ER-Rx is a podcast dedicated to informing emergency room/ intensive care unit physicians, residents, pharmacists, advanced practice providers, and nurses on appropriate and optimal use of medications. This podcast will provide laid-back, fun, useful information in easily digestible portions. Tune in each week as we review recently-published guidelines and studies, answer medication-related questions, present "Grand Rounds" on a wide variety of clinical topics, and enjoy "An Expert Talks" whe ...
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Episode 94- "Don't Set the Precedent": Precedex for Alcohol Withdrawal
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Are you using Precedex for alcohol withdrawal? Hear my take on why I don't like this idea, with evidence from a recently-published meta-analysis. Follow HERE! References: All references for Episode 94 are found on my Read by QxMD collection Support the show Find ER-Rx: - On Instagram: @ERRxPodcast - On the website: errxpodcast.com - On YouTube Disc…
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Episode 93- An Expert Talks: Managing Hyperglycemia in the ER
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This week, Dr. Michael Paddock answers some common insulin and diabetes management questions we have all had. Don't miss out! Follow HERE! Support the show Find ER-Rx: - On Instagram: @ERRxPodcast - On the website: errxpodcast.com - On YouTube Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpod…
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Learn how naloxone can be used in the setting of an ACE-I overdose. Who would have thought? Need a new logo for your brand or company? Click HERE Tell him ER-Rx Podcast sent you for a 10% discount! Follow HERE! References: All references for Episode 92 are found on my Read by QxMD collection Support the show Find ER-Rx: - On Instagram: @ERRxPodcast…
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Episode 91- Which patients respond best to Angiotensin II?
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This week, I discuss which patients respond best to ATII and when to start it (hint: it's earlier than you think) Follow HERE! References: All references for Episode 91 are found on my Read by QxMD collection Support the show Find ER-Rx: - On Instagram: @ERRxPodcast - On the website: errxpodcast.com - On YouTube Disclaimer: The information containe…
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Episode 90- PharmSoHard meets ER-Rx: Status Epilepticus
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In this episode, I sit down with Jimmy Pruitt of the PharmSoHard podcast and talk about my favorite; status epilepticus. Support the show Find ER-Rx: - On Instagram: @ERRxPodcast - On the website: errxpodcast.com - On YouTube Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram pag…
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In this Fresh Fruit episode, we talk about BRASH syndrome. Who gets it? How do they present? And how are they managed? Follow HERE! References: Majeed H, Khan U, Khan AM, et al. BRASH syndrome: a systematic review of reported case. Current Problems in Cardiology (2023). Support the show Find ER-Rx: - On Instagram: @ERRxPodcast - On the website: err…
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Episode 88- Can we treat staph aureus bacteremias with oral antibiotics?
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Oral antibiotics can be an option for gram negative bacteremias, but what's the data for their use in treating staph aureus bacteremias? Follow HERE! References: All references for Episode 88 are found on my Read by QxMD collection Support the show Find ER-Rx: - On Instagram: @ERRxPodcast - On the website: errxpodcast.com - On YouTube Disclaimer: T…
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Episode 87- Should we give IV magnesium to all patients in AF?
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Magnesium- the wonder drug. Should it be something you always give with a rate-controlling agent for patients in atrial fibrillation? Follow HERE! References: All references for Episode 87 are found on my Read by QxMD collection Support the show Find ER-Rx: - On Instagram: @ERRxPodcast - On the website: errxpodcast.com - On YouTube Disclaimer: The …
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Episode 86- Why is my patient on two beta-blockers?
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Having a patient on two beta-blockers isn't always a medical error. Find out when and why this may be indicated this week. Click HERE to leave a review of the podcast! Follow HERE! References: All references for Episode 86 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.co…
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Episode 85- "It Takes 1 to Roc": Part Two: Is 1 enough?
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In Part Two of this "Mini Grand Rounds" series, let's look at the 1 mg/kg dosing of roc. Could it be optimized? Click HERE to leave a review of the podcast! Follow HERE! References: All references for Episode 85 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the …
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Episode 84- "It Takes 1 to Roc": Part One: ABW, IBW, or LBW?
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In Part One of this "Mini Grand Rounds" series, we discuss the factors that determine how to dose meds, in this case rocuronium, in obesity Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 84 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast epis…
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Episode 83- An Expert Talks: Awake and Walking ICUs
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Your intubated patients would love it if you heard this episode! Learn about the dangers of sedation with our guest, Kali Dayton, DNP, AGACNP Click HERE for the ABCDEF Bundle Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 83 are found on my Read by QxMD collection Disclaimer: The information cont…
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Episode 82- "Bad Shrooms": Part Two: Treatment
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Wrapping up the two-part series discussing poisonous mushrooms. This week, we focus on treatment with agents like silibinin. To obtain silibinin (Legalon SIL): - Contact the FDA at 301-796-3400 (8AM- 4:30 PM on weekdays/ after 4:30 PM or on weekends, contact the emergency call center at 866-300-4374) OR email druginfo@fda.hhs.gov. They will provide…
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Episode 81- "Bad Shrooms": Part One: Amatoxin
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The first of a two-part series discussing poisonous mushrooms. This week, we focus on amatoxin toxicity and presentation. Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 81 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.…
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Episode 80- One-time aminoglycosides for cystitis
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Let's revive an old practice that may one day help you treat uncomplicated cystitis without having to admit your patient to the hospital Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 80 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episode…
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Episode 79- An Expert Talks: Scorpion sting vs. stimulant exposure in pediatric patients
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What do scorpions and meth have in common? Tune in as Drs. Rebecca Gragg and Daniel Brooks share their insights in this tox episode Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 79 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, er…
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Episode 78- "If it ain't broke...": Fixed versus variable Kcentra dosing
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How does a 1500 IU fixed dose of Kcentra stack up to FDA-approved variable dosing for reaching a specific INR target? Let's talk about it. Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 78 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episo…
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Episode 77- "Cutting cost and waste": Rabies immune globulin dose rounding
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Want to save your site and your patient money while at the same time reduce drug waste? Listen now for one tip on how to do just that. Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 77 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes,…
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Episode 76- Can we treat bacteremia with cephalexin?
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Or any other beta-lactam antibiotic? Or do we have to use a fluoroquinolone or Bactrim? Find out on this week's Pharmacy Consult episode. Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 76 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episod…
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Episode 75- Does caffeine reduce the efficacy of adenosine?
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Why didn't adenosine work? Not giving it rapidly enough? Is the coffee your patient just drank to blame? We focus on the latter. Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 75 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxp…
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Episode 74- An Expert Talks: Intricacies of Hyperkalemia Management
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Not your average hyperkalemia episode! Jimmy Pruitt, host of the Pharm-So-Hard podcast, shares some pearls on hyperkalemia management Click HERE to leave a review of the podcast! Subscribe HERE! Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educati…
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Episode 73- "Alcohol Withdrawal? Try Phenobarbital!": Part 3: An Expert Talks
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In the final part of this "Mini Grand Rounds" series, the author of a recently-published study discusses his experience with phenobarbital Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 73 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episo…
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Episode 72- "Alcohol Withdrawal? Try Phenobarbital!": Part 2: Dosing + Monitoring
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In Part 2 of this "Mini Grand Rounds" series, we discuss the data behind phenobarb and how to dose and monitor it Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 72 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and…
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Episode 71- "Alcohol Withdrawal? Try Phenobarbital!": Part 1: History + PK/PD
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In Part 1 of this "Mini Grand Rounds" series, we review the history and the pharmacodynamic/ pharmacokinetic profile of phenobarbital Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 71 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, …
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Episode 70- "Revisited": Can we give levetiracetam as an IV push?
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The first ever "Revisited" episode will go all the way back to Episode Two- where we discussed giving Keppra as an IV push Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 70 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast…
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Episode 69- Do anticoagulated patients with ACS get IV heparin?
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Let's answer a very important, slightly nuanced question that can lead to a lot of confusion in an already stressful scenario Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 69 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodc…
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Episode 68- "Back to the Future?": Vasopressin + steroids during cardiac arrest
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This week, we review a meta-analysis that may make you rethink the contents of your code carts... Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 68 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcas…
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Episode 67- What options exist for outpatient COVID treatment?
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What are these new oral antiviral agents for COVID and how well do they work? We answer these questions and a few more this week. Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 67 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errx…
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Episode 66- Surviving Sepsis: Updated recommendations and clinical pearls
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This week, we review some key recommendations and updates from the 2021 surviving sepsis campaign guidelines Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 66 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the …
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Episode 65- When can we use oral ketamine for procedural sedation?
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This week, we talk about how to use oral ketamine for (minor) procedural sedation in the agitated/ combative patient Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 65 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, …
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Episode 64- What happens when we give Kcentra to patients with liver failure?
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Do you use Kcentra to reverse the INR in patients with liver failure to reduce bleeding risk? Is this good practice? Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 63 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, …
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Episode 63- "I don't think it means what you think it means": INR values in liver disease
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In this Mini Grand Rounds series, we discuss the meaning of an elevated INR in the setting of acute or chronic liver disease Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 63 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodca…
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Episode 62- Walking Home from the ICU meets ER-Rx: Propofol
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Listen as Kali Dayton and I discuss ICU sedation and the good, bad, and ugly of propofol on the Walking Home from the ICU podcast Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 62 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errx…
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Episode 61- PharmSoHard meets ER-Rx: ICU sedation
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In case you missed our discussion on ICU sedation on the PharmSoHard podcast, we're playing the episode on ER-Rx as well. Yes, it's that important. Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 61 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podc…
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Does loading vancomycin lead to achieving target levels within the first 24 hours? Does it increase the risk of nephrotoxicity? Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 60 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpo…
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Episode 59- "Something old, something new": Propylhexedrine abuse
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This week we discuss a warning issued by the FDA regarding the abuse of propylhexedrine, a drug commonly found in OTC nasal decongestants Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 59 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episod…
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Episode 58- "Diaphoretic, dystonic, and dangerous": Clozapine withdrawal
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This episode will hopefully convince you to never suddenly discontinue clozapine (and to do a thorough home medication review) Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 58 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpod…
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This week, we discuss the use of noninvasive ventilation and high dose nitroglycerin to prevent intubation in patients with SCAPE Click HERE to leave a review of the podcast! Subscribe HERE! References: All references for Episode 57 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errx…
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Episode 56- "Glucose and 'gliflozins": Managing euglycemic DKA
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A high-yield episode with probably some low-key mispronunciations about how to treat euglycemic DKA caused by SGLT2 inhibitors. Click HERE to leave a review of the podcast! References: All references for Episode 56 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and t…
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Episode 55- How do we treat CAP in the immunocompromised?
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All immunocompromised patients with CAP get empiric vancomycin plus Zosyn in the ER, right? Right?! Click HERE to leave a review of the podcast! References: All references for Episode 55 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram pa…
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Episode 54- Is PID in need of a third antibiotic?
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In this episode, we review a potentially practice-changing study. Should we treat PID with three antibiotics? Click HERE to leave a review of the podcast! References: All references for Episode 54 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast In…
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Episode 53- An expert talks: Hydrofluoric acid exposures
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This week we discuss hydrofluoric acid exposures with Dr. KC Lee, a clinical pharmacist with training in toxicology/ emergency medicine Click HERE to leave a review of the podcast! Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes …
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Episode 52- How do we treat Suboxone-induced withdrawal?
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In this episode, we discuss how to treat opioid withdrawal precipitated by buprenorphine/Suboxone. The answer is more simple than you think! Click HERE to leave a review of the podcast! References: All references for Episode 52 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodca…
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Episode 51- How do we manage pain in patients on Suboxone?
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In this episode, we discuss how to manage acute and post-op pain in patients on opioid maintenance therapy with Suboxone. Click HERE to leave a review of the podcast! References: All references for Episode 51 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @er…
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Episode 50- Public service announcement: Don't forget to redose your antibiotics!
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In this episode, we discuss a recent article that describes delays in antibiotic redosing in the ER and how that affects mortality rates. Click HERE to leave a review of the podcast! References: All references for Episode 50 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.…
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This week, we talk about amniotic fluid embolism (AFE) and the "A-OK" medication combination. Please click HERE to leave a review of the podcast! References: All references for Episode 49 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram p…
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Episode 48- "Status Underdosingus": Part 3: Refractory status epilepticus
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In the final episode of this "Mini Grand Rounds" series, we discuss the management of refractory status epilepticus. Please click HERE to leave a review of the podcast! References: All references for Episode 48 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @…
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Episode 47- "Status Underdosingus": Part 2: Urgent therapy
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In Part 2 of this "Mini Grand Rounds" series, we discuss urgent therapy of patients in status epilepticus. Please click HERE to leave a review of the podcast! References: All references for Episode 47 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcas…
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Episode 46- "Status Underdosingus": Part 1: Emergent therapy
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In Part 1 of this "Mini Grand Rounds" series, we discuss emergent therapy of patients in status epilepticus using benzodiazepines. Please click HERE to leave a review of the podcast! References: All references for Episode 46 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.…
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Episode 45- How do we treat agitation in the ER setting?
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This week, we discuss which agents to use to control agitation in a few different clinical scenarios encountered in the ER. Please click HERE to leave a review of the podcast! References: All references for Episode 45 are found on my Read by QxMD collection Disclaimer: The information contained within the ER-Rx podcast episodes, errxpodcast.com, an…
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