Thread by @ChillaPharmD

🚨Emergency Medicine Pearls 2019
@ASHP_EMPharm

(Thread 2 of 3)

#twitterx #emergency #clinicalpearls #EMpearls #ASHP19

RSI Induction Agents in the Setting of Shock: resuscitate before you intubate, optimize BP pre-intubation to buffer against further drops during & after RSI
@KayleighRx

Limited studies have found increased rates of hypotension with our traditionally “hemodynamically neutral” etomidate

Ketamine will not always have a positive impact on BP, particularly in those who are catecholamine depleted

Consider reducing doses of induction agents w soft BP but ensure APPROPRIATE POST INTUBATION ANALGESIA & SEDATION

RSI Induction Agents in the Setting of Shock: key takeaways

Scorpion Antivenom Dosing Strategies in Pediatrics: severe symptoms are more likely in small children
@LouisaPharmD

Treatment of scorpion envenomation varies by grade of envenomation

Scorpion antivenom traditional dosing strategy

New scorpion antivenom dosing strategy

Scorpion Antivenom Dosing Strategies in Pediatrics: key takeaways

Safely & Effectively Pushing Antiepileptics: many advantages of IV push vs IVPB
@SNunezCruz

Fosphenytoin IV push strategy

Lacosamide IV push strategy

Levetiracetam IV push strategy

IV push antiepileptics summary

Propofol in Pts w Egg Allergies: Most pts w egg allergies are actually allergic to egg WHITES
@TallManPharm

Most pts w egg allergy are able to tolerate yolks!

Egg lecithin is in the YOLK of the egg so most pts w egg allergies should be able to receive propofol without issue.

Propofol in Pts w Egg Allergies: key takeaways

Nebulized Naloxone for Opioid OD:
Consider for pts w decreased LOC/RR @PharmDEM

Nebulized naloxone has been found to be effective for opioid OD in spontaneously breathing patients

Nebulized naloxone has been found to be safe for opioid OD in spontaneously breathing patients

How to nebulize naloxone

Nebulized Naloxone for Opioid OD: key takeaways

(Continued in thread 3 of 3)