@EMPoisonPharmD I think it excellent Ryan. It's not the quantity, it's the quality. Most hyperprolific authors are meh these days
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Frank Paloucek
1K posts
Frank Paloucek
@Itsalltox
BS, PharmD, FAACT, FASHP, DABAT, DPLA...PITA. My opinions are not yours. He/Him/His/Toxic
Chicago Katılım Kasım 2010
114 Takip Edilen1K Takipçiler
I recently hit my 50th peer-reviewed publication.
Not that exciting, especially compared to some people I know.
But, I’m not a funded researcher. I do patient care and write in downtime. It’s a lot of nights and weekends spent reading, thinking, and writing.
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@EMPoisonPharmD Wow. Congrats on immortality Megan. I haven't seen or heard from Sean in years. Gonna have to reach out for this
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That is awesome
Megan Rech, PharmD, MS@MeganARech
Yesterday, I learned that the pharmacist character Dr Megan Nordt on @HBO #ThePitt was named after my colleague Dr Sean Nordt and ME‼️ This is incredible & I am so grateful for the opportunity to contribute to @emrap_tweets, which I am sure had something to do with this.
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New Pub! 🩺
Of ~50,000 calcium channel blocker overdoses, only 1.2% had hyperglycemia—but those patients were ~22× more likely to have severe outcomes or death.
Hyperglycemia is uncommon but a red flag in CCB toxicity.
📖 pubmed.ncbi.nlm.nih.gov/41197050/
#Toxicology #MedTwitter
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🚑 ER shows always cast a brooding physician, a jaded nurse, or an intern with a secret…
But where’s the 💊 hyper-competent emergency medicine pharmacist with a caffeine addiction & encyclopedic knowledge, @HBO?
#ThePitt #EMPharmD
📄: authors.elsevier.com/a/1lelz2dHVQGa…
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@MeCookieMonster Crunchy all the way. You youngens got so much to.learn
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Since it appears impossible to get people to stop saying Poison “Control” Center can we at least call it a Poison “Command” Center?
We don’t command or control anything but maybe I could get a cool badge that way.
(🤔Poison Consult Center best option now that I think about it)
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@Sarahgoose93 Lot of phenobarbital products have PG in them too
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Severe EtOH withdrawal pt requiring frequent high doses of Ativan with no improvement.
Me: explains use of phenobarb and asks if we can change strategies
Non ED provider: phenobarb doesn’t work and has no place in EtOH withdrawal.
Me: …
#TwitterRx
GIF
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@PharmD_intheED @GilbertPharmD Oh no...gotta be and The Posse, no?
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If more than 10 author = and The Squad
Gilbert and The Squad published a meta analysis on epinephrine on cardiac arrest
@GilbertPharmD
Reviewer 2@GrumpyReviewer2
#AcademicChatter #AcademicX Mention your citations with replacement of et al. 👇
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@Itsalltox @SethCPharmD @EMPoisonPharmD He probably knows what the 4th G in gaslight, gatekeeping, girlboss, ___ is, too
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Every toxicologist screaming into the void over this not-so-great review in @NEJM on NMS. There are many other culprits that need to be ruled out, the authors level/choice of treatment recs are crap, & for the love of god they rec APAP for hyperthermia 🤦🏻♂️
josh wang@joshwangmd
a terminally flawed review of neuroleptic malignant syndrome was published in the NEJM yesterday: nejm.org/doi/full/10.10… - no mention of ice-water immersion for hyperthermia - patient in fig. 1 is being cooled with an arctic sun - acetaminophen recommended for hyperthermia
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@EMPoisonPharmD Self-fulfilling prophecy? Or pretty much everything I do?
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What is the Term for when you do something you don't normally do because of a specific negative outcome, and when you do it, that outcome happens, and its like "yep, still shouldn't do that thing", so you are satisfied despite the negative outcome because you are still right.
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@EMPoisonPharmD What a manipulative question? Tossing the droperidol comment in there suggest that all torsades must be drug-related. Is that what you are saying while asking the question? 🥲
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If a patient goes into polymorphic point twisting VT that terminates with DCCV and received droperidol within the last few hours, but the QTc is normal on all prior and post ECG's is it torsades?
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@propofolpapi661 @GilbertPharmD @TessaPharmD @PharmD_intheED It was never on it...if you are old enough to know when it was "added"
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@GilbertPharmD @TessaPharmD @PharmD_intheED Am I reading this correctly that they essentially took out anion gap from the dx??? if so, I’m ecstatic. Who would’ve thunk it that you must have diabetes with KETO acidosis to be classified DKA. So many premature diagnoses have been made at my shop based on gap alone
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@PulmCrit Totally agree but peeps know they don't or won't do proper monitoring. It's like starting CAPD back in the day. Such a decrntbridhing therapy to RRT too
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I continue to be surprised by the low level of enthusiasm for diuretics in the tx of hyperkalemia.
patients with OK kidneys will usually excrete loads of K when treated with agressive diuretics plus IV fluid.
this is fundamental, esp in rural setting where HD is delayed (#1/2)
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For every PGY1 thats nervous about July 1, theres a PGY2 nervous about no longer being an intern, a PGY3 nervous about being in their last year, and a graduate nervous about being a new attending. And someone with years of experience out there who knows you all will be ok.
GIF
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@GilbertPharmD @TessaPharmD @PharmD_intheED This pure conjecture but time lines fit in a several I saw and a few case reports, no idea where those are or were anymore
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