Bryan D Hayes PharmD
@PharmERToxGuy
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EM Pharmacist & Toxicologist @MassGeneralEM | Associate Professor @HarvardMed | Past-President ABAT | EIC https://t.co/45aHxOXprt | @ALiEMteam EM Pharm Pearls
Boston, MA
Joined February 2012
Pharmacy-driven medication histories decreased length of stay and in-hospital mortality https://t.co/fISnf4N5h1
@AJHPOfficial @ASHPOfficial A monumental team effort and the first study to look at hard outcomes. With @PharmDirJM @jlkoehl @giulietti_Rx @DavidLucierMD, & others.
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It’s embarrassing that in a specialty where pharmacists and physicians work side-by-side caring for patients at the beside, we continue to see disparaging of other professions. It’s disheartening because many have worked tirelessly to build collaboration and teamwork.
A pharmacist can’t take a call from a doctor to fill a prescription for a patient, because they’re too busy playing one. Pharmacist busy giving a “shot” to a customer. Unbelievable. We live in a topsy turvy world now.
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We have an ED pharmacist position open on our team at MGH in Boston! Apply here:
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It still brings me great joy to watch pharmacology in action while on clinical shift in the ED. My 3 favorites are: naloxone, physostigmine (RIP), and high-dose nitroglycerin + BiPAP (for 'flash' pulmonary edema).
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What a multi-site collaborative effort to see this one through to completion! Free downloads here in @Clin_Tox: https://t.co/6HZUghIQOY
@PeterRchai @Harvard_Tox
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>> https://t.co/J86Ut1MCKa<< New ACMT Position Statement: End Use of the Term "Excited Delirium" 🧵 @TonyPizon @louisekao44 @ZiadKazzi @toxicologist12 @heshiegreshie @johnsonarbor @bpatmurray @DHOvakim @LNelsonMD @twtoxmd @kavitababu
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I’ve worked side by side with incredible EM doctors for 16 years. I can assure you this sentiment is not representative of the specialty. If you’d like to be educated on what an EM pharmacist is, here’s a thread from the pervious time… https://t.co/WedmSqeW8F
How do you tell a medical doctor? Real doctors: *reluctant to state they are doctors in public/social forums* Non-MD/DOs: *take every opportunity to say they are a doctor…* (chiropractors, naturopaths, pharmacists, apothecaries, charlatans…)
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Earning a blue check mark during the pandemic, as a pharmacist, meant a lot. Health care workers sharing real-world experience, educating, and interpreting evolving scientific data was critical. But, the platform and culture changed. Pay-to-play just isn’t what #FOAMed is about.
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We love our magnesium in the ED. Here's a new @AcademicEmerMed summary on its use as an adjunct in atrial fibrillation: https://t.co/7Bfg4Q61dH. And, our @ALiEMteam deep-dive from a few years back: https://t.co/EfYWaYSWvz
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I spot at least two EM pharmacists on the new Fellow of ASHP (FASHP) induction list. Congrats @DEZ_EM_Pharm and @memusselman! https://t.co/2DE8ZbX6oD
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Breaking News: The FDA approved Narcan, a nasal spray that reverses opioid overdoses, for over-the-counter sales. https://t.co/Jtd8ed5FKV
nytimes.com
The nasal spray reverses opioid overdoses and public health officials hope that making it more widely available could save lives and reduce the nation’s high rates of drug fatalities.
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Xylazine is back in the headlines as an adulterant ( https://t.co/sV6R0NQxUx). It acts similarly to other alpha-2 agonists (clonidine, guanfacine) and causes hypotension, bradycardia, lethargy, and miosis. Good review on poisonings by @DEZ_EM_Pharm et al.
pubmed.ncbi.nlm.nih.gov
Human exposure to xylazine appears to be a rising concern within the prehospital and emergency medicine setting. Although a standardized treatment algorithm cannot be recommended at this time,...
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Xylazine is in the headlines again with a new DEA alert ( https://t.co/sV6R0NR5K5). With poisoning, we see effects as we would with other alpha-2 agonists (clonidine, guanfacine) such as hypotension, bradycardia, and lethargy ( https://t.co/to5043odW4). cc: @DEZ_EM_Pharm
pubmed.ncbi.nlm.nih.gov
Human exposure to xylazine appears to be a rising concern within the prehospital and emergency medicine setting. Although a standardized treatment algorithm cannot be recommended at this time,...
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Added a bunch of new EM pharmacists to the list after the resident match this week. The growing family is up to 615. Let me know if I'm missing anyone (I go by what's listed in profiles). Follow the list if you want to see what EM pharmacists tweet about! https://t.co/YYQr9Ks4cR
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Not so hot take: it's sort of a large, funded, case series without a control arm
🚨🚨🚨🚨🚨ANNEXA 4 is out! We’re looking forward to diving DEEP into all sections of this paper! What are you thoughts on this paper. https://t.co/BfIccqjObp. Comment below !! #TwitteRx #Pharmicu #EMRx
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Stop the press! Our latest guideline: when to use dialysis for ethylene glycol poisoning. Perhaps our best paper yet. Hundreds of articles included, thousands of hours of work.
ccforum.biomedcentral.com
Ethylene glycol (EG) is metabolized into glycolate and oxalate and may cause metabolic acidemia, neurotoxicity, acute kidney injury (AKI), and death. Historically, treatment of EG toxicity included...
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EM pharmacists are highly-trained, vital team members who improve patient care. Yet, most EDs don't have even one (or at least less than needed). Congrats to the authors for laying the groundwork for deploying these limited resources effectively. https://t.co/GzD1YKqdrq
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Can confirm. From a medication standpoint, it’s one of the most important questions we ask in the ED after a fall. Then we order appropriate labs and check pharmacy records to confirm. The follow up question is: when was your last dose.
“As far as I know” here is the shortest distance possible. From an actual ER doc, “are they on blood thinners” is and always has been a standard question we ask after a fall because it changes risk for and treatment of head bleed. If you forget to ask, you go back and ask.
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This may be one way to optimize our administration of repeated antibiotics in the ED in the setting of overwhelming capacity demands and longer boarding times. /end
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