hi, medical toxicologist that knows a lot about Tylenol here👋 Claiming that tylenol use in pregnancy causes autism is fearmongering here's what you need to know 🧵

proposal: all types of bradykinin-mediated angioedema involve a common vicious spiral 👇 tranexamic acid or aminocaproic acid should be universally effective in blocking this cycle & aborting attacks there's no need for super-expensive drugs (icatibant et al.) thoughts? criticism? #EMIMCC

Don't forget to submit your didactic session to present at SAEM26 Annual Conference! Deadline is 10/2/25! buff.ly/nwLK5Mo #SAEM #AEMP #AEMPlify #EMRx

🚨 New Post Alert! Syncope is common in the ED—but which decision rule do you trust? ⚡ San Francisco Syncope Rule = fast but fallible 🧩 Canadian Syncope Risk Score = comprehensive but complex 🩺 Neither replaces clinical judgment 👉 Read here: https://wp.me/pdrP8b-5pF #FOAMed #EMIMCC #MedSky

cosign this 😁 four-factor PCC had clotting factors & *also* endogenous anticoagulants (protein C & S, antithrombin III) that’s why PCC doesn’t cause as much thrombosis: it’s rebuilding the coagulation cascade rather than purely functioning as a pro-thrombotic (& Adnexanet alfa price is insane)

AEMP is seeking new practitioners to present the YIR at AEMP 2026 at SAEM Congress next year! Apply today! #AEMP #AEMPlify #EMRx

The submission portal for SAEM Congress is now open. Submit your didactic session proposal today! #SAEMonline #AEMPlify

🚑 The first EM Pharmacy Pearl for the year is out by PGY2 EM Resident, Jonathan! #rxsky #pharmsky #pgy2em

🚨 New Post Alert! Syncope is common in the ED—but which decision rule do you trust? ⚡ San Francisco Syncope Rule = fast but fallible 🧩 Canadian Syncope Risk Score = comprehensive but complex 🩺 Neither replaces clinical judgment 👉 Read here: https://wp.me/pdrP8b-5pF #FOAMed #EMIMCC #MedSky

💉National Immunization Awareness Month!💉 Together, we can help raise awareness about the importance of vaccination. Many patients express interest in receiving vaccines when they are offered in the ER, creating a valuable opportunity for engagement with EM pharmacists!

📣Have you heard of antiamyloid therapies for Alzheimer’s disease? They cause ADEs called ARIAs that are non-specific, typically require MRI, & can mimic stroke ⛔ Concomitant thrombolytics/anticoagulants are contraindicated Learn more in our JAMA IM Clinical Insight 👇

Burman et al: Effect of Ketamine Analgosedation on Neurological Outcome in patients with Severe Traumatic Brain Injury: A Randomized Controlled Pilot Study Link: link.springer.com/ar... @neurocritical #neurocritcare

Myth busting: Antibiotics don't reduce mortality in variceal hemorrhage! I updated the IBCC & explained what happened here emcrit.org/ibcc/gib/#va... We probably don't need antibiotics at all🤦‍♂️ Nice illustration of how meta-analyses can be fragile (even Cochrane) emcrit.org/pulmcrit/meta/ #EMIMCC

Donate to the SAEMF Challenge to give back to EM! Not only will your donation help advance EM practices and research, but it'll HELP AEMP MOVE UP THE LEADERBOARD in this SAEM competition! See link for more details or scan QR code to go to the donations page buff.ly/qvUCT8C buff.ly/masr25D

🚨 NEW POST: MDCalc Wars 🛑💥 Are you using PERC and Wells correctly? ✅ Start with Wells to guide next steps 🚫 Don’t use PERC in moderate/high-risk 🧪 Use high-sensitivity D-dimer! 👉 Read now: https://wp.me/pdrP8b-5oN #FOAMed #EMIMCC #MEDSky

Gain insight into best practices for retaining highly skilled pharmacists in the ICU and the importance of reducing burnout in pharmacy teams in the latest SCCM Podcast. Listen now: sccm.org/pod544 #SCCM

Welcome to AEMP's Pulse Dose! Weekly pharmacy pearls to upgrade your EM practice! This week's topic: Local anesthetic systemic toxicity, or "LAST". Don't be the LAST to know! #AEMP #SAEM #AEMPPulseDose #RxPearls #LAST

📣 Hot off the press! MTP review and update for the pharmacist! #rxsky #pharmsky pubmed.ncbi.nlm.nih.gov/40580496/

In patients with undifferentiated shock, always get a Rapid US for Shock + Hypotension (RUSH exam) to differentiate etiologies Avoid diagnostic closure, particularly when the answer appears simple youtube.com/shorts/MUptk... #EMIMCC

Ketamine in status epilepticus? PMID:39674935 ketamine > no drug after midaz failed(flawed study) PMID:40186980 midaz/ket > midaz. But, kids seized 34 min prior to meds, very low rate of sz break w/ midaz Consider ketamine after 2 doses BZD fail but evidence weak youtube.com/shorts/arX6s... #EMIMCC

Hypokalemia big killer in DKA -All DKA patients total body K down -Some w/ serum hyperK due to acidosis shifting K -K < 3.5: replete prior insulin -K 3.5-5.5: start insulin + K repletion simultaneously -Skip bolus: no faster DKA resolution but incr risk hypoK youtube.com/shorts/pTnt8... #EMIMCC

Massive Hemorrhage Protocol: More than just giving products -Control bleeding: tourniquet extremity hemorrhage, pelvic binders, balloon tamponade -Early transfusion -TXA, AC reversal (PCC or FFP) + Ca Don't forget to get consultants mobilized for definitive care youtube.com/shorts/AIV4o... #EMIMCC

Advice for New Trainees #4: If you’re not sure, ask. So many questions come up and if you’re unsure of the answer, ask a nurse, another resident or your attending. This is what training is about youtube.com/shorts/74nUd... #EMIMCC

In the latest video in our partnership with @glaucomflecken.bsky.social, the BALANCE trial comparing 7 days of antibiotic treatment with 14 days of treatment in patients with bloodstream infection is explained. Access the article for free: nej.md/DrG19

The ideal cutoff for adequate time-to-antibiotic delivery in septic shock is being discussed again 🤦‍♂️ Should we be required to give antibiotics in 1 hr? 3 hr? 15 minutes? 3.14159 minutes? This is worth a short thread on the background of this topic Buckle up, it's a mess... #EMIMCC #IDsky #1/6

✏️ AEMP's Education Committee is looking for presenters for their quarterly webinars and journal club series! 💊 Express your interest for presenting at the link! 🚑 buff.ly/8s8gXzF #AEMP #pharmsky

🎉 Big news from #SAEM25 -- AEMP is officially transitioning to an academy within SAEM!! 🥳 We are so excited for the opportunities this will offer us! 🥂 Thankful for all our members & the group of EM pharmacist leaders who made this possible!! #AEMPlify #AEMP25 @saemonline.bsky.social

📢 Calling all SAEM Members! 🔗 Join us in our AEMP Interest Group at SAEM! See below about how to add our IG to your SAEM profile! 💊 Calling all EM Pharmacists! Help us grow our IG by sharing this information with your providers! #AEMP #AEMPlify #EMRx @SAEMonline.bsky.social

💊 AEMP's Education Committee is pleased to announce its next webinar! ☠️ Antidote Wars: Revenge of the NAC or Rise of Fomepizole for Treatment of Massive Acetaminophen Overdose ⏲️ May 8 @ 1800 CT 📣 Speakers: Alyssa McQueen PharmD BCPS v Haley Watson PharmD BCEMP 📝 Register here: buff.ly/PIORuOA

🎉 AEMP Wins! 🚑 AEMP Chair, Megan Rech, participated in an ACEP panel for ED Accreditation. 💉 As a result of this representation, EM pharmacists are now recommended in the accreditation standards. 🥳 This is a great recognition of the value of EMP! @saemonline.bsky.social @acepnation.bsky.social

🔥 RCT of EM PharmD-led TOC program 💊 330 pts to ED w/ med-related events (MRE) w/ or w/o EMP TOC @ 72h 💊EMP group⬇️ ED visits for same MRE (3% v 22%) & overall ED visits, ⬇️ hospitalizations, more outpatient follow up LOVE to see it! jamanetwork.com/journals/jam...

⏰ The SAEM Annual Meeting & PharmERgency Conference will happen in just over 2️⃣ weeks! 🗓️ May 13-16 in Philly! 🚨Regular registration ends on Thursday May 1! buff.ly/k784gn1 ✈️ Make plans to join us for what is sure to be a wonderful conference!! #AEMP25 #AEMPlify

⁉️Which patients require reversal in warfarin associated GIB? We lack large RCTs to guide treatment. Check out our retrospective study evaluating treatments in GIB www.sciencedirect.com/science/arti...

At long last - the incredible effort of the @neurocritical.bsky.social Pharmacy Section Study Group FIX-ICH is published! Honored to have been a small part of this incredible effort journals.lww.com/ccmjournal/f...

So proud of @louisapharmd.bsky.social!! #pharmsky

@slhsrxresidency.bsky.social very own PGY2 EM RPD will be presenting at the PharmERgency conference! #aemp25 #pharmsky

🧠 REMINDER for our Awareness During Paralysis Survey - Last day is TOMORROW! 💉 AEMP is seeking input from patients and healthcare providers about awareness during paralysis in the ED. ☎️ Tell us about your experiences: forms.gle/Pn3S24HZ1Ppf... #AEMP #pharmsky @saemonline.bsky.social

⏰ SAEM Annual is just a few weeks away!! 🏐 We are looking for 🔟 players for our Dodgeball team for the Dodgeball Tournament on 5/15! ❓ Check out the SAEM website: buff.ly/xD3TCew ☎️ Tell us you’re interested in being a player or captain here: buff.ly/cO8looW #EMRx #AEMP25 #SAEM #AEMPlify

🚨 AEMP25 Content Alert! 🔥 IGNITE! Resident Pearls - Toxicology and Psychiatric Emergencies 🚑 A Contrast to Common Belief: Debunking Iodine Allergies 📣 Speaker: Dr. Mireille Mitchell #AEMP25 #AEMPlify #pharmsky

🚨 AEMP25 Content Alert! 🔥 IGNITE! Resident Pearls - Toxicology and Psychiatric Emergencies 🚑 Gas Station Toxicology 📣 Speaker: Dr. Iram Nasreen #AEMP25 #AEMPlify #pharmsky

🚨 AEMP25 Content Alert! 🔥 IGNITE! Resident Pearls - Toxicology and Psychiatric Emergencies 🚑 How to Start the Zombie Apocalypse: A Guide for the Jaded Clinician 📣 Speaker: Dr. Tiana Patriarca #AEMP25 #AEMPlify #pharmsky

🚨 AEMP25 Content Alert! 🔥 IGNITE! Resident Pearls - Toxicology and Psychiatric Emergencies 🚑 Parenteral Olanzapine and Benzodiazepines: A Controversial Cocktail in Emergency Psychiatric Care 📣 Speaker: Dr. Shania C. Lee #AEMP25 #AEMPlify #pharmsky

🚨 AEMP25 Content Alert! 🔥 IGNITE! Resident Pearls - Toxicology and Psychiatric Emergencies 🚑 Plan B for B12: Sodium Nitrite and Thiosulfate in Cyanide Toxicity 📣 Speaker: Dr. Kaden Shen #AEMP25 #AEMPlify #pharmsky

🚨 Just published in AJEM from @EMPHARM_NET: CuratED: The 2024 Emergency Medicine Drug Lit Review 🔥 11 RCTs 📜 10 guidelines 🔍 7 meta-analyses 💊 DAPT & stroke, steroids & CAP, TXA & ICH, Andexxa & more Stay EM Pharm sharp👇 🔗 doi.org/10.1016/j.aj... #FOAMed #MedED

⏰ The SAEM Annual Meeting and the PharmERgency Conference are quickly approaching! 🗓️ May 13-16 in Philadelphia! 🚨 We are going to spotlighting our topics and presenters for the AEMP25 conference in upcoming posts! ✈️ Make plans to join us! buff.ly/rrp0Efk #AEMP #pharmsky @saemonline.bsky.social

🚨 AEMP25 PharmERgency Conference Content Alert! 💊 A Pharmacist and an EM Physician Walk into a Bar and Discuss High Stakes Medication Errors 📣 Speakers: Drs. Bierowski, Patel-Francis, and Sacks ✈️ Register for AEMP25: buff.ly/ezKlpyF #pharmsky #AEMP @saemonline.bsky.social

💉 The AEMP Education Committee is seeking input from patients and healthcare providers about awareness during paralysis in the ED. ☎️ Tell us about your experiences using the link: forms.gle/Pn3S24HZ1Ppf... ⏰ Survey closes 4/4. 🚨 Please share!! #AEMP #pharmsky @saemonline.bsky.social

Exciting Opportunity Alert! The PGY2 Emergency Medicine Residency at St. Luke’s in Boise, Idaho, is looking for a Phase II Match! Code: 83105 Program Highlights: Hands-on training in a high-acuity ED Multidisciplinary collaboration A dedicated team invested in your growth Deadline: March 31st!

👏🏼 Congratulations to everyone on last week's match results! 👀 If you're still searching, look no further! ⭐ We've got an open PGY1 Acute Care and PGY2 EM spot! 🗓️ Apply by 3/29 for PGY1 and 3/31 for PGY2 EM! #pharmsky

💊 The AEMP Career Development Committee is pleased to host an upcoming webinar just 1️⃣ week from today! 🦠 From the ED to the AfterParty: The Pharmacist's Role in Culture Follow-Up! ⏰ Wednesday March 19th from 2-3 CST. Register here: buff.ly/3D84AZM @saemonline.bsky.social