iiinova — where your digital self keeps evolving

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REBEL EM @rebel-em.bsky.social · 17/06/2026

🥇What does performance under pressure in medicine look like? 🏃🏽‍♂️‍➡️What if we had the same tools as professional sports teams and elite athletes? 🧠 We've partnered with Arena Labs for data driven insights! 👀https://loom.ly/YvLC3F8 @Arena_Labs @MRamzyDO @Marco_propersi @EMSwami

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Anand Swaminathan @emswami.bsky.social · 17/06/2026

Phenobarbital a game changer in EtOH w/d -Option 1: No benzos given. Load 10 mg/kg over 30 min + wait 30 min for effect -Option 2: post-escalating BZD. Give phenobarbital 130 mg IV q15 until adequate sedation achieved -Early phenobarbital use can avoid intubation youtube.com/shorts/IMcT7... #EMIMCC

youtube.com

Phenobarbital in EtOH Withdrawal #emergencymedicine #criticalcare

YouTube video by EMSwami

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Clayton Tucker @claytontuckertx.com · 18/06/2026

BREAKING: San Marcos just voted to prohibit data centers across the entire city. This is what happens when regular people stand up to the biggest corporations on earth. These corrupt bigshots may have money, but Texans still have the final say.

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JAMA @jama.com · 17/06/2026

"Something about these goals rang hollow even when I met them." In #APieceofMyMind, a retired internal medicine physician examines the role of quantification, trade-offs, and relinquishment. ja.ma/4uJstvw

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REBEL EM @rebel-em.bsky.social · 24/12/2025

🦠 Tamiflu: Worth It? 📉 Reduces flu symptoms by <1 day 🤢 Nausea, vomiting, headaches common 🚫 No reduction in death or hospitalization in mild cases So… treat everyone? Maybe not. 📖 Read more: wp.me/pdrP8b-5sK 👥 @emswami @marco_propersi @mramzydo #FOAMed

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Jonathan Howard @joho.bsky.social · 28/10/2025

"The risk of myocarditis after COVID-19 infection is approximately 42 times higher than the risk after COVID-19 vaccination" Of course, COVID's harms are not limited to myocarditis

The incidence of myocarditis and pericarditis has been documented in adolescents after COVID-19 vaccinations. This study aims to assess the risk of myopericarditis in adolescents following COVID-19 vaccination, using a meta-analysis of the published cases. We performed a comprehensive literature search of the following databases on July 5, 2023: MEDLINE, EMBASE, PubMed, and the Cochrane Library. We performed a meta-analysis using a random-effects model to estimate the incidence of myopericarditis per million of administered COVID-19 vaccine doses or COVID-19 infections. A total of 33 studies were included in the meta-analysis. The incidence of myopericarditis per million COVID-19 infections (1583.9 cases, 95% CI 751.8-2713.8) was approximately 42 times higher than that for COVID-19 vaccine administrations (37.6 cases, 95% CI 24.2-53.8). The risk of myopericarditis after COVID-19 vaccination was particularly high among the 16-19 age group (39.5 cases per million, 95% CI 25.8-56.0), males (43.1 cases per million, 95% CI 21.6-71.9), and those who received the second dose (47.7 cases per million, 95% CI 22.2-82.2). There were no significant differences in the incidence of myopericarditis per million COVID-19 vaccine administrations between Europe, the Western Pacific, and the Americas (p = 0.51). Adolescents faced a potential risk of myopericarditis after COVID-19 vaccination, but this risk is less harmful than that of myopericarditis following COVID-19 infection

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The Lancet Countdown on Health and Climate Change @lancetcountdown.bsky.social · 29/10/2025

🚨 JUST PUBLISHED 🚨 ⚠️ The 2025 @lancetcountdown.bsky.social report reveals climate change inaction is costing lives and livelihoods, and harming the economy. ❤️‍🩹 Protecting people’s health demands all hands on deck. Read more: www.lancetcountdown.org/2025-report/ #LancetClimate25

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josh farkas 💊 @pulmcrit.bsky.social · 22/09/2025

proposal: all types of bradykinin-mediated angioedema involve a common vicious spiral 👇 tranexamic acid or aminocaproic acid should be universally effective in blocking this cycle & aborting attacks there's no need for super-expensive drugs (icatibant et al.) thoughts? criticism? #EMIMCC

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SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · 22/09/2025

Don't forget to submit your didactic session to present at SAEM26 Annual Conference! Deadline is 10/2/25! buff.ly/nwLK5Mo #SAEM #AEMP #AEMPlify #EMRx

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REBEL EM @rebel-em.bsky.social · 18/09/2025

🚨 New Post Alert! Syncope is common in the ED—but which decision rule do you trust? ⚡ San Francisco Syncope Rule = fast but fallible 🧩 Canadian Syncope Risk Score = comprehensive but complex 🩺 Neither replaces clinical judgment 👉 Read here: wp.me/pdrP8b-5pF #FOAMed #EMIMCC #MedSky

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josh farkas 💊 @pulmcrit.bsky.social · 17/09/2025

cosign this 😁 four-factor PCC had clotting factors & *also* endogenous anticoagulants (protein C & S, antithrombin III) that’s why PCC doesn’t cause as much thrombosis: it’s rebuilding the coagulation cascade rather than purely functioning as a pro-thrombotic (& Adnexanet alfa price is insane)

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SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · 20/08/2025

AEMP is seeking new practitioners to present the YIR at AEMP 2026 at SAEM Congress next year! Apply today! #AEMP #AEMPlify #EMRx

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SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · 21/08/2025

The submission portal for SAEM Congress is now open. Submit your didactic session proposal today! #SAEMonline #AEMPlify

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St. Luke's Treasure Valley PGY1 and PGY2 EM Pharmacy Residencies @slhsrxresidency.bsky.social · 25/08/2025

🚑 The first EM Pharmacy Pearl for the year is out by PGY2 EM Resident, Jonathan! #rxsky #pharmsky #pgy2em

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REBEL EM @rebel-em.bsky.social · 25/08/2025

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SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · 24/08/2025

💉National Immunization Awareness Month!💉 Together, we can help raise awareness about the importance of vaccination. Many patients express interest in receiving vaccines when they are offered in the ER, creating a valuable opportunity for engagement with EM pharmacists!

buff.ly

SAEM August theme

National Immunization Awareness Month

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Megan A Rech, PharmD, MSc @meganarech.bsky.social · 18/08/2025

📣Have you heard of antiamyloid therapies for Alzheimer’s disease? They cause ADEs called ARIAs that are non-specific, typically require MRI, & can mimic stroke ⛔ Concomitant thrombolytics/anticoagulants are contraindicated Learn more in our JAMA IM Clinical Insight 👇

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Neurocritical Care @neurocritcarej.bsky.social · 28/07/2025

Burman et al: Effect of Ketamine Analgosedation on Neurological Outcome in patients with Severe Traumatic Brain Injury: A Randomized Controlled Pilot Study Link: link.springer.com/ar... @neurocritical #neurocritcare

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josh farkas 💊 @pulmcrit.bsky.social · 11/08/2025

Myth busting: Antibiotics don't reduce mortality in variceal hemorrhage! I updated the IBCC & explained what happened here emcrit.org/ibcc/gib/#va... We probably don't need antibiotics at all🤦‍♂️ Nice illustration of how meta-analyses can be fragile (even Cochrane) emcrit.org/pulmcrit/meta/ #EMIMCC

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SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · 12/08/2025

Donate to the SAEMF Challenge to give back to EM! Not only will your donation help advance EM practices and research, but it'll HELP AEMP MOVE UP THE LEADERBOARD in this SAEM competition! See link for more details or scan QR code to go to the donations page buff.ly/qvUCT8C buff.ly/masr25D

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REBEL EM @rebel-em.bsky.social · 06/08/2025

🚨 NEW POST: MDCalc Wars 🛑💥 Are you using PERC and Wells correctly? ✅ Start with Wells to guide next steps 🚫 Don’t use PERC in moderate/high-risk 🧪 Use high-sensitivity D-dimer! 👉 Read now: wp.me/pdrP8b-5oN #FOAMed #EMIMCC #MEDSky

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sccmcriticalcare.bsky.social @sccmcriticalcare.bsky.social · 06/08/2025

Gain insight into best practices for retaining highly skilled pharmacists in the ICU and the importance of reducing burnout in pharmacy teams in the latest SCCM Podcast. Listen now: sccm.org/pod544 #SCCM

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SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · 24/07/2025

Welcome to AEMP's Pulse Dose! Weekly pharmacy pearls to upgrade your EM practice! This week's topic: Local anesthetic systemic toxicity, or "LAST". Don't be the LAST to know! #AEMP #SAEM #AEMPPulseDose #RxPearls #LAST

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Aimee Mishler, PharmD, BCEMP, FAWM @empharm.bsky.social · 30/07/2025

📣 Hot off the press! MTP review and update for the pharmacist! #rxsky #pharmsky pubmed.ncbi.nlm.nih.gov/40580496/

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Anand Swaminathan @emswami.bsky.social · 05/06/2025

In patients with undifferentiated shock, always get a Rapid US for Shock + Hypotension (RUSH exam) to differentiate etiologies Avoid diagnostic closure, particularly when the answer appears simple youtube.com/shorts/MUptk... #EMIMCC

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RUSH Exam + Tamponade #emergencymedicine #criticalcare #resuscitation

YouTube video by EMSwami

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Anand Swaminathan @emswami.bsky.social · 13/06/2025

Ketamine in status epilepticus? PMID:39674935 ketamine > no drug after midaz failed(flawed study) PMID:40186980 midaz/ket > midaz. But, kids seized 34 min prior to meds, very low rate of sz break w/ midaz Consider ketamine after 2 doses BZD fail but evidence weak youtube.com/shorts/arX6s... #EMIMCC

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Ketamine in Status Epilepticus #criticalcare #emergencymedicine

YouTube video by EMSwami

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Anand Swaminathan @emswami.bsky.social · 25/06/2025

Hypokalemia big killer in DKA -All DKA patients total body K down -Some w/ serum hyperK due to acidosis shifting K -K < 3.5: replete prior insulin -K 3.5-5.5: start insulin + K repletion simultaneously -Skip bolus: no faster DKA resolution but incr risk hypoK youtube.com/shorts/pTnt8... #EMIMCC

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Hypokalemia in DKA #criticalcare #emergencymedicine

YouTube video by EMSwami

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Anand Swaminathan @emswami.bsky.social · 28/06/2025

Massive Hemorrhage Protocol: More than just giving products -Control bleeding: tourniquet extremity hemorrhage, pelvic binders, balloon tamponade -Early transfusion -TXA, AC reversal (PCC or FFP) + Ca Don't forget to get consultants mobilized for definitive care youtube.com/shorts/AIV4o... #EMIMCC

youtube.com

Massive Hemorrhage Protocol #criticalcare #emergencymedicine #trauma

YouTube video by EMSwami

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Anand Swaminathan @emswami.bsky.social · 03/07/2025

Advice for New Trainees #4: If you’re not sure, ask. So many questions come up and if you’re unsure of the answer, ask a nurse, another resident or your attending. This is what training is about youtube.com/shorts/74nUd... #EMIMCC

youtube.com

Advice for New Trainees 4: If You Don't Know, Ask #emergencymedicine #residents #internship

YouTube video by EMSwami

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NEJM.org @nejm.org · 21/06/2025

In the latest video in our partnership with @glaucomflecken.bsky.social, the BALANCE trial comparing 7 days of antibiotic treatment with 14 days of treatment in patients with bloodstream infection is explained. Access the article for free: nej.md/DrG19

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josh farkas 💊 @pulmcrit.bsky.social · 09/06/2025

The ideal cutoff for adequate time-to-antibiotic delivery in septic shock is being discussed again 🤦‍♂️ Should we be required to give antibiotics in 1 hr? 3 hr? 15 minutes? 3.14159 minutes? This is worth a short thread on the background of this topic Buckle up, it's a mess... #EMIMCC #IDsky #1/6

media.tenor.com

a man with a surprised look on his face and the words how did this happen below him

ALT: a man with a surprised look on his face and the words how did this happen below him

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SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · 19/05/2025

✏️ AEMP's Education Committee is looking for presenters for their quarterly webinars and journal club series! 💊 Express your interest for presenting at the link! 🚑 buff.ly/8s8gXzF #AEMP #pharmsky

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SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · 14/05/2025

🎉 Big news from #SAEM25 -- AEMP is officially transitioning to an academy within SAEM!! 🥳 We are so excited for the opportunities this will offer us! 🥂 Thankful for all our members & the group of EM pharmacist leaders who made this possible!! #AEMPlify #AEMP25 @saemonline.bsky.social

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SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · 05/04/2025

📢 Calling all SAEM Members! 🔗 Join us in our AEMP Interest Group at SAEM! See below about how to add our IG to your SAEM profile! 💊 Calling all EM Pharmacists! Help us grow our IG by sharing this information with your providers! #AEMP #AEMPlify #EMRx @SAEMonline.bsky.social

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SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · 25/04/2025

💊 AEMP's Education Committee is pleased to announce its next webinar! ☠️ Antidote Wars: Revenge of the NAC or Rise of Fomepizole for Treatment of Massive Acetaminophen Overdose ⏲️ May 8 @ 1800 CT 📣 Speakers: Alyssa McQueen PharmD BCPS v Haley Watson PharmD BCEMP 📝 Register here: buff.ly/PIORuOA

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SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · 28/04/2025

🎉 AEMP Wins! 🚑 AEMP Chair, Megan Rech, participated in an ACEP panel for ED Accreditation. 💉 As a result of this representation, EM pharmacists are now recommended in the accreditation standards. 🥳 This is a great recognition of the value of EMP! @saemonline.bsky.social @acepnation.bsky.social

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Megan A Rech, PharmD, MSc @meganarech.bsky.social · 28/04/2025

🔥 RCT of EM PharmD-led TOC program 💊 330 pts to ED w/ med-related events (MRE) w/ or w/o EMP TOC @ 72h 💊EMP group⬇️ ED visits for same MRE (3% v 22%) & overall ED visits, ⬇️ hospitalizations, more outpatient follow up LOVE to see it! jamanetwork.com/journals/jam...

jamanetwork.com

Emergency Department Visits for Medication-Related Events With vs Without Pharmacist Intervention

This randomized clinical trial assesses the efficacy of a pharmacist-led transition of care program in reducing emergency department visits related to the same medication-related event at 6 months com...

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SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · 29/04/2025

⏰ The SAEM Annual Meeting & PharmERgency Conference will happen in just over 2️⃣ weeks! 🗓️ May 13-16 in Philly! 🚨Regular registration ends on Thursday May 1! buff.ly/k784gn1 ✈️ Make plans to join us for what is sure to be a wonderful conference!! #AEMP25 #AEMPlify

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Caitlin Brown @cbthepharmd.bsky.social · 19/04/2025

⁉️Which patients require reversal in warfarin associated GIB? We lack large RCTs to guide treatment. Check out our retrospective study evaluating treatments in GIB www.sciencedirect.com/science/arti...

sciencedirect.com

Comparison of anticoagulation reversal strategies for warfarin associated acute gastrointestinal bleeding

Gastrointestinal bleeding (GIB) is a common complication associated with warfarin use. However, the optimal approach for anticoagulation reversal—whet…

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Aimee Mishler, PharmD, BCEMP, FAWM @empharm.bsky.social · 05/04/2025

@slhsrxresidency.bsky.social very own PGY2 EM RPD will be presenting at the PharmERgency conference! #aemp25 #pharmsky

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SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · 03/04/2025

🧠 REMINDER for our Awareness During Paralysis Survey - Last day is TOMORROW! 💉 AEMP is seeking input from patients and healthcare providers about awareness during paralysis in the ED. ☎️ Tell us about your experiences: forms.gle/Pn3S24HZ1Ppf... #AEMP #pharmsky @saemonline.bsky.social

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SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · 04/04/2025

⏰ SAEM Annual is just a few weeks away!! 🏐 We are looking for 🔟 players for our Dodgeball team for the Dodgeball Tournament on 5/15! ❓ Check out the SAEM website: buff.ly/xD3TCew ☎️ Tell us you’re interested in being a player or captain here: buff.ly/cO8looW #EMRx #AEMP25 #SAEM #AEMPlify

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SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · 26/03/2025

🚨 AEMP25 Content Alert! 🔥 IGNITE! Resident Pearls - Toxicology and Psychiatric Emergencies 🚑 A Contrast to Common Belief: Debunking Iodine Allergies 📣 Speaker: Dr. Mireille Mitchell #AEMP25 #AEMPlify #pharmsky

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SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · 26/03/2025

🚨 AEMP25 Content Alert! 🔥 IGNITE! Resident Pearls - Toxicology and Psychiatric Emergencies 🚑 Gas Station Toxicology 📣 Speaker: Dr. Iram Nasreen #AEMP25 #AEMPlify #pharmsky

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SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · 26/03/2025

🚨 AEMP25 Content Alert! 🔥 IGNITE! Resident Pearls - Toxicology and Psychiatric Emergencies 🚑 How to Start the Zombie Apocalypse: A Guide for the Jaded Clinician 📣 Speaker: Dr. Tiana Patriarca #AEMP25 #AEMPlify #pharmsky

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SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · 26/03/2025

🚨 AEMP25 Content Alert! 🔥 IGNITE! Resident Pearls - Toxicology and Psychiatric Emergencies 🚑 Parenteral Olanzapine and Benzodiazepines: A Controversial Cocktail in Emergency Psychiatric Care 📣 Speaker: Dr. Shania C. Lee #AEMP25 #AEMPlify #pharmsky

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