The Pharm So Hard Podcast: An Emergency Medicine and Hospital Pharmacy Podcast

The Pharm So Hard Podcast: An Emergency Medicine and Hospital Pharmacy Podcast

By Jimmy Pruitt & Oscar SantaloMedicineHealth & Fitness
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The Pharm So Hard Podcast: An Emergency Medicine and Hospital Pharmacy Podcast episodes

  • Episode 67. A Sticker for You! Pediatric Asthma Management with Dr. Allen
    Additional Readings

    https://pubmed.ncbi.nlm.nih.gov/23290189/

    https://pubmed.ncbi.nlm.nih.gov/29182799/

    https://pubmed.ncbi.nlm.nih.gov/29321114/

    https://pubmed.ncbi.nlm.nih.gov/28025241/

    https://pubmed.ncbi.nlm.nih.gov/28689842/

    https://pubmed.ncbi.nlm.nih.gov/22909281/

    https://pubmed.ncbi.nlm.nih.gov/24986928/

    Related FOAM Posts
    Emergency management of severe asthma

    Peds-Emergencies.-Asthma-Pharm-So-Hard-Script

    The post Episode 67. A Sticker for You! Pediatric Asthma Management with Dr. Allen appeared first on The Pharm So Hard Podcast.

    40 min
  • Episode 66. From CVS to EMS! Paramedicine and Mobile Integrated Health with Victoria Reinhartz, PharmD

    Here is The Reinhartz Rundown: https://zcu.io/dJ5y

    Follow Mobile Health Consultants at: https://www.mobilehealthconsultants.com/ https://www.linkedin.com/company/mobilehealthconsultants

    Dr. Victoria Reinhartz at: https://www.linkedin.com/in/victoriareinhartz/

    Transcription
    Episode-66-transcription.-CVS-to-EMS

    The post Episode 66. From CVS to EMS! Paramedicine and Mobile Integrated Health with Victoria Reinhartz, PharmD appeared first on The Pharm So Hard Podcast.

    25 min
  • Episode 65. Let’s Take A Timeout! Procedural Sedation with Quinn Cummings and Benjamin Jackson
    Picture based from : Godwin, Steven A. (2018). Procedural Sedation and Analgesia. Elsevier Inc. Chapter 4. p. 53.
    Picture taken from : Godwin, Steven A. (2018). Procedural Sedation and Analgesia. Elsevier Inc. Chapter 4. p. 53.
    Patanwala, A., Thomas, M., Casanova T., Thomas, R., (2012). “Pharmacists’ role in procedural
    sedation and analgesia in the emergency department”. Am J Health-Syst Pharm. Vol69:1336-42. DOI 10.2146/ajhp110707
    PROPOFOL
    • Effect: Sedation and amnesia but does not elicit analgesic properties
    • Initial Bolus Dosing (IV): 1 mg/kg
    • Titration: 0.5 mg/kg every 3-5 min as needed
    • Onset of Action IV: Fast  (30-60 seconds)
    • Duration of Action: Short (5-10 minutes)
    • Adverse Effect: Respiratory depression and hypotension
    Ketamine
    • Effect: Unique procedural sedation agent, dissociative agent that creates a trance-like state and causes amnesia in patients, analgesic activity
    • Initial Bolus Dosing (IV): 1-2 mg/kg
    • Titration: 0.5 mg/kg every 5-10 min as needed
    • Onset of Action IV: Fast (30-40 s)
    • Duration of Action:  Long (60 min)
    • Adverse Effect: Dose-related increase in heart rate and blood pressure, increased inotropy causes increased myocardial oxygen demand
    MIDAZOLAM
    • Effect:  Sedation, retograde amnesia
    • Initial Bolus Dosing (IV): 0.1 mg/kg
    • Titration: 0.1 mg/kg every 2 min as needed
    • Onset of Action IV: Fast (2-5 min)
    • Duration of Action: Short (30-80 min)
    • Adverse Effect: respiratory depression and hypotension
    FENTANYL
    • Effect:  Reduction and control of pain
    • Initial Bolus Dosing (IV):  0.5-1.5 mcg/kg
    • Titration:   0.5-1.5 mcg/kg every 1-3 min as needed
    • Onset of Action IV: Rapid (1-2 min)
    • Duration of Action:  Short (30-60 min)
    • Adverse Effect:  Dose-dependent respiratory depression

    The post Episode 65. Let’s Take A Timeout! Procedural Sedation with Quinn Cummings and Benjamin Jackson appeared first on The Pharm So Hard Podcast.

    1 hr 8 min
  • Is PhORCAS really Trash? Recent PhORCAS Glitch and What To Do

    Phorcas is ripping off our students and residents with this major glitch they’ve had. I’ve had many candidates reach out since phorcas is telling them “idk what happen have the program email use”. If a candidate doesn’t have all the info in the app, it may not be there fault.

    — Jimmy L. Pruitt III, PharmD, BCPS, BCCCP (@PharmD_intheED) January 5, 2022

    Any details? My site was affected last year where 1/3 of our applications didnt make it to us initially

    — Chris Shaw (@ED_PharmD) January 5, 2022

    Strictly by luck… finished our app reviews, made our interview offer decisions, then went back to phorcas before sending the emails and there were 17 previously unseen applications (our team came together quickly to review and only delayed our offers by a day or two)

    — Chris Shaw (@ED_PharmD) January 5, 2022

    Because programs don’t have a choice if they want to be accredited: pic.twitter.com/vnbWDLY7za

    — Brent Reed (@brentnreed) January 5, 2022

    The post Is PhORCAS really Trash? Recent PhORCAS Glitch and What To Do appeared first on The Pharm So Hard Podcast.

    8 min
  • Episode 62. The COCA Trial Review and Calcium in Cardiac Arrest
    Vallentin MF, Granfeldt A, Meilandt C, et al. Effect of Intravenous or Intraosseous Calcium vs Saline on Return of Spontaneous Circulation in Adults With Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial. JAMA. 2021 Nov 30. doi: 10.1001/jama.2021.20929. PMID: 34847226
    • P: Adult patients with out of hospital cardiac arrest who received at least one dose of epinephrine. 
    • I: 5 mmol of Calcium Chloride given after the first and second dose of epinephrine 
    • C: Placebo
    • O:  Sustained ROSC = 19% in Calcium Group  vs 27% in placebo group
    • Related FOAM Posts
      First10 EM
      The Bottom Line
      The Skeptics Guide to EM

      The post Episode 62. The COCA Trial Review and Calcium in Cardiac Arrest appeared first on The Pharm So Hard Podcast.

      8 min
    • Episode 61. The Origin of Modern EM Pharmacy. The EM Pharmacy Project with Terry Fairbanks and Nicole Acquisto
      The EM Pharmacy Project & Publications
      • ROLLIN J. FAIRBANKS, DANIEL P. HAYS, DAVID F. WEBSTER. Clinical pharmacy services in an emergency department . 2004

      Researching the use of Emergency Pharmacists in the ED

      • Medical and nursing staff highly value clinical pharmacists in the emergency department. 2007
      • Strategies for implementing emergency department pharmacy services: results from the 2007 ASHP Patient Care Impact Program
      • Survey of physicians regarding clinical pharmacy services in academic emergency departments. 2009
      • The outcomes of emergency pharmacist participation during acute myocardial infarction
      • Pharmacist-managed antimicrobial stewardship program for patients discharged from the emergency department
      • Emergency medicine pharmacy: Still a new clinical frontier. 2015
      • Clinical pharmacy services in the emergency department. 2018
      • ASHP Emergency Medicine Resource Center 
      EPh-AHRQ-Book-Chap-2008Download
      Role-of-the-ED-PharmacistDownload
      Researching-the-use-of-Emergency-Pharmacists-in-the-ED-2008Download
      Justification-for-ED-PharmacistDownload
      ED-Pharmacists-Unique-Practice-2007Download

      One of the most influencial proejcts for modern EM pharmacy serives was the EM Pharmacy Project published by Joanne C. Witsil, Roshanak Aazami, Umbreen Idrees Murtaza, Daniel P. Hays, and Rollin J. Fairbanks Strategies for implementing emergency department pharmacy services: Results from the 2007 ASHP Patient Care Impact Program PMID: 20172988

      Tweet

       In June 2007, the American Society of Health-System Pharmacists developed a patient care impact program entitled “Introducing an Emergency Department Pharmacist into Your Institution” to provide experiential training to practicing pharmacists seeking to establish ED services in

      Tweet

      Participants were divided into two groups, and each group was assigned two mentors. During their initial meeting, participants identified anticipated challenges to implementation of pharmacy services in the ED and began to define strategies with their mentors for effectively managing the anticipated challenges. Each group participated in one-hour monthly teleconferences with their mentors.

      Tweet
      In addition to monthly teleconferences, participants regularly contacted their mentors for additional assistance and several visited their mentors' institutions. Participants developed job descriptions for an ED pharmacist, developed a rationale and justification for implementing pharmacy services in the ED, obtained approval and support from appropriate parties for the ED pharmacist's role, developed plans for introducing a pharmacist to the ED, and developed quality-assurance methods to monitor the effectiveness of the pharmacist's role.

      The post Episode 61. The Origin of Modern EM Pharmacy. The EM Pharmacy Project with Terry Fairbanks and Nicole Acquisto appeared first on The Pharm So Hard Podcast.

      25 min
    • Episode 60. Building the Perfect Program: PGY2 RPD panel on Starting Program and Recruiting Residents
      • Rachel Rafeq: https://www.cooperhealth.edu/allied-health/PGY2-EM-Pharmacy-Residency/leadership
      • Megan Musselman: https://www.nkch.org/residency-programs/pharmacy-residency/pgy-2/
      • Bathany Crouse: https://my.clevelandclinic.org/locations/akron-general/medical-professionals/medical-education/graduate/pharmacy#emergency-medicine-pharmacy-residency-tab
      Speaker-Information

      The post Episode 60. Building the Perfect Program: PGY2 RPD panel on Starting Program and Recruiting Residents appeared first on The Pharm So Hard Podcast.

      1 hr 9 min

    About The Pharm So Hard Podcast: An Emergency Medicine and Hospital Pharmacy Podcast

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    An Emergency Medicine and Hospital Pharmacy Podcast