTC nasal decongestants Click HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 59 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a p...
2021-08-2605 min
Walking Home From The ICUEpisode 80: Big Picture of PropofolHow does propofol affect muscles? The brain? Outcomes? ERRXpodcast host and critical care pharmacist, Adis Keric, BCPS, BCCP, shares with us the big picture of propofol.Photos, transcriptions, and citations at: www.DaytonICUConsulting.com @DaytonICUConsultingGet your CE credit for this episode and all learning you do here!Want to bring the revolution to your ICU? Check out www.DaytonICUConsulting.com
2021-08-1443 minER-Rx: An ER + ICU PodcastEpisode 58- "Diaphoretic, dystonic, and dangerous": Clozapine withdrawalThis episode will hopefully convince you to never suddenly discontinue clozapine (and to do a thorough home medication review) Click HERE to leave a review of the podcast!Subscribe HERE!References:All references for Episode 58 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between yo...
2021-08-1205 minER-Rx: An ER + ICU PodcastEpisode 57- Escaping "SCAPE"This week, we discuss the use of noninvasive ventilation and high dose nitroglycerin to prevent intubation in patients with SCAPE Click HERE to leave a review of the podcast!Subscribe HERE! References:All references for Episode 57 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship be...
2021-07-2907 minER-Rx: An ER + ICU PodcastEpisode 56- "Glucose and 'gliflozins": Managing euglycemic DKAA high-yield episode with probably some low-key mispronunciations about how to treat euglycemic DKA caused by SGLT2 inhibitors. Click HERE to leave a review of the podcast!References:All references for Episode 56 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be acci...
2021-07-0106 minER-Rx: An ER + ICU PodcastEpisode 55- How do we treat CAP in the immunocompromised?All immunocompromised patients with CAP get empiric vancomycin plus Zosyn in the ER, right? Right?! Click HERE to leave a review of the podcast!References:All references for Episode 55 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, incomplete, or...
2021-06-1707 minER-Rx: An ER + ICU PodcastEpisode 54- Is PID in need of a third antibiotic?In this episode, we review a potentially practice-changing study. Should we treat PID with three antibiotics? Click HERE to leave a review of the podcast!References:All references for Episode 54 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, in...
2021-05-2007 minER-Rx: An ER + ICU PodcastEpisode 53- An expert talks: Hydrofluoric acid exposuresThis week we discuss hydrofluoric acid exposures with Dr. KC Lee, a clinical pharmacist with training in toxicology/ emergency medicineClick HERE to leave a review of the podcast!Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, incomplete, or outdated, and users are to use caution, seek medical advice fr...
2021-05-0624 minER-Rx: An ER + ICU PodcastEpisode 52- How do we treat Suboxone-induced withdrawal?In this episode, we discuss how to treat opioid withdrawal precipitated by buprenorphine/Suboxone. The answer is more simple than you think!Click HERE to leave a review of the podcast! References:All references for Episode 52 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information co...
2021-04-2208 minER-Rx: An ER + ICU PodcastEpisode 51- How do we manage pain in patients on Suboxone?In this episode, we discuss how to manage acute and post-op pain in patients on opioid maintenance therapy with Suboxone.Click HERE to leave a review of the podcast!References:All references for Episode 51 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be ac...
2021-04-0808 minER-Rx: An ER + ICU PodcastEpisode 50- Public service announcement: Don't forget to redose your antibiotics!In this episode, we discuss a recent article that describes delays in antibiotic redosing in the ER and how that affects mortality rates.Click HERE to leave a review of the podcast! References:All references for Episode 50 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. In...
2021-03-2506 minER-Rx: An ER + ICU PodcastEpisode 49- Annie are you A-OK?This week, we talk about amniotic fluid embolism (AFE) and the "A-OK" medication combination. Please click HERE to leave a review of the podcast!References:All references for Episode 49 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, incomplete, or outdated, an...
2021-03-1805 minER-Rx: An ER + ICU PodcastEpisode 48- "Status Underdosingus": Part 3: Refractory status epilepticusIn the final episode of this "Mini Grand Rounds" series, we discuss the management of refractory status epilepticus.Please click HERE to leave a review of the podcast!References:All references for Episode 48 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally in...
2021-03-1106 minER-Rx: An ER + ICU PodcastEpisode 47- "Status Underdosingus": Part 2: Urgent therapyIn Part 2 of this "Mini Grand Rounds" series, we discuss urgent therapy of patients in status epilepticus.Please click HERE to leave a review of the podcast!References:All references for Episode 47 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, in...
2021-03-0406 minER-Rx: An ER + ICU PodcastEpisode 46- "Status Underdosingus": Part 1: Emergent therapyIn Part 1 of this "Mini Grand Rounds" series, we discuss emergent therapy of patients in status epilepticus using benzodiazepines. Please click HERE to leave a review of the podcast!References:All references for Episode 46 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be ac...
2021-02-2507 minER-Rx: An ER + ICU PodcastEpisode 45- How do we treat agitation in the ER setting?This week, we discuss which agents to use to control agitation in a few different clinical scenarios encountered in the ER.Please click HERE to leave a review of the podcast!References:All references for Episode 45 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein ma...
2021-02-1807 minER-Rx: An ER + ICU PodcastEpisode 44- "Moonshot": Vitamin C, thiamine, and hydrocortisone in septic shockIs a concoction of Vitamin C, thiamine, and hydrocortisone the cure for patients with sepsis or septic shock?Please click HERE to leave a review of the podcast!References:All references for Episode 44 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally in...
2021-02-1106 minER-Rx: An ER + ICU PodcastEpisode 43- An expert talks: Awake intubationTune in as Dr. Nick Tsipis from the Emergency Medical Minute takes over the ER-Rx Podcast to discuss awake intubation.Please click HERE to leave a review of the podcast!References:https://litfl.com/awake-intubation/https://emcrit.org/emcrit/awakeintubation/The rest are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient r...
2021-02-0409 minER-Rx: An ER + ICU PodcastEpisode 42- What is the most effective antiemetic in the ER setting?What is the most effective agent for relieving nausea and vomiting in the ER? The answer may surprise you…Please click HERE to leave a review of the podcast!References:All references for Episode 42 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Inf...
2021-01-2807 minER-Rx: An ER + ICU PodcastEpisode 41- "The Perfect Storm:" Part 2: Hyperinfection syndrome and ivermectinIn Part 2 of this "Mini Grand Rounds" series, we discuss hyperinfection syndrome and its treatment with ivermectin. Please click HERE to leave a review of the podcast!References:All references for Episode 40 and Episode 41 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, in...
2021-01-2107 minER-Rx: An ER + ICU PodcastEpisode 40- "The Perfect Storm:" Part 1: COVID, corticosteroids, and strongyloidesIn Part 1 of this "Mini Grand Rounds" series, we discuss corticosteroid use in COVID as well as the pathogenesis of strongyloides. Please click HERE to leave a review of the podcast!References:All references for Episode 40 and Episode 41 are found on my Read by QxMD collectionDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein ma...
2021-01-1406 minER-Rx: An ER + ICU PodcastEpisode 39- Demystifying the "DOSE" trialWhat dose of diuretics did the "DOSE" trial use in heart failure exacerbations? Was oral bioavailability taken into account?References:Felker, GM, Lee, KL, Bull DA, et al. Diuretic strategies in patients with acute decompensated heart failure. NEJM. 2011; 364(9): 797- 805Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, incomplete, or outdated, and user...
2021-01-0706 minER-Rx: An ER + ICU PodcastEpisode 38- ECMO for out-of-hospital cardiac arrest: Is this the future?This week, we review our medical group's experiences with using ECMO for refractory out-of-hospital cardiac arrests. Is this the future? References:Bartos JA, Frascone RJ, Conterato M, et al. The Minnesota mobile extracorporeal cardiopulmonary resuscitation consortium for treatment of out-of-hospital refractory ventricular fibrillation: program description, performance, and outcomes. EClinicalMedicine. 2020; 3 (26)Yannopoulos D, Bartos J, Raveendran G, et al. Advanced reperfusion strategies for patients with out-of-hospital cardiac arrest and refractory ventricular fibrillation (ARREST); a phase 2, single centre, open-label, randomized controlled trial. Lancet. 2020; 396 (10265): P1807-1816Disclaimer: The information contained within the ER-Rx podcast episodes...
2020-12-3108 minER-Rx: An ER + ICU PodcastEpisode 37- Updated treatment guidelines for gonococcal infectionsThere were some pretty significant changes made to the CDC's treatment guidelines for gonococcal infections. Get a quick review here! References: Cyr S, Barbee L, Workowski KA, et al. Update to CDC’s treatment guidelines for gonococcal infection, 2020. MMWR. 2020; 69(50): 1911- 1916Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, incomplete, or outdated, and users...
2020-12-2407 minER-Rx: An ER + ICU PodcastEpisode 36- Do we have to correct hyperglycemia in the ER?Is routine correction of hyperglycemia in the ER necessary? And if so, which agents and routes are recommended? Find out this week! References:Driver BE, Olives TD, Bischof, JE, et al. Discharge glucose is not associated with short-term adverse outcomes in emergency department patients with moderate to severe hyperglycemia. Ann Emerg Med. 2016; 68 (6): 697- 705Munoz C, Villanueva G, Fogg L, et al. Impact of a subcutaneous insulin protocol in the emergency department: rush emergency department hyperglycemia intervention (REDHI). J of Emerg Med. 2008; 40 (5): 493-498.Koscal LJ, Weeda ER, Matuskowitz AJ, Weant KA. Intravenous insul...
2020-12-1707 minER-Rx: An ER + ICU PodcastEpisode 35- An expert talks: PALSIn part 2 of the cardiac arrest series, Dr. Rebecca Gragg, an ER pharmacist at a pediatric trauma center, discusses some key points from the 2020 PALS guidelines.References:Antevy, P. Handtevy method helps providers rapidly calculate pediatric drug dosages. JEMS. 2013; 8 (38). Available at: https://www.jems.com/2013/08/20/handtevy-method-helps-providers-rapidly/Topjian AA, Raymond TT, Atkins D, et al. Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020; 142: S469- 523Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is...
2020-12-1028 minER-Rx: An ER + ICU PodcastEpisode 34- Adult ACLS: Updated recommendations and clinical pearlsIn part 1 of the cardiac arrest series, we review some key recommendations and clinical pearls from the 2020 adult BLS and ACLS guidelines. References: Panchal AR, Bartos JA, Cabanas JG, et al. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020; 142: S366-S468Edelson DP, Sasson C, Chan PS, et al. Interim Guidance for Basic and Advanced Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19. Circulation. 2020; 141 (25): e933- 943Velissaris D, Karamouzos V, Pierrakos C, et al. Use of sodium b...
2020-12-0309 minER-Rx: An ER + ICU PodcastEpisode 33- Shock through the heart: Is two better than one?What is dual/double defibrillation? How does it work? Does it improve patient outcomes? Find out this week! References:Miraglia D, Miguel LA, Alonso W. Double defibrillation for refractory in- and out-of-hospital cardiac arrest: a systematic review and meta-analysis. J Emerg Med. 2020; 59 (4): 531-541Panchal AR, Bartos JA, Cabanas JG, et al. Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020; 142: S366-S468Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for inform...
2020-11-2606 minER-Rx: An ER + ICU PodcastEpisode 32- Drug shortage debacle: Methohexital or ketamine for RSIWhat happens when/ if etomidate goes on shortage? Are methohexital or ketamine viable options for RSI in the ER? Find out this week.References:Farrell NM, Killius K, Kue R, et al. A comparison of etomidate, ketamine, and methohexital in emergency department rapid sequence intubation. J Emerg Med. 2020; 59(4): 508-514Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information conta...
2020-11-1907 minER-Rx: An ER + ICU PodcastEpisode 31- Antiplatelet agents in ACS: Who rules the roost?In this episode, we discuss the pros and cons of the main antiplatelet agents used in the setting of ACS. Who comes out on top?References:Norgard NB, DiNicolantonio JJ. Clopidogrel, prasugrel, or ticagrelor? A practical guide to use of antiplatelet agents in patients with acute coronary syndromes. Postgrad Med. 2013; 125(4): 91-102Thachil J. Antiplatelet therapy- a summary for the general physicians. Clin Med. 2016; 16(2): 152-160Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to repla...
2020-11-1207 minER-Rx: An ER + ICU PodcastEpisode 30- How fast can we give IV magnesium?The rate of IV magnesium administration depends on the particular indication, dose, and patient-specific factors. Tune in for more details.References:Kaye P, O’Sullivan I. The role of magnesium in the emergency department. Emerg Med J. 2002; 19: 288-291Grissinger M. Avoiding patient harm from a magnesium bolus dose. P & T. 2014; 39(2): 81-82Preventing magnesium toxicity in obstetrics. ISMP. Updated October 5, 2005. Accessed November 2 2020. https://www.ismp.org/resources/preventing-magnesium-toxicity-obstetricsDisclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, i...
2020-11-0507 minER-Rx: An ER + ICU PodcastEpisode 29- "We're all a little 'stitious:" Bad words, full moons, and black cloudsDays away from Halloween, we discuss a few common ER superstitions. Are they actually legit? Or do you belive the data? Your call. References:Brookfield CR, Phillips PPJ, Shorten RJ. Q fever- the superstition of avoiding the word “quiet” as a coping mechanism: randomized controlled non-inferiority trial. BMJ. 2019; 367: 16446Lamb JN, Howard AJ, Marciniak J. Does the word ‘quiet’ really make things busier? RCS Bull. 2017; 99: 133-136Exadaktylos AK, Sclabas G, Siegenthaler A, et al. Friday the 13th and full-moon: the "worst case scenario" or only superstition? Am J Emerg Med. 2001; 19(4): 319-20Zargar M, Kha...
2020-10-2907 minER-Rx: An ER + ICU PodcastEpisode 28- Blink and you miss it: an easily missed cause of bradycardia and hypotensionBradycardic? Hypotensive? Keep the agent discussed in this week's episode in mind when reviewing your patient's medication list.References:Rains J, Kesterson J. Ocular timolol as the causative agent for symptomatic bradycardia in an 89-year-old female. Am J Emerg Med. 2020; Article in PressAbbas SA, Hamadani SM, Ahmad U, et al. Ophthalmic timolol and hospitalization for symptomatic bradycardia and syncope: a case series. Cureus. 2020; 12(3): e7270Wang Z, Denys I, Chen F, et al. Complete atrioventricular block due to timolol eye drops: a case report and literature review. BMC Pharmacology and Toxicology. 2019; 20: 73
2020-10-2205 minER-Rx: An ER + ICU PodcastEpisode 27- "More Squeeze, Please:" Part 2: Clots and COVIDIn Part 2 of this "Mini Grand Rounds" series, we discuss important side effects of ATII including thrombosis, especially in the setting of COVID. References:Celi A, Cianchetti S, Dell’Omo G, Pedrinelli R. Angiotensin II, tissue factor and the thrombotic paradox of hypertension. Expert Review Cardiovasc Therapy. 2010. 8 (12)Senchenkova EY, Russell J, Almeida-Paula LD, et al. Angiotensin II-mediated microvascular thrombosis. Hypertension. 2010; 56 (6): 1089-1095Zhang P, Zhu L, Cai J, et al. Association of angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers with mortality among patients with hypertension hospitalized with COVID-19. Circ Res. 2020: 126 (12): 1671-1681Tra...
2020-10-1509 minER-Rx: An ER + ICU PodcastEpisode 26- "More Squeeze, Please:" Part I: ATHOS-3 and meIn Part 1 of this "Mini Grand Rounds" series, we discuss Angiotensin II use for vasodilatory shock, reviewing the ATHOS-3 trial and real-world experiences. References:Khanna A, English SW, Wang XS, et al. Angiotensin II for the treatment of vasodilatory shock. NEJM. 2017; 377: 419-430Farina N, Bixby A, Alaniz C. Angiotensin II brings more questions than answers. P T. 2019; 43 (11): 685- 687Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not c...
2020-10-0808 minER-Rx: An ER + ICU PodcastEpisode 25- Procainamide for atrial fibrillation/ flutter conversionShould we be giving procainamide to patients with atrial fibrillation/ flutter? We discuss two clinical trials that may give us some answers. References:Stiell IG, Clement CM, Symington C, et al. Emergency department use of intravenous procainamide for patients with acute atrial fibrillation or flutter. Acad Emerg Med. 2007; 14: 1158-1164Stiell IG, Sivilotti MLA, Taljaard M, et al. Electrical versus pharmacological cardioversion for emergency department patients with acute atrial fibrillation (RAFF2): a partial factorial randomized trial. Lancet. 2020; 395 (10221): 339-349Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpod...
2020-10-0107 minER-Rx: An ER + ICU PodcastEpisode 24- An expert talks: MethemoglobinemiaThis week we discuss methemoglobinemia with Dr. KC Lee, a clinical pharmacist who recently completed her clinical toxicology/ emergency medicine fellowship.* Note: Although rare, there has been a slight increase in hydroxychloroquine-associated methemoglobinemia in the setting of COVIDReferences:Price DP, Howland MA. Methemoglobin inducers and methylene blue. Goldfrank’s Toxicologic Emergencies 9th edition: 1698-1710. McGraw-Hill; New York: 2011Methemoglobin. Hennepin Regional Poison Center Treatment Guidelines. Minnesota Poison Control System. Accessed 9/22/2020Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for info...
2020-09-2417 minER-Rx: An ER + ICU PodcastEpisode 23- The ammonia level: what is it good for?Should we be using ammonia levels to diagnose, determine the severity, or monitor the resolution of hepatic encephalopathy? References:Ninan J, Feldman L. Ammonia levels and hepatic encephalopathy in patients with known chronic liver disease. J Hosp Med. 2017 (8): 659-661Gundling F, Zelihic E, Seidl H, et al. How to diagnose hepatic encephalopathy in the emergency department. Ann Hepatol. 2013; 12(1): 108-114Ong JP, Aggarwal A, Krieger D, et al. Correlation between ammonia levels and the severity of hepatic encephalopathy. Am J Med. 2003; 114(3): 188-193Disclaimer: The information contained within the ER-Rx podcast...
2020-09-1705 minER-Rx: An ER + ICU PodcastEpisode 22- One-time IV antibiotics prior to dischargeIs giving your patient a one-time dose of IV antibiotics prior to discharge helpful? Or are you doing more harm than good? Tune in this week to find out!References:Mueller K, McCammon C, Skrupky L, Fuller BM. Vancomycin use in patients discharged from the emergency department: a retrospective observational cohort study. J Emerg Med. 2015; 49 (1): 50-57 Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient rela...
2020-09-0907 minER-Rx: An ER + ICU PodcastEpisode 21- Esmolol in refractory VF arrestThis week we review a meta-analysis that looked at the use of esmolol in patients in refractory VF/pVT arrest. Will this change your practice? References: Miraglia D, Miguel LA, Alonso W. Esmolol in the management of pre-hospital refractory ventricular fibrillation: a systematic review and meta-analysis. Am J Emerg Med. 2020; 38: 1921-1934Driver BE, Debaty G, Plummer DW, et al. Use of esmolol after failure of standard cardiopulmonary resuscitation to treat patients with refractory ventricular fibrillation. Resuscitation. 2014; 85: 1337-1441Lee, YH, Lee KJ, Min YH, et al. Refractory ventricular fibrillation treated with esmolol. Resus...
2020-09-0106 minER-Rx: An ER + ICU PodcastEpisode 20- Cyanide: toxicology and antidotesIn this Mini Grand Rounds episode, we discuss cyanide toxicology and management, including antidotes. References:Holstege CP, Isom GE, Kirk MA. Cyanide and hydrogen sulfide. Goldfrank’s Toxicologic Emergencies 9th edition: 1678-1688. McGraw-Hill; New York: 2011Cyanide. Hennepin Regional Poison Center Treatment Guidelines. Minnesota Poison Control System. Accessed 11/20/2017Lawson-Smith P, Jansen EC, Hyldegaard O. Cyanide intoxication as part of smoke inhalation- a review on diagnosis and treatment from the emergency perspective. Scand J of Trauma, Resus, and Emerg Med. 2011; 19: 14Hall AH, Saiers J, Baud Frederic. Which cyanide antidote? Crit Rev in To...
2020-08-2509 minER-Rx: An ER + ICU PodcastEpisode 19- Public service announcement: stop the steroid bomb!Stop the steroid bomb! If you are giving 125 mg IV methylprednisolone (Solu-Medrol) to your asthma or COPD exacerbation patients, that may be too much. References:Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease 2020 report. https://goldcopd.org (Accessed on August 14, 2020) Global Initiative for Asthma (GINA). Global Strategy for Asthma Management and Prevention. www.ginasthma.org (Accessed on August 14, 2020).Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ edu...
2020-08-1804 minER-Rx: An ER + ICU PodcastEpisode 18- Ventilator-associated tracheo-what?Tune in as we discuss ventilator-associated tracheobronchitis and what the guidelines say we should do about this little-known entity! References:Nseir S, Favory R, Jozefowicz E, et al. Antimicrobial treatment for ventilator-associated tracheobronchitis: a randomized, controlled, multicenter study. Crit Care. 2008: 12; R62Koulenti D, Arvaniti K, Judd, M, et al. Ventilator-associated tracheobronchitis: to treat or not to treat? Antibiotics. 2020: 9 (2): 51Metlay JP, Waterer GW, Long AC, et al. Diagnosis and treatment of adults with community-acquired pneumonia. J Respir Crit Care Med. 2019; 200 (7): e45-67Disclaimer: The information contained within the ER-Rx podca...
2020-08-1105 minER-Rx: An ER + ICU PodcastEpisode 17- The Emergency Medical Minute meets ER-RxIn case you missed it, last week Dr. Nick Tsipis from the Emergency Medical Minute discussed a few rapid-fire ER topics with our host, Adis Keric. Check out the full episode here or on the Emergency Medical Minute podcast! *Correction to figures quoted on anticoagulation reversal pricing. High-dose Andexxa regimen maxes out around $60,000 and Kcentra maxes out at $6,000. So there is still a massive price difference, but not as high as quoted in the audio.References: Metlay JP, Waterer GW, Long AC, et al. Diagnosis and treatment of adults with community-acquired pneumonia. J Res...
2020-08-0419 min
Emergency Medical MinuteRapid Fire Pharmacy Review with Adis Keric of ER-RxMeet Adis Keric, Board Certified Pharmacotherapy Specialist and a Board Certified Critical Care pharmacist who works in the Emergency Department and ICU of level 1 trauma center Regions Hospital in Saint Paul, MN. Adis is the founder and host of a new FOAMed podcast, ER-Rx. He started the podcast to inform clinicians in the ED and ICU about up-to-date, appropriate and optimal use of medications in different clinical scenarios. Dr. Nick Tsipis sits down with Adis to discuss some pearls in Emergency Medicine Pharmacy. Time Stamps: 0:10 Intros 4:35 Antibiotics 8:30 Post-Intubation Sedation
2020-07-2918 minER-Rx: An ER + ICU PodcastEpisode 16- "HALT" the use of TXA in GI bleeds?This week, we review the "HALT-IT" trial. Will you routinely give your patients TXA (tranexamic acid) in the setting of GI bleeds after reading this study? References: Roberts I, Shakur-Still H, Afolabi A, et al. Effects of a high-dose 24-h infusion of tranexamic acid on death and thromboembolic events in patients with acute gastrointestinal bleeding (HALT-IT): an international randomised, double-blind, placebo-controlled trial. Lancet. 2020; 395: 1927-36Shakur H, Roberts I, Fawole B, et al. Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, d...
2020-07-2807 minER-Rx: An ER + ICU PodcastEpisode 15- The misleading "sulfa" allergyToday, we discuss what it means to have a "sulfa" allergy. Are things such as furosemide and tamsulosin really contraindicated in these patients? Tune In! References: Smith WB. ‘Sulfur allergy’ label is misleading. Aust Prescr. 2008; 31: 8-10Ponka D. Approach to managing patients with sulfa allergy. Can Fam Physician. 2006; 52(11): 1434-1438Strom BL, Schinnar R, Apter AJ, et al. Absence of cross-reactivity between sulfonamide antibiotics and sulfonamide nonantibiotics. NEJM. 2003; 349: 1628-1635Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes on...
2020-07-2103 minER-Rx: An ER + ICU PodcastEpisode 14- SARS-CoV-2 antibody testWhat does a negative or positive antibody test mean? Should it change our behavior? Do we have to view the results in the setting of where we are located? Tune in this week! References: Interim guidelines for COVID-19 antibody testing. CDC. May 23, 2020. Accessed July 7, 2020.Abbott ARCHITECT SARS-CoV-2 IgG Instructions for Use. H14806R01. April 2020Bryan A, Pepper G, Wener MH, et al. Performance characteristics of the Abbott Architect SARS-CoV-2 IgG assay and seroprevalence testing in Idaho. J Clin Microbiol. 2020; 00941-20Frasier SL. Coronavirus antibody tests have a mathematical pitfall. Sc...
2020-07-1406 minER-Rx: An ER + ICU PodcastEpisode 13- "Clot Busters:" Part 2: Cardiac arrestIn Part 2 of 2 of our "Mini Grand Rounds" series, we discuss the use of thrombolytics in the setting of cardiac arrest and wrap it up with our final recommendations.References:Lederer W, Lichtenberger C, Pechlaner C, et al. Recombinant tissue plasminogen activator during cardiopulmonary resuscitation in 108 patients with out‐of‐hospital cardiac arrest. Resuscitation 2001; 50(1): 71-76Abu-Laban RB, Christenson JM, Innes GD, et al. Tissue plasminogen activator in cardiac arrest with pulseless electrical activity. N Engl J Med 2002; 346: 1522-8Comess KA, DeRook FA, Russell ML, et al. The incidence of pulmonary embolism in u...
2020-07-0710 minER-Rx: An ER + ICU PodcastEpisode 12- "Clot Busters:" Part 1: Submassive and massive pulmonary embolismIn Part 1 of 2 of our "Mini Grand Rounds" series, we discuss the use of thrombolytics in the setting of submassive and massive pulmonary embolism. Tune in as we review studies and guidelines that discuss these agents in these settings, as well as appropriate dosing and administration of alteplase. References: Konstantinides S, Geibel A, Heusel G, et al. Heparin plus alteplase compared with heparin alone in patients with submassive pulmonary embolism. NEJM. 2002; 347(15): 1143-1150Sharifi M, Bay C, Skrocki L, et al. Moderate Pulmonary Embolism Treated With Thrombolysis (from the "MOPETT" Trial). Am J Cardiol. 2013; 111(2): 273-277...
2020-06-3010 minER-Rx: An ER + ICU PodcastEpisode 11- Anaphylaxis: A pharmacologic management updateWhat is the most important agent for anaphylaxis? What other treatments are only considered as adjuncts? How should I give these agents? Find out this week as we review updated anaphylaxis treatment guidelines published in April 2020! References:Shaker MS, Wallace DV, Golden DBK, et al. Anaphylaxis- a 2020 practice parameter update, systematic review, and grading of recommendations, assessment, development, and evaluation (GRADE) analysis. J Allergy Clin Immunol 2020; 146 (4): 1082-1123Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to r...
2020-06-2309 minER-Rx: An ER + ICU PodcastEpisode 10- Alteplase door-to-needle times and long-term outcomesJoin us for a quick review on a recently-published study describing the association between alteplase door-to-needle times and long-term patient outcomes in the setting of ischemic stroke. Please subscribe to our Podcast ("ER-Rx") and leave us a review! References: Man S, Xian Y, Holmes DN, et al. Association between thrombolytic door-to-needle time and 1-year mortality and readmission in patients with acute ischemic stroke. JAMA; 2020: 323(21): 2170-2184Gilbert BW, Huffman J. Effect on door-to-needle recombinant tissue plasminogen activator administration times for acute ischemic stroke with and without an emergency department pharmacist. J Am Coll Clin Pharm...
2020-06-1606 minER-Rx: An ER + ICU PodcastEpisode 9- Carbapenem-resistant but cephalosporin-sensitive pseudomonasThis week, we discuss a strange and rare pseudomonas phenotype. Find out why these strains are resistant to carbapenems but usually not other antibiotics and the significance of these strains. Search "ER-Rx" on Apple Podcasts, Google Podcast, and YouTube. Also, check out our Instagram page: errxpodcast ! References:Gajdacas M. Carbapenem-resistant but cephalosporin-susceptible pseudomonas aeruginosa in urinary tract infections: opportunity for colistin sparing. Antibiotics. 2020; 9(4): 153.Li S, Jia X, Li C, et al. carbapenem-resistant but cephalosporin-susceptible pseudomonas aeruginosa; a notable phenotype in patients with bacteremia. Infect Drug Resist. 2018; 11: 1225-1335Disclaimer: The information conta...
2020-06-0908 minER-Rx: An ER + ICU PodcastEpisode 8- Is glucagon effective for relieving esophageal foreign bodies/ food impactions?In this week's episode, we discuss a recently-published meta-analysis and summarize a couple of guidelines that discuss the management of esophageal foreign bodies/ food boluses. Find us on Apple Podcasts (iTunes), Google Podcasts, Spotify, and YouTube! References:Long B, Gottlieg M. Is glucagon effective for relieving acute esophageal foreign bodies and food impactions? Ann Emerg Med. 2020; 75(2): 299- 301Peksa GD, DeMott JM, Slocum GW, et al. Glucagon for relief of acute esophageal foreign bodies and food impactions: a systematic review and meta-analysis. Pharmacotherapy. 2019; 39: 463-472Birk M, Bauerfeing P, Deprez PH, et al. Remov...
2020-06-0205 minER-Rx: An ER + ICU PodcastEpisode 7- Epistaxis: A guideline review focusing on topical agents and prophylactic antibioticsDo we have any data on topical agent use to control nosebleeds? How about prophylactic antibiotics for patients with nasal packing in place? Find out on this week's episode. Follow us on YouTube, Instagram, and Google Podcasts!References:Tunkel DE, Anne S, Payne SC, et al. Clinical practice guideline: nosebleed (epistaxis). Am J Otolaryngol. 2020; 162(IS): S1-S38. Whitworth K, Johnson J, Wisniewski S, et al. Comparative effectiveness of topically administered tranexamic acid versus topical oxymetazoline spray for achieving hemostasis in epistaxis. JEM. 2019; 58(2): 211-216Disclaimer: The information contained within the ER-Rx podcas...
2020-05-2606 minER-Rx: An ER + ICU PodcastEpisode 6- Can we use corticosteroids to reduce reintubation rates?In this episode, we discuss the use of prophylactic corticosteroids for patients at high risk of reintubation. Please leave us a comment for your chance to win a medically-related prize! References:Kuriyama A, et al. Prophylactic corticosteroids for prevention of postextubation stridor and reintubation in adults: a systematic review and meta analysis. CHEST. 2017; 151(5): 1002-1010Girard TD, et al. An official American Thoracic Society/ American College of Chest Physicians clinical practice guideline: liberation from mechanical ventilation in critically ill adults. Am J Respir Crit Care Med. 2017; 195(1): 120-133Disclaimer: The information contained within...
2020-05-2006 minER-Rx: An ER + ICU PodcastEpisode 5- Subcutaneous neostigmine for Ogilvie's SyndromeIn this episode, we look into the pharmacological treatment of Ogilvie's Syndrome using subcutaneous neostigmine. Please remember to subscribe to our podcast and leave us feedback! References:Lopez Valle RG, Godoy FL. Neostigmine for acute colonic pseudo-obstruction: a meta-analysis. Annals of Medicine and Surgery. 2014; 3: 60-64Bernardi MP, et al. Acute and chronic pseudo-obstruction: a current update. ANZ J Surg. 2015; 85: 709-714Vogel JD, et al. Clinical practice guidelines for colon volvulus and acute colonic pseudo-obstruction. Dis Colon Rectum. 2016; 59: 589-600Kram B, et al. Efficacy and safety of subcutaneous neostigmine for ileus, ac...
2020-05-1510 min