oh, the life & times of remdesivir! - let's review the bizarre trajectory we've taken with this medication! with emoji's to represent each study 🤣

Looking for a pharmacy residency in NYC? Come meet our team during a virtual informational session. Dates and details with link below. Register here: lnkd.in/dvKiA7iC

There is a viral disease Where most infections are mild, asymptomatic With a very low fatality rate And large age gradient: kids are even lower risk than adults And less than 1% of kids have any serious complications at all Yup Polio And we vaccinate against it

Procalcitonin can be incredibly valuable as a psychological tool to help provider have the courage to do the right thing. It is a biomarker of safety to withhold Abx. People who say it has no value may be trying to use it as a diagnostic. Not it’s use or purpose.

#Omicron is in #BC and provinces across #Canada, and it moves fast. Cases in #ON are doubling every 2-3 days. The need for #RapidTests is greater than ever. One key issue is how well the tests work for individuals and populations. So let’s talk about it. 🧵1/

A retiring neurologist, former division chief, and professor emeritus, was emptying his office. He tells me that he needs to dispose of #medications. After directing him to go to the closest unit to dispose of medications he tells me there are narcotics and he would really /1

Problems with IV Vitamin K for hospitalized patients with #cirrhosis - smallest to biggest 1. Vit K deficiency is rare 2. It does not do anything 3. It sends mixed signals to learners about the meaning of INR in cirrhosis

All masks work, but not equally well. My prioritization continues to be: N95/KF94 (watch for counterfeit KN95s) > surgical > cloth. Also, *context* is key. #1: get vaxxed + boosted (of course I also mentioned ventilation...2x) Thx Kaitlan Collins John Avlon @NewDay CNN

1/17 [Why] is furosemide susceptible to malabsorption from "gut edema"? When a patient with heart failure is hospitalized with congestion I often hear "let's use IV furosemide; they're probably not absorbing the PO." It's a comment unique to furosemide. But is it accurate?

if u survive a plane crash in the middle of nowhere and are foraging for food, please remember that u can impress ur friends by telling them the active metabolite of diazepam is N-desmethyldiazepam

Let’s go ahead and keep the vasopressin chat going, shall we? Let’s talk utilization! We published findings on this in this months volume of Critical Care Medicine 🧵 Seth Bauer Ty Kiser journals.lww.com/ccmjournal/Ful…

NEJM It's a good idea to mention the location of the study for ivermectin trials, since the leading hypothesis is that any effect on COVID is due to clearing concomitant strongyloidiasis: Countries with low strongyloidiasis tend to show no benefit. jamanetwork.com/journals/jaman…

Here’s some interesting lab results: Na 282 mmol/L K 7.3 Cl 290 HCO3 3 BUN 1004 mg/dL Cr <0.1 mg/dL Glu 184 Ca 16.8 Phos 8.8 Anion gap -5.8 Osm 1094 mOsm/Kg Before you flip out & call nephrology, any guesses about what species this blood chemistry comes from?

Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 I will die on this hill

With a crop of new doctors hitting the wards tomorrow, reupping this thread on medication tips and tricks. #TipsForNewDocs

From BMJ . Hilarious note on misspelling of antimicrobials and their new definitions . Aztreoman 😂

4 RCTs published in the last few hours you can’t miss if you work with critically ill patients: #1 Fluids in septic shock #2 Mobilisation and long-term cognitive impairment #3 NIV for extubation of obese patients #4 Nutrition before extubation A thread 🧵👇 #FOAMcc #SCCM2023

Congrats! Look at all the pharmacists! So proud of all of you! ⁦Critical Care Pharmacists⁩ ⁦SCCM Clinical Pharmacy and Pharmacology Section⁩ #sccm2023

NewYork-Presbyterian is now recruiting for one PGY2 Critical Care Residency position! Deadline to apply Monday, February 12 through PhORCAS. nyp.org/professionals/…