Thread by @ChillaPharmD

🚨Emergency Medicine Pearls 2019
@ASHP_EMPharm

(Thread 3 of 3)

#twitterx #emergency #clinicalpearls #EMpearls #ASHP19

Naloxone for Clonidine Toxicity: Dosing & Administration Options (Katherine Ciampa)

Standard Treatments for Clonidine Toxicity- now we can consider naloxone too

Pediatric patients are particularly sensitive to clonidine ingestion mishaps

Give a large dose of naloxone (10 mg) to rule out ineffectiveness

Naloxone for Clonidine Toxicity: key takeaways

Goal-directed Resuscitation in Cardiac Arrest- quality CPR is so important!
@tjomocEM

Goal-directed Resuscitation in Cardiac Arrest: key takeaway

Goal-directed Resuscitation in Cardiac Arrest: key takeaway

Safe Use of Ibutilide in the ED: strong recommendation for use from AFib guidelines (ibutilide is only IV drug recommended, surprise: stronger rec than amiodarone or procainamide!)
@LRayRx

Consider giving Mg prophylactically even if WNL

Ibutilide dosing & administration strategy

Safe Use of Ibutilide in the ED: key takeaway

Droperidol: back again & helpful in multiple situations
@McMahon1491

Aggressive BBW was issued but stemmed from case reports of ADRs after droperidol doses > 50 mg were administered

AAEM: droperidol is safe & effective at low doses

Droperidol: key takeaways

Measles is back too: very contagious with R0= 12-18 (how many ppl typically infected by 1 person)
@Evancomycin87

Many complications can result from measles, particularly in at-risk groups (SO PLEASE VACCINATE)

VACCINATION: THE BEST WAY TO AVOID GETTING MEASLES. Also, various treatment options: IGIM, IVIG, vit A, ribavirin

Measles: key takeaways

Inhaled TXA for Hemoptysis: can consider for non-massive hemoptysis
(Caroline Vizzi)

How to prep TXA for nebulization

TXA for hemoptysis: key takeaways

🚨That was the last clinical pearl. I hope you enjoyed my notes & highlights from the emergency pharmacy clinical pearls 2019 session at #ASHP19 this year. Thanks to all the presenters & @DEZ_EM_Pharm for moderating 🙌🏼