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The ACLS-recommended dosing strategy of 6 mg, 12 mg, and 12 mg for adenosine may not be appropriate in every situation. There are a few instances when lower or higher dosing...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
In an era where evidence-based medicine is the goal, it is vitally important for practitioners to understand how to prioritize and interpret the onslaught of data coming at us. ...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Have you ever had to promise the radiologist that you would arrange emergent dialysis for your end-stage renal disease (ESRD) patient after receiving IV contrast? This myth is even perpetuated...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
How many times have you given your patient IM ceftriaxone for that presumed gonococcal infection? … still counting? Many of us learned (or at least thought we learned) that ceftriaxone has to...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
A 41 y/o m presents to your ED after an occupational exposure to 30% hydrofluoric acid (HF). The thumb and index finger of his right hand were affected. Upon visual...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Opioids are amazingly effective for pain control. Patients on chronic opioids, however, often struggle with constipation. These patients may fail supportive treatment with enemas and laxatives.
Michelle Lin, MD |
Apart from benzodiazepines, the opiate urine drug screens (UDS) are probably the most frequently utilized and misunderstood.
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Let’s be honest. When was the last time results from urine drug screens (UDS) changed your management plan? Many times it takes hours for the patient to give the urine sample anyway....
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
I find it amazing that I know more non-emergency physicians virtually in the social media world rather than in person. Primarily through Twitter, I follow and am followed by medical...
Michelle Lin, MD |
To give or not to give a cephalosporin in penicillin-allergic patients? I remember back to my days in pharmacy school when I learned that there was approximately a 10% risk...
Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP |
Medication error is something that we all fear in Emergency Medicine and do our best to avoid. Here’s a scenario and simple approach for you, provided by Zlatan Coralic, PharmD...
Zlatan Coralic, PharmD |
Continuing on the theme of Toxic Alcohols (osmolal gap, ethylene glycol, methanol), this Paucis Verbis card focuses on isopropyl alcohol toxicity, which is commonly found in rubbing alcohols. In this toxic...
Michelle Lin, MD |
Continuing on the theme of Toxic Alcohols (osmolal gap, ethylene glycol), this Paucis Verbis card focuses on methanol toxicity. Useful are the American Academy of Clinical Toxicologists recommendations on when...
Michelle Lin, MD |
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