ER-Rx: An ER + ICU Podcast
Activity Overview
Episode publication activity over the past year
Episodes
Episode 94- "Don't Set the Precedent": Precedex for Alcohol Withdrawal
01 Jun 2023
Contributed by Lukas
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....
Episode 93- An Expert Talks: Managing Hyperglycemia in the ER
18 May 2023
Contributed by Lukas
This week, Dr. Michael Paddock answers some common insulin and diabetes management questions we have all had. Don't miss out! Follow HERE!Support...
Episode 92- Naloxone for ACE-I overdose
04 May 2023
Contributed by Lukas
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 ...
Episode 91- Which patients respond best to Angiotensin II?
06 Apr 2023
Contributed by Lukas
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 refe...
Episode 90- PharmSoHard meets ER-Rx: Status Epilepticus
23 Mar 2023
Contributed by Lukas
In this episode, I sit down with Jimmy Pruitt of the PharmSoHard podcast and talk about my favorite; status epilepticus. Support the showFind ER-Rx: ...
Episode 89- Let's talk BRASH
09 Mar 2023
Contributed by Lukas
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 ...
Episode 88- Can we treat staph aureus bacteremias with oral antibiotics?
23 Feb 2023
Contributed by Lukas
Oral antibiotics can be an option for gram negative bacteremias, but what's the data for their use in treating staph aureus bacteremias?Follow HE...
Episode 87- Should we give IV magnesium to all patients in AF?
26 Jan 2023
Contributed by Lukas
Magnesium- the wonder drug. Should it be something you always give with a rate-controlling agent for patients in atrial fibrillation?Follow HERE!Ref...
Episode 86- Why is my patient on two beta-blockers?
12 Jan 2023
Contributed by Lukas
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...
Episode 85- "It Takes 1 to Roc": Part Two: Is 1 enough?
29 Dec 2022
Contributed by Lukas
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 r...
Episode 84- "It Takes 1 to Roc": Part One: ABW, IBW, or LBW?
15 Dec 2022
Contributed by Lukas
In Part One of this "Mini Grand Rounds" series, we discuss the factors that determine how to dose meds, in this case rocuronium, in obesityC...
Episode 83- An Expert Talks: Awake and Walking ICUs
01 Dec 2022
Contributed by Lukas
Your intubated patients would love it if you heard this episode! Learn about the dangers of sedation with our guest, Kali Dayton, DNP, AGACNPClick HER...
Episode 82- "Bad Shrooms": Part Two: Treatment
17 Nov 2022
Contributed by Lukas
Wrapping up the two-part series discussing poisonous mushrooms. This week, we focus on treatment with agents like silibinin.To obtain silibinin (Legal...
Episode 81- "Bad Shrooms": Part One: Amatoxin
03 Nov 2022
Contributed by Lukas
The first of a two-part series discussing poisonous mushrooms. This week, we focus on amatoxin toxicity and presentation. Â Click HERE to leave a revi...
Episode 80- One-time aminoglycosides for cystitis
20 Oct 2022
Contributed by Lukas
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 H...
Episode 79- An Expert Talks: Scorpion sting vs. stimulant exposure in pediatric patients
06 Oct 2022
Contributed by Lukas
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 lea...
Episode 78- "If it ain't broke...": Fixed versus variable Kcentra dosing
11 Aug 2022
Contributed by Lukas
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. Â Clic...
Episode 77- "Cutting cost and waste": Rabies immune globulin dose rounding
28 Jul 2022
Contributed by Lukas
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. Â Click HERE to...
Episode 76- Can we treat bacteremia with cephalexin?
02 Jun 2022
Contributed by Lukas
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. Â Click...
Episode 75- Does caffeine reduce the efficacy of adenosine?
19 May 2022
Contributed by Lukas
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...
Episode 74- An Expert Talks: Intricacies of Hyperkalemia Management
05 May 2022
Contributed by Lukas
Not your average hyperkalemia episode! Jimmy Pruitt, host of the Pharm-So-Hard podcast, shares some pearls on hyperkalemia managementClick HERE to lea...
Episode 73- "Alcohol Withdrawal? Try Phenobarbital!": Part 3: An Expert Talks
21 Apr 2022
Contributed by Lukas
In the final part of this "Mini Grand Rounds" series, the author of a recently-published study discusses his experience with phenobarbital...
Episode 72- "Alcohol Withdrawal? Try Phenobarbital!": Part 2: Dosing + Monitoring
07 Apr 2022
Contributed by Lukas
In Part 2 of this "Mini Grand Rounds" series, we discuss the data behind phenobarb and how to dose and monitor itClick HERE to leave a revie...
Episode 71- "Alcohol Withdrawal? Try Phenobarbital!": Part 1: History + PK/PD
24 Mar 2022
Contributed by Lukas
In Part 1 of this "Mini Grand Rounds" series, we review the history and the pharmacodynamic/ pharmacokinetic profile of phenobarbital  Cl...
Episode 70- "Revisited": Can we give levetiracetam as an IV push?
24 Feb 2022
Contributed by Lukas
The first ever "Revisited" episode will go all the way back to Episode Two- where we discussed giving Keppra as an IV pushClick HERE to leav...
Episode 69- Do anticoagulated patients with ACS get IV heparin?
10 Feb 2022
Contributed by Lukas
Let's answer a very important, slightly nuanced question that can lead to a lot of confusion in an already stressful scenarioClick HERE to leave ...
Episode 68- "Back to the Future?": Vasopressin + steroids during cardiac arrest
27 Jan 2022
Contributed by Lukas
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...
Episode 67- What options exist for outpatient COVID treatment?
13 Jan 2022
Contributed by Lukas
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 ...
Episode 66- Surviving Sepsis: Updated recommendations and clinical pearls
30 Dec 2021
Contributed by Lukas
This week, we review some key recommendations and updates from the 2021 surviving sepsis campaign guidelinesClick HERE to leave a review of the podcas...
Episode 65- When can we use oral ketamine for procedural sedation?
02 Dec 2021
Contributed by Lukas
This week, we talk about how to use oral ketamine for (minor) procedural sedation in the agitated/ combative patientClick HERE to leave a review of th...
Episode 64- What happens when we give Kcentra to patients with liver failure?
18 Nov 2021
Contributed by Lukas
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 ...
Episode 63- "I don't think it means what you think it means": INR values in liver disease
04 Nov 2021
Contributed by Lukas
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 r...
Episode 62- Walking Home from the ICU meets ER-Rx: Propofol
21 Oct 2021
Contributed by Lukas
Listen as Kali Dayton and I discuss ICU sedation and the good, bad, and ugly of propofol on the Walking Home from the ICU podcastClick HERE to leave a...
Episode 61- PharmSoHard meets ER-Rx: ICU sedation
07 Oct 2021
Contributed by Lukas
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 imp...
Episode 60- Should we load vancomycin?
23 Sep 2021
Contributed by Lukas
Does loading vancomycin lead to achieving target levels within the first 24 hours? Does it increase the risk of nephrotoxicity? Â Click HERE to leave ...
Episode 59- "Something old, something new": Propylhexedrine abuse
26 Aug 2021
Contributed by Lukas
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...
Episode 58- "Diaphoretic, dystonic, and dangerous": Clozapine withdrawal
12 Aug 2021
Contributed by Lukas
This episode will hopefully convince you to never suddenly discontinue clozapine (and to do a thorough home medication review)Â Click HERE to leave a ...
Episode 57- Escaping "SCAPE"
29 Jul 2021
Contributed by Lukas
This week, we discuss the use of noninvasive ventilation and high dose nitroglycerin to prevent intubation in patients with SCAPEÂ Click HERE to leave...
Episode 56- "Glucose and 'gliflozins": Managing euglycemic DKA
01 Jul 2021
Contributed by Lukas
A high-yield episode with probably some low-key mispronunciations about how to treat euglycemic DKAÂ caused by SGLT2 inhibitors. Â Click HERE to leav...
Episode 55- How do we treat CAP in the immunocompromised?
17 Jun 2021
Contributed by Lukas
All immunocompromised patients with CAP get empiric vancomycin plus Zosyn in the ER, right? Right?! Click HERE to leave a review of the podcast!Refer...
Episode 54- Is PID in need of a third antibiotic?
20 May 2021
Contributed by Lukas
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 podc...
Episode 53- An expert talks: Hydrofluoric acid exposures
06 May 2021
Contributed by Lukas
This week we discuss hydrofluoric acid exposures with Dr. KC Lee, a clinical pharmacist with training in toxicology/ emergency medicineClick HERE to l...
Episode 52- How do we treat Suboxone-induced withdrawal?
22 Apr 2021
Contributed by Lukas
In this episode, we discuss how to treat opioid withdrawal precipitated by buprenorphine/Suboxone. The answer is more simple than you think!Click HERE...
Episode 51- How do we manage pain in patients on Suboxone?
08 Apr 2021
Contributed by Lukas
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 ...
Episode 50- Public service announcement: Don't forget to redose your antibiotics!
25 Mar 2021
Contributed by Lukas
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...
Episode 49- Annie are you A-OK?
18 Mar 2021
Contributed by Lukas
This week, we talk about amniotic fluid embolism (AFE) and the "A-OK" medication combination. Please click HERE to leave a review of the pod...
Episode 48- "Status Underdosingus": Part 3: Refractory status epilepticus
11 Mar 2021
Contributed by Lukas
In the final episode of this "Mini Grand Rounds" series, we discuss the management of refractory status epilepticus.Please click HERE to lea...
Episode 47- "Status Underdosingus": Part 2: Urgent therapy
04 Mar 2021
Contributed by Lukas
In Part 2 of this "Mini Grand Rounds" series, we discuss urgent therapy of patients in status epilepticus.Please click HERE to leave a revie...
Episode 46- "Status Underdosingus": Part 1: Emergent therapy
25 Feb 2021
Contributed by Lukas
In Part 1 of this "Mini Grand Rounds" series, we discuss emergent therapy of patients in status epilepticus using benzodiazepines. Please cl...
Episode 45- How do we treat agitation in the ER setting?
18 Feb 2021
Contributed by Lukas
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 ...
Episode 44- "Moonshot": Vitamin C, thiamine, and hydrocortisone in septic shock
11 Feb 2021
Contributed by Lukas
Is a concoction of Vitamin C, thiamine, and hydrocortisone the cure for patients with sepsis or septic shock?Please click HERE to leave a review of th...
Episode 43- An expert talks: Awake intubation
04 Feb 2021
Contributed by Lukas
Tune in as Dr. Nick Tsipis from the Emergency Medical Minute takes over the ER-Rx Podcast to discuss awake intubation.Please click HERE to leave a rev...
Episode 42- What is the most effective antiemetic in the ER setting?
28 Jan 2021
Contributed by Lukas
What is the most effective agent for relieving nausea and vomiting in the ER? The answer may surprise you…Please click HERE to leave a review of the...
Episode 41- "The Perfect Storm:" Part 2: Hyperinfection syndrome and ivermectin
21 Jan 2021
Contributed by Lukas
In Part 2 of this "Mini Grand Rounds" series, we discuss hyperinfection syndrome and its treatment with ivermectin. Please click HERE to lea...
Episode 40- "The Perfect Storm:" Part 1: COVID, corticosteroids, and strongyloides
14 Jan 2021
Contributed by Lukas
In Part 1 of this "Mini Grand Rounds" series, we discuss corticosteroid use in COVID as well as the pathogenesis of strongyloides. Please cl...
Episode 39- Demystifying the "DOSE" trial
07 Jan 2021
Contributed by Lukas
What dose of diuretics did the "DOSE" trial use in heart failure exacerbations? Was oral bioavailability taken into account?References:Felke...
Episode 38- ECMO for out-of-hospital cardiac arrest: Is this the future?
31 Dec 2020
Contributed by Lukas
This week, we review our medical group's experiences with using ECMO for refractory out-of-hospital cardiac arrests. Is this the future? Referenc...
Episode 37- Updated treatment guidelines for gonococcal infections
24 Dec 2020
Contributed by Lukas
There were some pretty significant changes made to the CDC's treatment guidelines for gonococcal infections. Get a quick review here! References...
Episode 36- Do we have to correct hyperglycemia in the ER?
17 Dec 2020
Contributed by Lukas
Is routine correction of hyperglycemia in the ER necessary? And if so, which agents and routes are recommended? Find out this week! References:Driver ...
Episode 35- An expert talks: PALS
10 Dec 2020
Contributed by Lukas
In part 2 of the cardiac arrest series, Dr. Rebecca Gragg, an ER pharmacist at a pediatric trauma center, discusses some key points from the 2020 PA...
Episode 34- Adult ACLS: Updated recommendations and clinical pearls
03 Dec 2020
Contributed by Lukas
In part 1 of the cardiac arrest series, we review some key recommendations and clinical pearls from the 2020 adult BLS and ACLS guidelines. References...
Episode 33- Shock through the heart: Is two better than one?
26 Nov 2020
Contributed by Lukas
What is dual/double defibrillation? How does it work? Does it improve patient outcomes? Find out this week! References:Miraglia D, Miguel LA, Alonso W...
Episode 32- Drug shortage debacle: Methohexital or ketamine for RSI
19 Nov 2020
Contributed by Lukas
What happens when/ if etomidate goes on shortage? Are methohexital or ketamine viable options for RSI in the ER? Find out this week.References:Farrell...
Episode 31- Antiplatelet agents in ACS: Who rules the roost?
12 Nov 2020
Contributed by Lukas
In this episode, we discuss the pros and cons of the main antiplatelet agents used in the setting of ACS. Who comes out on top?References:Norgard NB, ...
Episode 30- How fast can we give IV magnesium?
05 Nov 2020
Contributed by Lukas
The rate of IV magnesium administration depends on the particular indication, dose, and patient-specific factors. Tune in for more details.References:...
Episode 29- "We're all a little 'stitious:" Bad words, full moons, and black clouds
29 Oct 2020
Contributed by Lukas
Days away from Halloween, we discuss a few common ER superstitions. Are they actually legit? Or do you belive the data? Your call. References:Brookfie...
Episode 28- Blink and you miss it: an easily missed cause of bradycardia and hypotension
22 Oct 2020
Contributed by Lukas
Bradycardic? Hypotensive? Keep the agent discussed in this week's episode in mind when reviewing your patient's medication list.References:R...
Episode 27- "More Squeeze, Please:" Part 2: Clots and COVID
15 Oct 2020
Contributed by Lukas
In Part 2 of this "Mini Grand Rounds" series, we discuss important side effects of ATII including thrombosis, especially in the setting of C...
Episode 26- "More Squeeze, Please:" Part I: ATHOS-3 and me
08 Oct 2020
Contributed by Lukas
In Part 1 of this "Mini Grand Rounds" series, we discuss Angiotensin II use for vasodilatory shock, reviewing the ATHOS-3 trial and real-wor...
Episode 25- Procainamide for atrial fibrillation/ flutter conversion
01 Oct 2020
Contributed by Lukas
Should we be giving procainamide to patients with atrial fibrillation/ flutter? We discuss two clinical trials that may give us some answers. Referenc...
Episode 24- An expert talks: Methemoglobinemia
24 Sep 2020
Contributed by Lukas
This week we discuss methemoglobinemia with Dr. KC Lee, a clinical pharmacist who recently completed her clinical toxicology/ emergency medicine fello...
Episode 23- The ammonia level: what is it good for?
17 Sep 2020
Contributed by Lukas
Should we be using ammonia levels to diagnose, determine the severity, or monitor the resolution of hepatic encephalopathy? References:Ninan J, Feldma...
Episode 22- One-time IV antibiotics prior to discharge
09 Sep 2020
Contributed by Lukas
Is giving your patient a one-time dose of IV antibiotics prior to discharge helpful? Or are you doing more harm than good? Tune in this week to find o...
Episode 21- Esmolol in refractory VF arrest
01 Sep 2020
Contributed by Lukas
This week we review a meta-analysis that looked at the use of esmolol in patients in refractory VF/pVT arrest. Will this change your practice? Referen...
Episode 20- Cyanide: toxicology and antidotes
25 Aug 2020
Contributed by Lukas
In this Mini Grand Rounds episode, we discuss cyanide toxicology and management, including antidotes. References:Holstege CP, Isom GE, Kirk MA. Cyani...
Episode 19- Public service announcement: stop the steroid bomb!
18 Aug 2020
Contributed by Lukas
Stop the steroid bomb! If you are giving 125 mg IV methylprednisolone (Solu-Medrol) to your asthma or COPD exacerbation patients, that may be too much...
Episode 18- Ventilator-associated tracheo-what?
11 Aug 2020
Contributed by Lukas
Tune in as we discuss ventilator-associated tracheobronchitis and what the guidelines say we should do about this little-known entity! References:Nsei...
Episode 17- The Emergency Medical Minute meets ER-Rx
04 Aug 2020
Contributed by Lukas
In case you missed it, last week Dr. Nick Tsipis from the Emergency Medical Minute discussed a few rapid-fire ER topics with our host, Adis Keric. Che...
Episode 16- "HALT" the use of TXA in GI bleeds?
28 Jul 2020
Contributed by Lukas
This week, we review the "HALT-IT" trial. Will you routinely give your patients TXA (tranexamic acid) in the setting of GI bleeds after read...
Episode 15- The misleading "sulfa" allergy
21 Jul 2020
Contributed by Lukas
Today, we discuss what it means to have a "sulfa" allergy. Are things such as furosemide and tamsulosin really contraindicated in these pati...
Episode 14- SARS-CoV-2 antibody test
14 Jul 2020
Contributed by Lukas
What does a negative or positive antibody test mean? Should it change our behavior? Do we have to view the results in the setting of where we are loca...
Episode 13- "Clot Busters:" Part 2: Cardiac arrest
07 Jul 2020
Contributed by Lukas
In Part 2 of 2 of our "Mini Grand Rounds" series, we discuss the use of thrombolytics in the setting of cardiac arrest and wrap it up with o...
Episode 12- "Clot Busters:" Part 1: Submassive and massive pulmonary embolism
30 Jun 2020
Contributed by Lukas
In Part 1 of 2 of our "Mini Grand Rounds" series, we discuss the use of thrombolytics in the setting of submassive and massive pulmonary emb...
Episode 11- Anaphylaxis: A pharmacologic management update
23 Jun 2020
Contributed by Lukas
What is the most important agent for anaphylaxis? What other treatments are only considered as adjuncts? How should I give these agents? Find out this...
Episode 10- Alteplase door-to-needle times and long-term outcomes
16 Jun 2020
Contributed by Lukas
Join us for a quick review on a recently-published study describing the association between alteplase door-to-needle times and long-term patient outco...
Episode 9- Carbapenem-resistant but cephalosporin-sensitive pseudomonas
09 Jun 2020
Contributed by Lukas
This week, we discuss a strange and rare pseudomonas phenotype. Find out why these strains are resistant to carbapenems but usually not other antibiot...
Episode 8- Is glucagon effective for relieving esophageal foreign bodies/ food impactions?
02 Jun 2020
Contributed by Lukas
In this week's episode, we discuss a recently-published meta-analysis and summarize a couple of guidelines that discuss the management of esophag...
Episode 7- Epistaxis: A guideline review focusing on topical agents and prophylactic antibiotics
26 May 2020
Contributed by Lukas
Do we have any data on topical agent use to control nosebleeds? How about prophylactic antibiotics for patients with nasal packing in place? Find out ...
Episode 6- Can we use corticosteroids to reduce reintubation rates?
20 May 2020
Contributed by Lukas
In this episode, we discuss the use of prophylactic corticosteroids for patients at high risk of reintubation. Please leave us a comment for your chan...
Episode 5- Subcutaneous neostigmine for Ogilvie's Syndrome
15 May 2020
Contributed by Lukas
In this episode, we look into the pharmacological treatment of Ogilvie's Syndrome using subcutaneous neostigmine. Please remember to subscribe to...
Episode 4- Guidelines on the acute treatment of cerebral edema
05 May 2020
Contributed by Lukas
In this episode, we discuss hypertonic saline solutions and mannitol for the treatment of cerebral edema in a variety of clinical settings. Please rem...
Episode 3- "Vitamin D": Droperidol for agitation in the ER
01 May 2020
Contributed by Lukas
In this episode, we discuss the use of droperidol for the treatment of agitation in the ER setting. Please remember to subscribe to our podcast and le...
Episode 2- Can we give levetiracetam as an IV push?
29 Apr 2020
Contributed by Lukas
Join us this week as we discuss whether or not levetiracetam (Keppra) can be given as an undiluted push, straight out of the vial. Don't forget t...
Episode 1- Introduction to ER-Rx
28 Apr 2020
Contributed by Lukas
A brief introduction to our podcast and our host. Please check out our website (ERRxpodcast.com) and subscribe to our channel! Disclaimer: The infor...