Guest For the podcast Rosa Malloy-Post  Hometown: Brooklyn, NY College: Fort Lewis College Durango, CO Medical school: University of Colorado What you love about living in/moving to Charlotte: The food and the trees. Coming from Denver it’s nice to have some greenery.  The variety and concentration of good food is impressive, I haven’t had a bad meal yet.  What you […] The post Episode 110. The use of Methylene Blue for Refractory Hypotension with Rosa Malloy-Post, MD appeared first on The Pharm So Hard Podcast.

Title: STREAM-2: Half-Dose Tenecteplase or Primary Percutaneous Coronary Intervention in Older Patients With ST-Segment–Elevation Myocardial Infarction: A Randomized, Open-Label Trial Background/Purpose: STEMI guidelines recommend pharmaco-invasive treatment if timely primary percutaneous coronary intervention (PCI) is unavailable. In the STREAM-1 study (Strategic Reperfusion Early After Myocardial Infarction), a pharmaco-invasive strategy resulted in similar rates of death, shock, heart failure, […] The post Episode 109. STREAM-2 Study Journal Club with Nick Servati and Alex Cruz Pabon appeared first on The Pharm So Hard Podcast.

The Tweet/EMail : (7) Sarah Cummins (@SC_PharmD) / X (twitter.com) The Response: 8) ACCP on X: “In the latest President’s Column, Elizabeth Farrington responds to member feedback from last month’s “From the Desk of the ACCP President.” Read her response here: https://t.co/bkO52ztiHv https://t.co/hEUECYH1ib” / X (twitter.com) The post Episode 108. Discussing DEI, Transparency, and Advocacy in Pharmacy with Sarah Cummins and Kevin Astle appeared first on The Pharm So Hard Podcast.

The post Episode 107. Bupropion Toxicity with Thom Maciulewicz appeared first on The Pharm So Hard Podcast.

Show Notes from the Pharm So Hard Podcast with Dr. Thom MaciulewiczOverviewToxic alcohols like methanol, ethylene glycol, and isopropanol can cause severe metabolic acidosis and organ damage when ingested. This post summarizes key learnings from a podcast episode with toxicology expert Dr. Thom Maciulewicz on recognizing and managing toxic alcohol poisoning in the emergency setting.Key […] The post Episode 106. Toxic Alcohols with Thom Maciulewicz appeared first on The Pharm So Hard Podcast.

This video is part of our Crazy Tox Case in the 2023 EMPoweRx Conference held in Austin, Texas. It was a requested topic of interest from many pharmacists and physicians in the emergency medicine world. In this video, we discuss the case study and provide insights into the treatment and management of a patient was […] The post Episode 105. Toxicology Crazy Case- Xylazine appeared first on The Pharm So Hard Podcast.

The post Episode 104. Toxicology Crazy Case – An EKG Gone Wrong appeared first on The Pharm So Hard Podcast.

The post Episode 103. In Patient Management of Clostridium difficile appeared first on The Pharm So Hard Podcast.

The post Episode 102. The Controversy of Cefdinir in UTIs appeared first on The Pharm So Hard Podcast.

The post Episode 101. Aspiration Pneumonia: Antibiotic Stewardship and Evidence-Based Treatment Strategies appeared first on The Pharm So Hard Podcast.

EMPoweRx Conference The Society for Academic Emergency Medicine is pleased to host EMPoweRx at SAEM23. The Emergency Medicine Pharmacotherapy with Resuscitation (EMPoweRx) Conference is an annual international, multidisciplinary conference dedicated to celebrating advancements in research and practice of emergency medicine pharmacotherapy. While still new, emergency medicine pharmacists and pharmacotherapy has not had its own platform […] The post Episode 100. Charlatan So Hard: Dispelling Myths and Shaping the Future appeared first on The Pharm So Hard Podcast.

The post Episode 99. Backbreakers! Steroids in Spinal Cord Injuries appeared first on The Pharm So Hard Podcast.

The post Episode 98. Literature Review on TRACE-2 Trial appeared first on The Pharm So Hard Podcast.

The post Episode 97. Straight Outta Control: Managing Status Epilepticus Like a Boss with Adis Keric appeared first on The Pharm So Hard Podcast.

The Society for Academic Emergency Medicine is pleased to host EMPoweRx at SAEM23. The Emergency Medicine Pharmacotherapy with Resuscitation (EMPoweRx) Conference is an annual international, multidisciplinary conference dedicated to celebrating advancements in research and practice of emergency medicine pharmacotherapy. PACUPrep’s BCEMP Q-Bank is the leading edge of emergency medicine and critical care exam preparation. Our […] The post Episode 96. Literature Review on Lidocaine vs Amiodarone in IHCA appeared first on The Pharm So Hard Podcast.

While still new, emergency medicine pharmacists and pharmacotherapy has not had its own platform to present the latest evidence and issues facing emergency medicine pharmacy, until now.  The EmpoweRx Conference, to be held in concurrently with the SAEM Annual Meeting, is designed by practicing emergency medicine pharmacists. The program will include a multidisciplinary and multispecialty […] The post Episode 95. “You’re Breaking my Heart”: Acute Coronary Syndrome appeared first on The Pharm So Hard Podcast.

The post Episode 94. ‘If You Ain’t First, You’re Last’: Adenosine Vs. Calcium Channel Blockers for SVT appeared first on The Pharm So Hard Podcast.

EMPoweRx Conference The Society for Academic Emergency Medicine is pleased to host EMPoweRx at SAEM23. The Emergency Medicine Pharmacotherapy with Resuscitation (EMPoweRx) Conference is an annual international, multidisciplinary conference dedicated to celebrating advancements in research and practice of emergency medicine pharmacotherapy. While still new, emergency medicine pharmacists and pharmacotherapy has not had its own platform […] The post Episode 93. Alternative Dosing Strategies for N-acetylcysteine in Acetaminophen Overdose appeared first on The Pharm So Hard Podcast.

EMPoweRx Conference The Society for Academic Emergency Medicine is pleased to host EMPoweRx at SAEM23. The Emergency Medicine Pharmacotherapy with Resuscitation (EMPoweRx) Conference is an annual international, multidisciplinary conference dedicated to celebrating advancements in research and practice of emergency medicine pharmacotherapy. While still new, emergency medicine pharmacists and pharmacotherapy has not had its own platform […] The post Episode 92: EMPoweRx Conference And PACUPrep Updates appeared first on The Pharm So Hard Podcast.

Start Training for BCEMP Try out our 20 question quiz and win coffee for a week The post Episode 91. The Story of the BCEMP appeared first on The Pharm So Hard Podcast.

The post Episode 90. Pharmacist Medication Administration with Ryan Feldman appeared first on The Pharm So Hard Podcast.

Trasncript The post Episode 89.  Rocking the Roc! The Reversal of NMBA for Neuro Exam with Sara Hyland appeared first on The Pharm So Hard Podcast.

The post Episode 88. Review of the AHA 2022 Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage appeared first on The Pharm So Hard Podcast.

Transcript The post Episode 87. Teaching out Loud! Precepting during Medical Emergencies with Jason Mordino and David Hughes appeared first on The Pharm So Hard Podcast.

Monkeypox Show Notes Situation In May 2022, the World Health Organization reported on a rapidly spreading outbreak of Monkeypox infections outside of Africa into non-endemic countries First reported case in the United States was May 18, 2022 At of the time of this recording, nearly all states have reported at least one case with the […] The post Episode 86: Monkeypox with Oscar Santalo and Theora Canonica appeared first on The Pharm So Hard Podcast.

The post Episode 85. Pharm So Hard Phun in the Sun: Top 10 drugs of Trauma with Nicholas DeFilippo and Nicholas Filk appeared first on The Pharm So Hard Podcast.

LVAD emergencies expert consensus ISHLT LVAD guidelines Transcript The post Episode 84. LVAD Emergencies with Raphaelle Lombardo, PharmD, BCPS appeared first on The Pharm So Hard Podcast.

https://pubmed.ncbi.nlm.nih.gov/31655681/ https://pubmed.ncbi.nlm.nih.gov/34133829/ https://pubmed.ncbi.nlm.nih.gov/31999248/ The post Episode 83. Pharm So Hard Phun in the Sun: Violence Reduction with Michael Clery, MD and Keneeshia Williams, MD appeared first on The Pharm So Hard Podcast.

Related FOAM https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4143473/ https://www.tamingthesru.com/blog/intern-therapeutics/dental-infections-to-treat-or-not-to-treat The post Episode 82. Oral and Facial Infection Management with Christian Kroll and Megan Klatt appeared first on The Pharm So Hard Podcast.

The post Episode 81. The Blessing of Vancozyn! The Association of Vancomycin and Zosyn in AKI appeared first on The Pharm So Hard Podcast.

The post Episode 80. Pharm So Hard Interview with Kelsea Caruso, PharmD of Northwestern University appeared first on The Pharm So Hard Podcast.

The post Episode 79. Stop the flex with Precedex: The Use of Dexmedetomidine for Procedural Sedation appeared first on The Pharm So Hard Podcast.

The post Episode 78. Management of Ventricular Tachycardia in the ED by LANCE RAY, PHARMD, BCPS appeared first on The Pharm So Hard Podcast.

The post Episode 77. Phun in the Sun Denver: Burnout with Andy Kim, Lance Ray, and Tony Mixon appeared first on The Pharm So Hard Podcast.

The post The Utilization of Tranexamic Acid in Trauma Patients by Ruben Santiago, PharmD appeared first on The Pharm So Hard Podcast.

Huge thanks to Podcorn for sponsoring this episode. Explore sponsorship opportunities and start monetizing your podcast by signing up here: https://podcorn.com/podcasters/ The post Episode 75. Alteplase vs Tenecteplase for Ischemic Stroke by Jim Priano appeared first on The Pharm So Hard Podcast.

Urinary tract Infections Epidemiology In the United States, urinary tract infection is the most common bacterial infection. It has about more than 8 million visits yearly. UTI is more common in women in which 50% will experience it in their lifetime. Women are 6 times more affected than men. Antibiotic is its main treatment. 15% […] The post Episode 74. Peeing in the wind: The Management of UTI in the ED appeared first on The Pharm So Hard Podcast.

Introduction Pharmacology What does the Anesthesia Textbook Say? Evidence The post Episode 73. Etomidate for RSI in the Seizing Patient by Jimmy Pruitt appeared first on The Pharm So Hard Podcast.

Migraine is a common episodic disorder, the hallmark of which is a disabling headache generally associated with nausea and/or light and sound sensitivity For moderate to severe migraine attacks not associated with vomiting or severe nausea, oral migraine-specific agents are first-line, including oral triptans  Patients who present with migraine in emergency settings generally have unusually […] The post Episode 72. Its all in your head! Management of Headaches in the ED appeared first on The Pharm So Hard Podcast.

Alcohol withdrawal syndrome (AWS) is a disease commonly treated in the emergency department, with~5% of cases leading to delirium tremens. In patients with a history of AWS, decreased GABA-A receptor sensitivity to GABA agonists may causebenzodiazepine (BZD) monotherapy to be ineffective. Patients may experience increase in morbidity and mortality due to escalated doses of benzodiazepines. […] The post Episode 71. Pushing P! Phenobarbital for Alcohol Withdrawal Syndrome appeared first on The Pharm So Hard Podcast.

Nephrolithiasis: Diagnosis and Management in the ED The post Episode 70. Management of Renal Colic with Christian Kroll appeared first on The Pharm So Hard Podcast.

https://www.google.com/search?q=overnight+clinical+pharmacy&rlz=1C1GCEB_enUS930US930&oq=overnight+clinical+pharmacy+&aqs=chrome..69i57j69i61.6280j0j4&sourceid=chrome&ie=UTF-8 https://www.indeed.com/q-Overnight-Clinical-Pharmacist-jobs.html?vjk=f3b3aac7f63ea61a https://www.tldrpharmacy.com/content/how-to-survive-your-first-overnight-pharmacist-shifts The post Episode 69. Ditching the 9 to 5: Overnight Clinical Pharmacy Positions appeared first on The Pharm So Hard Podcast.

Resources to review https://www.ahrq.gov/topics/disparities.html https://www.cdc.gov/healthyyouth/disparities/index.htm https://www.ajmc.com/view/5-things-about-medical-mistrust https://www.commonwealthfund.org/publications/newsletter-article/2021/jan/medical-mistrust-among-black-americans The post Epsiode 68. Disparities in Healthcare with Juvarez Ogbuneke, MD appeared first on The Pharm So Hard Podcast.

Additional Readings https://pubmed.ncbi.nlm.nih.gov/23290189/ https://pubmed.ncbi.nlm.nih.gov/29182799/ https://pubmed.ncbi.nlm.nih.gov/29321114/ https://pubmed.ncbi.nlm.nih.gov/28025241/ https://pubmed.ncbi.nlm.nih.gov/28689842/ https://pubmed.ncbi.nlm.nih.gov/22909281/ https://pubmed.ncbi.nlm.nih.gov/24986928/ Related FOAM Posts The post Episode 67. A Sticker for You! Pediatric Asthma Management with Dr. Allen appeared first on The Pharm So Hard Podcast.

Here is The Reinhartz Rundown: https://zcu.io/dJ5y Follow Mobile Health Consultants at: https://www.mobilehealthconsultants.com/ https://www.linkedin.com/company/mobilehealthconsultants Dr. Victoria Reinhartz at: https://www.linkedin.com/in/victoriareinhartz/ Transcription The post Episode 66. From CVS to EMS! Paramedicine and Mobile Integrated Health with Victoria Reinhartz, PharmD appeared first on The Pharm So Hard Podcast.

PROPOFOL Effect: Sedation and amnesia but does not elicit analgesic properties Initial Bolus Dosing (IV): 1 mg/kg Titration: 0.5 mg/kg every 3-5 min as needed Onset of Action IV: Fast  (30-60 seconds) Duration of Action: Short (5-10 minutes) Adverse Effect: Respiratory depression and hypotension Ketamine Effect: Unique procedural sedation agent, dissociative agent that creates a […] The post Episode 65. Let’s Take A Timeout! Procedural Sedation with Quinn Cummings and Benjamin Jackson appeared first on The Pharm So Hard Podcast.

The post Episode 64. Coadministration of Benzodiazepines and Olanzapines for Acute Agitation appeared first on The Pharm So Hard Podcast.

Phorcas is ripping off our students and residents with this major glitch they’ve had. I’ve had many candidates reach out since phorcas is telling them “idk what happen have the program email use”. If a candidate doesn’t have all the info in the app, it may not be there fault. — Jimmy L. Pruitt III, […] The post Is PhORCAS really Trash? Recent PhORCAS Glitch and What To Do appeared first on The Pharm So Hard Podcast.

Vallentin MF, Granfeldt A, Meilandt C, et al. Effect of Intravenous or Intraosseous Calcium vs Saline on Return of Spontaneous Circulation in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial. JAMA. 2021 Nov 30. doi: 10.1001/jama.2021.20929. PMID: 34847226 P: Adult patients with out of hospital cardiac arrest who received at least one dose of epinephrine.  I: 5 […] The post Episode 62. The COCA Trial Review and Calcium in Cardiac Arrest appeared first on The Pharm So Hard Podcast.

The EM Pharmacy Project & Publications ROLLIN J. FAIRBANKS, DANIEL P. HAYS, DAVID F. WEBSTER. Clinical pharmacy services in an emergency department . 2004 Researching the use of Emergency Pharmacists in the ED Medical and nursing staff highly value clinical pharmacists in the emergency department. 2007 Strategies for implementing emergency department pharmacy services: results from […] The post Episode 61. The Origin of Modern EM Pharmacy. The EM Pharmacy Project with Terry Fairbanks and Nicole Acquisto appeared first on The Pharm So Hard Podcast.

Rachel Rafeq: https://www.cooperhealth.edu/allied-health/PGY2-EM-Pharmacy-Residency/leadership Megan Musselman: https://www.nkch.org/residency-programs/pharmacy-residency/pgy-2/ Bathany Crouse: https://my.clevelandclinic.org/locations/akron-general/medical-professionals/medical-education/graduate/pharmacy#emergency-medicine-pharmacy-residency-tab The post Episode 60. Building the Perfect Program: PGY2 RPD panel on Starting Program and Recruiting Residents appeared first on The Pharm So Hard Podcast.

The post Episode 59. The Management of Hypokalemia in Cardiac Arrest by Jimmy Pruitt appeared first on The Pharm So Hard Podcast.

The post Episode 58. Do A Residency Or Not To Do A Residency? A Guide On Landing Your Dream Job appeared first on The Pharm So Hard Podcast.

In this episode of Pharm So Hard, Jimmy Pruitt, PharmD, BCPS, BCCCP, and Craig Cocchio, PharmD, DABAT discuss his position at High Yields Med Reviews and how his recent experience of being a patient has changed him professionally. Residency Candidate Scorecard The post Episode 57. Provider to Patient Experiences Catching up with Craig Cocchio, PharmD, DABAT appeared first on The Pharm So Hard Podcast.

Listen Here: The post Episode 56: Stop Horsing Around! The Use of Ivermectin for COVID-19 with ID Pharm Panel Alaina Dekerlegand, Meshell Maxam, and Theora Canonica appeared first on The Pharm So Hard Podcast.

The post Episode 55. Vasopressin and the VAM-IHCA Study with Christian Kroll and Jimmy Pruitt appeared first on The Pharm So Hard Podcast.

The post Episode 54. Pharm So Hard Spotlight & 2 Year Anniversary with Joshua Kiptoo, Dan Giddings, and Christian Kroll appeared first on The Pharm So Hard Podcast.

Looking for our premium material ? Head over to the PACU at Pharmacy-Acutecareuniversity.com The post Episode 53. I Love These Jeans! Pharmacogenomics with Amanda Elchynski appeared first on The Pharm So Hard Podcast.

Introduction 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.

The post Episode 51. Beta-Blocker Use in Cocaine Induced Chest Pain appeared first on The Pharm So Hard Podcast.

Tocilizumab and Baricitinib Mechanisms of Action COVID-19 Pathogenesis: Late COVID-19 Joost Wiersinga W. eta al. JAMA Review 2020 doi:10.1001/jama.2020.12839 The Road to COVID-19 EUA Approval Tocilizumab 1/8/2010 FDA approval for treatment of moderate to severe rheumatoid arthritis 8/31/2017 FDA approval for treatment of CAR T cell-induced cytokine release syndrome 6/24/2021 EUA authorization for COVID-19 hospitalized […] The post Episode 50. The Immune System Needs to Calm Down: Pharmacologic Management with Tocilizumab and Baricitinib appeared first on The Pharm So Hard Podcast.

Episode Summary: In this episode of Pharm So Hard, Jimmy Pruitt, PharmD, BCPS, BCCCP discuss the pharmacotherapy of cannabinoid hyperemesis syndrome. The post Episode 49. Stay off the Weed! The Pharmacologic Management of Cannabinoid Hyperemesis Syndrome appeared first on The Pharm So Hard Podcast.

Questions asked throughout the episode Can you describe pathophysiology of elevated ICP or cerebral edema? Important to understand that elevated ICP and CE can happen together, or they can happen independently of each other, or one can happen and lead to the other Certain neurologic injuries may cause one specific type of CE during the […] The post Why Are You So Salty! Intracranial Pressure Reduction with Morgan Jones appeared first on The Pharm So Hard Podcast.

Introduction Insulin with dextrose is an effective method to lower potassium levels quickly in acute hyperkalemia Literature shows ranges of potassium reduction by 0.5-1.0 mEq after administration of a single dose. Patients with renal insufficiency and end-stage renal disease (ESRD) have a higher incidence of hypoglycemia after treatment with insulin for hyperkalemia due to: Reduced […] The post Episode 47. I Plead the Fifth! 5 vs 10 units of Insulin for Hyperkalemia appeared first on The Pharm So Hard Podcast.

Episode Summary Podcast Script Intro 0-3:17 EKG 3.21-8.24 IV Access Skills 8:29-18:14 Meds We Don’t Need 18:17-28:50 Trauma and MTP 28:43-41:36 Connect with Brian Cox and Oak Road Brewery https://www.oakroadbrewery.com/ Visit Pharmacy-Pearls.com for data on Calcium in trauma, PPI for GI bleeds, and more The post Episode 46. Do Better! How to Become a Super Nurse in the ED with Brian Cox, RN appeared first on The Pharm So Hard Podcast.

Introduction Crotalid envenomation’s can cause a broad range of adverse effects, including local tissue, hematologic, and/or systemic effects including shock and life-threatening bleeding. Use symptom progression such as swelling beyond 1 major joint or hematologic effects (decreased fibrinogen, thrombocytopenia, or increased PT) as an indicator for initial or additional doses of antivenom. Identification of the […] The post Episode 45. Staying Fabulous with Fabs: Pharmacologic Management of Snake Bites with Crofab and Anavip appeared first on The Pharm So Hard Podcast.

Series Title: Keeping Up With COVID-19 Part 2:  Revisiting Remdesivir Situation (Jimmy) .We are over a year into this pandemic and we have only one FDA approved medication for the treatment of COVID-19: Remdesivir. The purpose of this episode is to briefly review the role of Remdesivir in the treatment of COVID with a focus […] The post Episode 44. Keeping Up With COVID-19: Revisiting Remdesivir with Theora Canonica, Pharm D appeared first on The Pharm So Hard Podcast.

References Kcentra (prothrombin complex concentrate [Human]) [package insert]. Kankakee, IL: CSL Behring LLC; 2013. Tomaselli, Gordon F., et al. “2017 ACC expert consensus decision pathway on management of bleeding in patients on oral anticoagulants: a report of the American College of Cardiology Task Force on Expert Consensus Decision Pathways.” Journal of the American College of […] The post Episode 43: Put It in Reverse Terry! Fixed-Dosed Kcentra for Vitamin K Antagonist Reversal appeared first on The Pharm So Hard Podcast.

Residency Panel Sarah Cummings PharmD: Purdue PGY1: Thomas Jefferson University Hospital PGY2 EM 2020-21: UC Davis Britany Byrkit PharmD: Wingate PGY1: Vidant Medical Center PGY2 EM 2020-21: MUSC Health Tramauni E. Brock PharmD: Texas Southern University PGY1: MUSC Health PGY2 HSPAL: MUSC Health Kailey Denny PharmD: University of Mississippi School PGY1: Froedtert PGY2 EM 2021-22: […] The post Episode 42. Residency Here I Come! The Pharm So Hard Residency Panel appeared first on The Pharm So Hard Podcast.

Why this topic important? Accidental injury is the most common cause of death in the United States in individuals between the ages of 1 and 45 Falls are the most common reasons for hospital admissions in this older age group and account for 87% of fractures. Open fractures are high-energy injuries with an increased risk […] The post Episode 41: Scratch the Gent! Antibiotics for Open Fractures with Rob O’Connell appeared first on The Pharm So Hard Podcast.

Background For continued growth and development, hospital pharmacist would benefit from leadership training Pharmacy schools provide some administrative training Hospital pharmacist may one day want to become a clinical or operations manager With an increase in residency programs, a leadership path may be more difficult for those who did not complete a residency   Just […] The post Episode 40: Leveling Up As a Clinical Staff Pharmacist by oscar Santalo and Jimmy Pruitt appeared first on The Pharm So Hard Podcast.

Show Notes 0:25 Introduction 2:30 The importance of ultrasound-guided peripheral nerve blocks 3:49 Overview of ultrasound-guided peripheral nerve blocks 4:40 What are the training and credential required to perform ultrasound-guided peripheral nerve blocks 7:58 What does the data say about the efficacy and safety of ultrasound-guided peripheral nerve blocks 12:59 What are the most common […] The post Episode 39: Welcome to the Block Shop! Regional Anesthesia with Drs. Shah, CUmmings, Oliva, and Moake appeared first on The Pharm So Hard Podcast.

Show Timestamps 1:14 Review of previous episodes of the series2:40 Pharmacy Friday Pearls3:24 EMPoweRx Conference5:28 Cardiac Arrest Patho of Acidosis6:04 Why have we been using sodium bicarbonate7:08 Adverse Effects of sodium bicarbonate9:29 History of sodium bicarbonate for ACLS10:17 Bishop et al study11:45 Wang et al study12:26 Ahn et al13:18 Kwano et al14:37 Wu et al16:31 […] The post The beef with Bicarb Part 3. The Use of Sodium Bicarbonate in Cardiac Arrest by Jimmy Pruitt appeared first on The Pharm So Hard Podcast.

https://www.pharmacy-pearls.com/course/proton-pump-inhibitors-ppis-for-the-management-of-upper-gi-bleed The post Episode 37: Never use a PPI Infusion Again! PPI for Upper GI Bleed appeared first on The Pharm So Hard Podcast.

https://pharmacy-friday.webflow.io/course/ace-inhibitor-induced-angioedema The post Episode 36. Pharmacy Friday Pearl: ACE Inhibitor-Induced Angioedema appeared first on The Pharm So Hard Podcast.

Lyrics Brain to Vein  Hook All you gotta do is try to maintain Cause we taking that thang ……. (straight from where) brain to vein All you got to is make sure you treat the pain, Cause we taking that thang ……. (straight from where) brain to vein All you got to do is not […] The post Taking it Brain to Vein by PharmD_intheeD appeared first on The Pharm So Hard Podcast.

Importance of Meetings •Establishes alignment: allows for discussion of complex issues and for the team to get on the same page. Helps leaders make better decisions when gaining insight from the team • Builds stronger relationships: free-flowing ideas and personal interaction which can increase work success and productivity. Information exchange: Communicate company updates and process […] The post Episode 35: Why Meetings Fail with Oscar Santalo appeared first on The Pharm So Hard Podcast.

Pathophysiology of acidosis in DKA The unfavorable combination of insulin resistance and counter-regulatory hormones leads to the release of free fatty acids (FFA) from adipose tissue via lipolysis and decreased lipogenesis, which ultimately results in ketogenesis and the production of beta-hydryoxybutyrate and acetoacetate. Overproduction of these strong ketoacids leads to excessive hydrogen ion production upon […] The post Episode 34: The Beef with Bicarb Part 2: The Use of Sodium Bicarbonate for Diabetic Ketoacidosis appeared first on The Pharm So Hard Podcast.

Send up topics for the next Monthly Trap Up The post Episode 33: The Monthly Trap UP aka Wrap up with Jimmy Pruitt and Oscar Santalo appeared first on The Pharm So Hard Podcast.

In this episode of Pharm So Hard, Oscar Santalo PharmD, MBA, MHA, BCPS with his learners Deanna Cordero Da Silva and Brandon Del Carpio PharmD 2021 candidates from the University of Florida School Of Pharmacy discuss Lean Thinking & Time Management. The post Episode 32: Lean Thinking & Time Management in Pharmacy With Oscar Santalo appeared first on The Pharm So Hard Podcast.

Introduction Sodium bicarbonate was previously recommended for hyperkalemia treatment and was once considered a first-line agent for the transcellular shift. Studies evaluating the beneficial effects of sodium bicarbonate used an isotonic infusion commonly  ~ 150 mEq/ 1000ml Hypertonic sodium bicarbonate or “amp of bicarb” has an osmolality of 2000 mOsm, about 7x higher than plasma. […] The post EPISODE 31: The Beef with Bicarb! The Use of Sodium Bicarbonate in Hyperkalemia with Jimmy Pruitt appeared first on The Pharm So Hard Podcast.

Related FOAM Posts http://www.tamingthesru.com/blog/2020/1/24/hypocalcemia-in-trauma The post Episode 30: Hypocalcemia Resulting from Trauma & Blood Product Transfusion appeared first on The Pharm So Hard Podcast.

Why did I make this episode? Family Friends Co-Workers Why I wasn’t going to get the COVID Vaccine Skeptical of The speed at which the vaccine was produced Unfamiliarity with the mRNA Technology used Efficacy in patient-oriented outcomes Safety of the untested vaccine Questions that I needed to answer Who was influencing my thoughts on […] The post Episode 29: I wasn’t going to get the COVID Vaccine until I answered these questions by Jimmy Pruitt appeared first on The Pharm So Hard Podcast.

Related FOAM Posts https://www.samhsa.gov/medication-assisted-treatment https://www.samhsa.gov/medication-assisted-treatment/medications-counseling-related-conditions http://www.tamingthesru.com/blog/iii-recaps/buprenorphin-a-helping-hand https://www.acep.org/opioids/ The post Episode 28: Buprenorphine Medication-Assisted Therapy (MAT) for Opioid Use Disorder wIth Dan McCollum and RJ LaCoursiere appeared first on The Pharm So Hard Podcast.

Definitions What is an HSPA Residency  The Health-System Pharmacy Administration and Leadership (HSPA-L) Residency is a 24-month post- Doctor of Pharmacy training program. The PGY1 and PGY2 years are designed to flow seamlessly together, with no need to re-apply or participate in the early commitment process. Background (ASHP) discerns leadership as an executive obligation to […] The post Episode 27: Survey of Health-System Pharmacy Administration & Leadership Residencies appeared first on The Pharm So Hard Podcast.

Jimmy’s Acute Agitation Guide Disclaimer This site is not meant to replace the judgement of healthcare professionals, and the information presented on this site does not represent the views or practices of the institution or professional organizations of the author. This information is not meant to be all inclusive nor medical advice, and individuals should […] The post Episode 26: The B52 is Trash! Going from the B52 to the 55 Blitz with Dan McCollum. appeared first on The Pharm So Hard Podcast.

Situation Situation Pantoprazole 80 mg in NS 100 mL drip is being used for GI Bleeds due to ulcers Problem: Evidence not being clear on optimal dosing strategy Opportunity to: Standardize dosing strategies for upper and lower GI bleeds Follow best practice strategies Background Dosing Strategies for GI Bleeds Bleeding ulcer: Note: For clinically significant […] The post Episode 25: Pantoprazole Continuous infusion vs Intermittent Bolus Formulary Nugget by Oscar Santalo appeared first on The Pharm So Hard Podcast.

The post Episode 24: Procainamide for Stable Wide Complex Tachycardia appeared first on The Pharm So Hard Podcast.

The EM Pharmacist Research Project Website http://www.medicalhf.org/epharm/index.html https://www.ashp.org/-/media/assets/pharmacy-practice/resource-centers/emergency-care/Justification-referenced-document.ashx Link to EM Basic http://embasic.org/ What Can EM Pharmacists Do? Impact of emergency medicine clinical pharmacists on clinical outcomes The financial impact of emergency medicine clinical pharmacist program Other Resources https://www.healthleadersmedia.com/clinical-care/using-clinical-pharmacists-improve-your-emergency-department https://www.acep.org/patient-care/policy-statements/clinical-pharmacist-services-in-the-emergency-department/ https://pharmertoxguy.files.wordpress.com/2016/07/what-your-ed-pharmacist-wishes-you-knew-handout-hayes-aaem-2016.pdf The post Episode 23: How Physicians Can Best Utilize EM Pharmacists appeared first on The Pharm So Hard Podcast.

Bryan Hayes Resources https://pharmertoxguy.com/ Resources for EM Pharmacist https://www.ashp.org/Pharmacy-Practice/Resource-Centers/Emergency-Care https://www.ashp.org/news/2019/06/06/emergency-medicine-certificate?loginreturnUrl=SSOCheckOnly REQUIRED COMPETENCY AREAS, GOALS, AND OBJECTIVES FOREMERGENCY MEDICINE POSTGRADUATE YEAR TWO (PGY2)PHARMACY RESIDENCIES https://www.ashp.org/-/media/assets/professional-development/residencies/docs/pgy2-emergency-medicine-cago-2018.ashx https://www.bpsweb.org/wp-content/uploads/Emergency-Medicine-Petition-BPS-2019.pdf Emergency Medicine Pharmacy Residencies Position Statement From Professional Organizations on EM Pharmacist ASHP Guidelines https://www.ashp.org/-/media/assets/policy-guidelines/docs/guidelines/emergency-medicine-pharmacist-services.ashx ACMT Position Statement https://www.acmt.net/_Library/Positions/ACMT_Position_Pharmacists.pdf ACEP Position https://www.acep.org/patient-care/policy-statements/clinical-pharmacist-services-in-the-emergency-department/ The post Episode 22. History and Outlook of EM Pharmacy with Bryan Hayes, PharmD, DABAT, FAACT, FASHP appeared first on The Pharm So Hard Podcast.

Objectives Recognize the process of recruitment Understand the methods of candidate selection Review the components of staff retention Components of Recruitment Position description Sources Pre-interview information Position Description Examples Position title, control number Duties, responsibilities, job functions Licensure, education, training requirements Reporting relationships Other specifications Recruitment Sources Depend on position type > Recruitment planInternal applicants […] The post Episode 21. We Belong Together – How to Interview like a boss with Oscar Santalo and Jonathan Richardson appeared first on The Pharm So Hard Podcast.

Background Out-of-hospital tracheal intubation is an accepted practice that has increased in frequency due to advancements in aeromedical technology and transport. A flight nurse, sometimes referred to as a transport nurse, is an RN who is specially trained to provide medical care to patients during aircraft transportation. As part of a team that usually includes flight […] The post Episode 20: RSI From the Sky: Caring for Intubated Patients as a Flight Nurse with Everett Moss II, BSN, RN, NRP appeared first on The Pharm So Hard Podcast.

Background In 2003 – 2014 inpatient hospital costs ranged from $3,018 to $5,040 per admission for a primary DVT diagnosis Average DVT LOS can range from 4.9 – 7 days Recurrent VTE that requires readmission could be up to 48% more costly than the initial event Protocols for outpatient DVT management found a cost reduction […] The post Episode 19: Early ED Discharge in Patients with low-risk VTE with DOACs with Jimmy Pruitt and Oscar Santalo appeared first on The Pharm So Hard Podcast.

Background More than 3,000 species of snakes are identified worldwide, with nearly 800 species considered venomous. All venomous species are classified taxonomically into one of 4 general groups. These include the families Viperidae, Elapidae, and Colubridae, as well as the Atractaspidinae, a subfamily of the Lamprophiidae family. The United States is home to nearly 30 […] The post Episode 18: The Management of Snake Bites with Craig Cocchio, PharmD, DABAT appeared first on The Pharm So Hard Podcast.

Definitions Benchmarking – Finding and implementing the best practices.  Health-system administrators are turning to benchmarking vendors for help in improving operational performance Efficiency – Avoiding waste or maximizing possible outputs from a set of resource inputs Productivity – defined as the efficient use of resources, labor, capital, land, materials, energy, information, in the production of […] The post Episode 17: Do You Even Lift – Looking At The Metrics Used For External Benchmarking with Oscar Santalo and Joanna Longueira appeared first on The Pharm So Hard Podcast.

Definitions Benchmarking – Finding and implementing the best practices.  Health-system administrators are turning to benchmark vendors for help in improving operational performance Efficiency – Avoiding waste or maximizing possible outputs from a set of resource inputs Productivity – defined as the efficient use of resources, labor, capital, land, materials, energy, information, in the production of […] The post Episode 16: How Much Do You Bench? An Overview on External Benchmarking with Oscar Santalo and Joanna Longueira appeared first on The Pharm So Hard Podcast.

What is COVID-19 COVID-19 is a new strain of coronavirus first identified in December 2019 in Wuhan, China The disease was initially named Coronavirus disease 2019 (COVID-19). The virus has since been renamed Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) which is why you may see different names for it. It is Related to the prior […] The post Episode 15: Keeping Ahead of Coronavirus. Helpful Information During the COVID-19 Pandemic With Alaina Dekerlegand, PharmD, BCIDP appeared first on The Pharm So Hard Podcast.

Download Pharmacy Friday Pearl Handout Introduction Acute heart failure (AHF) is a common underlying cause for dyspnea in patients presenting to EDs around the globe.1-2  SCAPE is a subset of hypertensive heart failure which develops rapidly due to an abrupt increase in catecholamine release, subsequently leading to increased pulmonary capillary permeability and flooding of alveolar […] The post Episode 14: High-Dose Nitroglycerin for Sympathetic Crashing Pulmonary Edema (SCAPE) with Rachel Wein, PharmD, BCPS appeared first on The Pharm So Hard Podcast.

Questions for Dan Hu Can you descript how you got interested in evaluating pharmacy students for residency? What are some of the current challenges of evaluating students in the current model? Can you summarize your publication “ A Screening Tool to Identify Qualified Pharmacy Residency Candidates” What are some strategies that schools and university of […] The post Episode 13: Assessing Pharmacy Candidates for Pharmacy Residency Programs with Dan Hu appeared first on The Pharm So Hard Podcast.

Definition Merger & Acquisition – defined as the consolidation of companies. Differentiating the two terms, Mergers is the combination of two companies to form one, while Acquisitions is one company taken over by the other Background Throughout the 1990s, mergers and acquisitions were prominent in the healthcare sector. After a drastic decline in the early […] The post Episode 12. Mergers and Acquisitions with Oscar Santalo PharmD, MBA, MHA, BCPS appeared first on The Pharm So Hard Podcast.

In this episode of the Pharm So Hard Podcast, Jimmy Pruitt PharmD, BCPS discusses with Ruben Santiago, Pharm.D., BCPS, BCCCP the role of an ED Pharmacist as part of a trauma team. The post Episode 11: The Role of an ED Pharmacist as Part of the Trauma Team with Ruben Santiago, Pharm.D., BCPS, BCCCP appeared first on The Pharm So Hard Podcast.

Definitions Formulary medication – A determination that the medication is “appropriate for routine use” in select patient populations Per 2008 ASHP Guidelines on the Pharmacy and Therapeutics Committee and the Formulary System Pharmacy and Therapeutics (P & T) Committee – establishes policy development, communication, education, and formulary management Background How most hospital/health systems define formulary […] The post Episode 10. Formulary Management with Oscar Santalo appeared first on The Pharm So Hard Podcast.

In this episode on The Pharm So Hard Podcast, Jimmy Pruitt, PharmD, BCPS discusses the treatment of symptomatic hyponatremia using hypertonic saline. The post Episode 9: The Treatment of Symptomatic Hyponatremia with Hypertonic Saline with Jimmy Pruitt appeared first on The Pharm So Hard Podcast.

In this episode on The Pharm So Hard Podcast, Jimmy Pruitt, PharmD, BCPS and Ashley & Brooke Barlow PharmD, BCPS discuss growing up as twins, making quality infographics, ASHP Midyear, and the pursuit of residency training. The post Episode 8: The Transition from Pharmacy School to Residency with the Pharmacy Twins Ashley & Brooke Barlow appeared first on The Pharm So Hard Podcast.

ED Pharmacist Project Links http://www.medicalhf.org/epharm/index.html https://www.ahrq.gov/downloads/pub/advances2/vol4/Advances-fairbanks_20.pdf https://www.ashp.org/-/media/assets/pharmacy-practice/resource-centers/emergency-care/Justification-referenced-document.ashx https://www.ahrq.gov/news/newsroom/case-studies/cquips0802.html ASHP ED Pharmacy Resources https://www.ashp.org/Pharmacy-Practice/Resource-Centers/Emergency-Care/Articles-and-Guidelines/Establishing-Emergency-Medicine-Pharmacy-Services-and-Medication-Safety https://www.ashp.org/Pharmacy-Practice/Resource-Centers/Emergency-Care/Articles-and-Guidelines The post Episode 7: Implementing and Expanding ED Clinical Pharmacy Services with Nicole Acquisto appeared first on The Pharm So Hard Podcast.

Definition Opioid Sparing – providing multi – modal medications that limit the use and supply of opioids Opioids – a class of drugs that act in the nervous system to produce feelings of pleasure and pain relief. Opioid Addiction – a long-lasting (chronic) disease that can cause major health, social, and economic problems. Opioid and Pain […] The post Episode 6: Opioid Stewardship Part 2 with Oscar Santalo and Olga Ivanova appeared first on The Pharm So Hard Podcast.

Definitions Opioid Sparing – providing multi – modal medications that limit the use and supply of opioids Opioids – a class of drugs that act in the nervous system to produce feelings of pleasure and pain relief. Opioid Addiction – a long-lasting (chronic) disease that can cause major health, social, and economic problems. Opioid and Pain […] The post Episode 5: Opioid StewardshipPart 1 with Oscar Santalo and Olga Ivanova appeared first on The Pharm So Hard Podcast.

Dosing Supraventricular tachycardia adenosine 6 milligrams (mg) may be given over 1 to 2 seconds followed by a 20 milliliter (mL) rapid saline flush. If there is no response in 1 to 2 minutes, a 12 mg IV bolus dose may be repeated twice followed by saline flushes  Mechanism of Action Slows impulse formation in […] The post 5-Minute Pharmacy Pearl: Single Syringe of Diluted Adenosine for Termination of SVT appeared first on The Pharm So Hard Podcast.

Episode 4 Description: In this episode of Pharm So Hard, Oscar Santalo PharmD, MBA, MHA, BCPS with his learner Darla Quevedo PharmD 2021 candidate from the University of Florida School Of Pharmacy discuss drug trends for 2019 – 2020.  Here they discuss the Top 25 drugs by expenditures in nonfederal hospitals in 2018, the rise […] The post Episode 4: Drugs Trends in Pharmacy with Oscar Santalo and Darla Quevedo appeared first on The Pharm So Hard Podcast.

In this episode of Pharm So Hard, Jimmy Pruitt, Pharm.D and Kyle Hultz, Pharm.D discuss the excitement and the challenges of transitioning from residency to the role of an emergency medicine clinical pharmacist. The post Episode 3: Transitioning from Resident to EM Pharmacy Practitioner with Kyle Hultz appeared first on The Pharm So Hard Podcast.

Coagulation factor Xa [recombinant], inactivated-zhzo ( Andexxa ) Mechanism of Action Andexanet alfa binds and sequesters the FXa inhibitors rivaroxaban and apixaban. In addition, andexanet alfa inhibits the activity of Tissue Factor Pathway Inhibitor (TFPI), increasing tissue factor-initiated thrombin generation. Reference & Additional Readings Connolly SJ et al. Full Study Report of Andexanet Alfa for […] The post Episode 2: Factor Xa Inhibitor Reversal Using Andexxa with Gary Peksa appeared first on The Pharm So Hard Podcast.

Pharmacology Agent Apixaban Rivaroxaban Warfarin Dabigatran Mechanism of Action Factor Xa Inhibitor Factor Xa Inhibitor Inhibitor of Vitamin K dependent clotting factors (II, IX, VII, and X) Direct thrombin inhibitor Tmax 3–4 2–4 4 1.25–3 1/2 Life 12 5-9 40 12-17 Elimination Renal (27% unchanged drug) Renal (36% unchanged drug) Renal, primarily as metabolites Renal […] The post Episode 1: Factor Xa Inhibitor Reversal Using PCC with Brian Gilbert appeared first on The Pharm So Hard Podcast.