6yo 👦 presents to your ED with multiple deep lacs after being attacked by the neighbor's 🐕... He's screaming/crying in pain but wont let the RN get near him for an IV, looking at the 💉 makes him 😭 even harder.

How do you treat the pain?

(Josh)
1/... Consider picking 👃!

How does intranasal drug delivery work?
✅ Capillary rich respiratory mucosa allows 💊 to directly enter the 🩸(systemic circulation)

✅ Olfactory mucosal absorption leads to rapid therapeutic levels in the CSF.

Source:[27397490]
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👋👋 A quick poll to start off this week's TIL
[❔]: Does your institution have droperidol on formulary?

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#TwitteRx #MedTwitter #FOAMed #emergencymedicine #NurseTwitter Droperidol ➡️ butyrophenone, D2 receptor antagonist, similar to haloperidol with
✅ faster onset (3-10m IV/IM)
✅ shorter-acting
✅ more sedating

Dosing = 0.625 - 10 mg
Indications: Agitation, N/V, HA/migraine, vertigo, adjunct analgesic

ADEs = EPS, hypoTN, QTp
Preg = C

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This weekend I learned what an intra-cardiac epinephrine is. Wish I could say it was from a 📔 or topic discussion... 😂 Nope, it was John Doe, 🎁 w/ cc of traumatic arrest s/p lots and lots of 🔪 wounds 🙃... so what is intra-cardiac EPI❔❔❔

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#MedTwitter #TwitteRx Just as it sounds 🤦‍♂️... EPI 💘 directly into the myocardium. Generally only used in ATLS after performing an ED thoracotomy in conjunction w/ manual cardiac compression

So here are a few clinical pearls I learned from John Doe

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