Matt Williams PharmD
@PharmWilliams
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Emergency Medicine PharmD, views are my own
Joined January 2022
Hi Rx community. When dosing phenobarbital (10 mg/kg) for EtOH withdrawal, do you adjust for obesity? #TwitteRx #idtwitter #traumarx #empharm #EMPRx23 #EMRx #emergencymedicine
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Hey #TwitteRx and #PharmICU An opening for a #CriticalCare #pharmacist position will be opening at my hospital in Queens, NY https://t.co/fMuKwRKaGw
Hey #TwitteRx and #PharmICU An opening for a #CriticalCare #pharmacist position will be opening at my hospital in Queens, NY Please help me spread the word and feel free to DM me with any questions
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Another year for the books. My first class of PGY2s are leaving me to become amazing EM Pharmacists. Couldn’t be more proud of them 😭🤧
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🧠 to #tPA or not to tPA w/recent DOAC? 📄in @JAMANetwork suggested lytics w/in 7 days of #DOAC use in 👥 w/stroke was not associated with #ICH but ⚠️ 🤯 ⏱ as with life, timing is 🔑 ✅ our response @StrokeAHA_ASA @nyulangone
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🚨🚨Spoiler alert: Andexxa no better than Kcentra for ICH 🧠🩸 associated with apixaban or rivaroxaban. 💉💸🔥🗑🔥 Level of excellent hemostasis achieved after AA= 71.1%, 4F-PCC= 70.7%❗️ https://t.co/mwcSj19iUm
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✅ out our 🆕📄❗️ 🤔do we deviate from 7-& 21-day lead-in doses of #apixaban or #rivaroxaban for tx of #VTE❔ ⬇️ #OFXAi lead in infreq. ➡️ older, w/ ⬇️ #CrCL &⬆️🫀dz @ArnoukSerena @PharmWilliams @CardsNYC @JPCritCarePharm⤵️
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Guess what got started between these two levels? 4/2 is admit level, 4/3 was insisted upon by me (recommendation to d/c again denied) after noticing the offending agent was started in the first place against the original pharmacist's recommendation 😑
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Never thought I’d be consulted on a sea urchin sting in Milwaukee in the middle of winter, management includes: 🌵 Spine removal 💧 Hot water (40.6-46.1 C) 💉 Td update 💊 Analgesia +/- ABX (comorbid/immunosupp) 🦠 Cover Step/Staph, Vibrio, M. marina
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Congratulations to those that matched today! For those who haven’t don’t let this deter you. If you’re a phase 2 P4 student interested in a large tertiary care, level 1 trauma, comprehensive stroke & cardiac center check out Maimo. #TwitteRx #rxmatch2022
maimomeded.org
Maimonides Medical Center currently offers an unforgettable pharmacy training experience. Residents will be exposed to various clinical settings such as critical care, emergency medicine, psychiatry,...
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#CritCareExplore @SCCM In an observational study of pts w/ septic shock, lower arterial pH was associated with less effective vasopressin response. Similar to other vasopressors, the clinical effectiveness of vasopressin appears to be impaired in acidemia. https://t.co/z7CXQ51WM7
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Looking forward to incorporating the EMPIRE-C study in our findings.
pubmed.ncbi.nlm.nih.gov
EM pharmacists practicing in community settings have a substantial impact on patients as evidenced by the large quantity and variety of interventions logged which also results in significant cost...
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Just one of the many reasons an ER pharmacist is needed overnight. Looking forward to advocating for 24h pharmacy coverage at Maimonides Medical Center through our pilot program.
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EMPIRE-C https://t.co/0LiDWRYXuU @LexipediaRx @IDintheED + Ben and I with cost avoidance data showing community EM pharmacists w/ over 23,000 interventions + $5.3 million avoided in a 1 year period Highlights typical ED Interventions + our robust ED Culture Review work
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SPACE is out! HECK-Yes is the better acronym for identifying inducible AmpC. Rates can reach 40% resistance in these species when exposed to ceftriaxone. Hafnia Enterobacter cloacae Citrobacter freundii Klebsiella (formerly Enterobacter) aerogenes Yersinia #critPRN
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#JournalWatch Antibiotic Timing and Progression to Septic Shock Among Patients in the ED With Suspected Infection https://t.co/KDELr0V3X7
#critPRN #PharmICU
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🚨 Hot off the press & FREE! The first ever iteration of #PANDEM: @SCCM's guidelines for the management and prevention of pain, agitation, neuromuscular blockade & #delirium: https://t.co/CryQlUZ5he
#PedsICU #ICULiberation #FOAMEd @WFPICCS
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