The Pharm So Hard Emergency Medicine & Hospital Pharmacy Podcast

Exploring the COPY-ED study reveals intriguing insights into using cephalosporins for outpatient pyelonephritis, challenging the reliance on fluoroquinolones. The discussion emphasizes the importance of antibiotic stewardship in an era of rising resistance. Additionally, there's excitement about the upcoming Empower Rx conference in Las Vegas, highlighting collaborative opportunities for emergency medicine pharmacists. Join the conversation about evolving treatment strategies and community engagement!

Rosa Malloy-Post, a PGY3 emergency department resident specializing in emergency medicine, joins the conversation to tackle the hot debate over paralytic agents in rapid sequence intubation. They dive into the pros and cons of Succinylcholine and Rocuronium, examining their pharmacologic properties, onset, and duration. The discussion is rich with expert insights on patient safety, dosing strategies, and clinical implications. Tune in for a lively exchange that determines whether Roc truly rocks or if Succs really suck!

Brian W. Gilbert, PharmD, MBA, FCCM, FNCS, BCCCP, and Tessa R. Cox, PharmD, BCCCP, are experts in emergency medicine and DKA management. They dive into their groundbreaking study on the early use of subcutaneous insulin in mild to moderate DKA, revealing no significant difference in hospital stays between early and later treatment. The duo also discusses updated diagnostic criteria, management strategies, and the potential benefits of long-acting insulin, emphasizing the need for enhanced care protocols in emergency settings.

Andrea Sikora, a clinical associate professor at the University of Georgia, Anthony Hawkins, also a clinical associate professor, and Susan Smith, a faculty member at the same institution, discuss their collaborative journey of writing the book 'InteGREAT'. They share insights on team development and building relationships in healthcare. The trio highlights the importance of leveraging strengths and achieving alignment within clinical teams. They also reflect on the emotional challenges of collaboration and the impact their work has on optimizing healthcare practices.

Taylor Cason, a clinical emergency medicine pharmacist at Caromont Regional Medical Center, shares insights from groundbreaking research on sepsis management. They discuss how involving clinical pharmacy practitioners improved antibiotic selection from 57% to 86% and accelerated administration by 64 minutes. The conversation highlights collaborative efforts to enhance antibiotic stewardship and the evolving role of pharmacists in emergency care. Cason emphasizes the need for ongoing improvements in antibiotic selection for conditions like UTIs and intra-abdominal infections.

In this episode of the Pharm So Hard Podcast's PharmD Literature Highlight Series, host Jimmy Pruitt, PharmD, BCPS, BCCCP, BCEMP discusses the study "Risk of arrhythmia in post-resuscitative shock after out-of-hospital cardiac arrest with epinephrine versus norepinephrine" by Sarah Normand, Pharm.D., Courtney Matthews, Pharm.D., Caitlin S. Brown, Pharm.D., Alicia E. Mattson, Pharm.D., Kristin C. Mara, M.S., Fernanda Bellolio, M.D., M.S., and Erin D. Wieruszewski, Pharm.D. ★ Support this podcast ★

Full Text PubMed In this episode of the Pharm So Hard podcast, host Jimmy Pruitt interviews Brock Townsend and Brian Gilbert about their study on the impact of time to administration of four-factor PCC for patients with warfarin-associated intracranial hemorrhage. The study was a retrospective observational single-center study performed at a large community teaching hospital. The authors stratified patients into three groups based on time from diagnosis to administration of four-factor PCC. The study found no significant differences in outcomes, such as hemostasis achievement, hospital mortality, length of stay, and adverse effects. The authors emphasize the need for more data and personalized protocols for anticoagulation-related ICH. Takeaways The study found no significant differences in outcomes based on time to administration of four-factor PCC for patients with warfarin-associated intracranial hemorrhage. More data is needed to determine the optimal time to administer four-factor PCC and develop personalized protocols for anticoagulation-related ICH. Standardization of radiologists' interpretations and reporting of CT scans is important for future studies in this area. The study highlights the importance of resident research in answering important clinical questions. Pharmacists and healthcare professionals should continue to strive for personalized medicine and individualized care for patients with anticoagulation-related ICH. ★ Support this podcast ★

In this episode of The Pharm So Hard Podcast, host Jimmy Pruitt, PharmD, BCPS, BCCCP, alongside guests Robert O'Connell, PharmD, BCCCP, BCEMP, Louisa Sullivan, PharmD, BCPS, BCEMP, Mark Mixon, PharmD, BCPS, BCIDP, BCCCP, and Joshua Senn, PharmD, BCPS, share their experiences at last year's EMPoweRx conference. As they gear up for this year's conference, gain exclusive insights into their preparations and aspirations, offering a glimpse into their pursuit of excellence in pharmacy practice. ★ Support this podcast ★

This Pharm So Hard episode titled "Pulse Check! Kyle Stupca's Study on Esmolol & Dose-Capped Epi" is a deep dive into the innovative research conducted by Kyle Stupca on emergency cardiac care. The episode hosted by Jimmy Pruitt aims to explore Stupca's groundbreaking study which focuses on the use of Esmolol and dose-capped epinephrine in treating life-threatening cardiac arrhythmias like ventricular fibrillation and pulseless ventricular tachycardia. The discussion covers Stupca's personal journey and motivations in emergency medicine research, delves into the specifics of his study's methodology, findings, and the challenges faced during research. A significant part of the episode is dedicated to discussing the practical implications of these findings for emergency cardiac care and envisaging the future of this field with unlimited research resources. This episode is designed to enlighten healthcare professionals, particularly pharmacists and physicians, about the evolving role of pharmacology in emergency medical scenarios, emphasizing the critical impact of research in this domain. ★ Support this podcast ★

In this episode of the Pharm So Hard Podcast, Jimmy L. Pruitt III, PharmD, BCPS, BCCCP together with Alexandra Cruz Pabón, PharmD and Nicholas Servati, PharmD, BCCP discuss the STREAM-2 Study Journal Club. ★ Support this podcast ★