Alexa Maisenbach, PharmD, BCPS

Acl surgery and recovery is definitely not for the weak 😪 #1weekpostop

Part 1: Executive Summary: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care | Circulation This executive summary provides an overview of the 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, which is organized around the Utstein...

#emedsky #medsky. www.ahajournals.org/doi/10.1161/...

Everyone is talking about the new AHA cpr guidelines recing against mechanical compression devices. Note the caveat of considering it in settings where high-quality cpr cannot be maintained (think small EMS crews, long transport times). This rec was in the last update and has only changed in LOE!

The most majestic thing you will see on #bluesky today. 😇

👏👏👏

🔥New EMPHARM-NET DONT EXPAND Study:
💊Propensity-matched, 11 EDs: desmopressin (n=35) vs. controls (n=140)
😷Desmo patients had higher baseline ICH volumes
🧠No difference in good or excellent hemostatic efficacy assessed via hematoma volumes www.sciencedirect.com/science/arti...

Midazolam and Ketamine for Convulsive Status Epilepticus in the Out-of-Hospital Setting To determine if ketamine, when added to midazolam for the treatment of out-of-hospital seizures, is associated with an increase in the rate of cessation of convulsions prior to hospital arrival.

Midazolam and Ketamine for Convulsive Status Epilepticus in the Out-of-Hospital Setting - Annals of Emergency Medicine www.annemergmed.com/article/S019...

Wonder where they got this dosing?

Considering just about every hospitalized patient gets ceftriaxone? Think it’s more likely that people with cardiac arrests just happened to also get ceftriaxone since we give it like candy 🍬

Profile page for @medsky.info. Profile bio says "An account for labeling medical misinformation. When reporting content, report to both our labeler and Bluesky Moderation. Always consult a doctor before making decisions regarding your health based on information you read on the internet."

List of labels for @medsky.info: Vaccine Misinformation: "This user has received a label due to the dissemination of misinformation regarding vaccines. Vaccines are a safe and effective preventive treatment, and immunization currently prevents 3.5 million to 5 million deaths every year from diseases like diphtheria, tetanus, pertussis, influenza, measles, and COVID-19. Always consult a physician or other healthcare provider before making decisions regarding your health based on information you read on the internet, and always check credible health resources online prior to sharing information that may contain misinformation." Medical Misinformation: "This user has received a label due to the dissemination of medical misinformation. False or misleading medical information can cause individuals to make decisions that could have dangerous consequences for their health. Misinformation about diseases, illnesses, potential treatments and cures, vaccines, diets, and cosmetic procedures is especially harmful. Always consult a physician or other healthcare provider before making decisions regarding your health based on information you read on the internet, and always check credible health resources online prior to sharing information that may contain misinformation."

Everyone, I'm very proud to introduce @medsky.info, the #Medsky Misinformation Labeler. This is intended as a moderation tool to help make our communities safer.

Subscribe to this labeler to identify/block medical misinformation, and report posts you believe contain misinfo for review.

🚨 Have you joined us formally at
@saemaemp.bsky.social @saemonline.bsky.social
🗓️Have you renewed your @saemonline.bsky.social membership for the year?
🚑If not we would love to have you (re)join us in our journey to advance EM practice.
📷 Scan the QR code to learn more! #EMRx #AEMP #AEMPlify

@saemonline.bsky.social #emedsky #pharmsky #medsky

Join us tomorrow at 1pm CT for our Journal Club Debate on tenecteplase vs. alteplase for the treatment of massive PE!
Featured Speakers:
Cecilia Schowe, PharmD, MS, BCPS
Natalie Pettit, PharmD
Judah Brown, PharmD, BCCCP, BCEMP

You do NOT need to be a member!
Register:
www.saem.org/detail-pages...

🚨📢EM Clinicians: Have you heard of anti-amyloid therapies (AATs) for Alzheimer's Disease? Our @AnnalsofEM review explains what you should know, the challenges of recognizing patients, & how AATs impact common ED complaints like AIS & anticoagulant Rx kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F...

Now, now, don’t go referencing #evidencedbasedmedicine

I personally love how the floors will randomly make up a blood pressure cutoff and REFUSE to take a patient unless it’s lower than this arbitrary number 🤷🏼‍♀️ #emedsky #medsky #pharmsky

💯 There is deep anxiety about oral antibiotics not being “aggressive” enough with a “severe” infection, with the concern about an error of omission rather than commission. Meaning, a bad outcome by doing less outweighs concerns about a bad outcome by doing more. #IDsky

In @annalsofem.bsky.social we published on the shocking rise in UFH use for PE www.annemergmed.com/article/S019.... We wanted to know why, so we conducted a qual study out in @jama.com and found some interesting things jamanetwork.com/journals/jam... #education #MedSky #EMSky #EMedSky #BlueSky

“The bacteria don’t care how the drug got there, just that it did.” Unfortunately, even ID shows reluctance to make the switch. Would love to see more PO! #IDsky

New year, new membership! Excited to be a part of SAEM! @saemonline.bsky.social #emergencymedicine #saem

Shorter Length of Hospital Stay for #Endocarditis After Publication of POET Trial

#CardioSky #IDSky #JACC
@accintouch.bsky.social @jaccjournals.bsky.social
www.jacc.org/doi/10.1016/...

I love it🔥
ASymptomatic Bacteriuria #idsky #medsky #utisky #AMSsky

State-of-the-Art Review: Ocular Infections Collaborations between ophthalmologists and infectious disease specialists are critical for optimizing care of many patients with eye infections. We review

Ocular infections are some of the most challenging to treat. Uncertain penetration of systemic antibiotics into ocular tissue, need for intravitreal antibiotics, high risk for vision loss and even enucleation. This review in CID is fantastic. #IDSKY 🧪
academic.oup.com/cid/article/...

CDC produced table of immunizations recommended by timing from birth through 18 years of age. Each vaccine has a recommended window of delivery.

The CDC has released the 2025 schedule of recommended immunizations by vaccine/other agents and age group, from birth through 18 years of age. The resource is available at www.cdc.gov/vaccines/hcp...
#IDSky #vaccines #immunizations #pedsID

Oral cephalosporins for pyelonephritis?!
🆕️⚡️⚡️COPY-ED
Multicenter, retrospective study
N=851
No difference in 14-day pyelonephritis treatment failure for oral cephalosporins* vs FQ/TMP-SMX for outpatient pyelonephritis in the ED #idsky #medsky
* Mostly cephalexin
www.sciencedirect.com/science/arti...

Ton of great literature in the replies! #evidencebasedmedicine

Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo on LinkedIn: #ubuffalo #ketamine #depression #mentaldisorders #nmdareceptors University at Buffalo researchers — including senior author Gabriela K Popescu, PhD — have identified the binding site of low-dose ketamine, providing critical…

Have you seen our report (PMID: 39237721) describing a new binding site for KETAMINE on NMDA receptors?

It explains how low-dose KETAMINE can inhibit mildly and SELECTIVELY tonically active receptors, while leaving unaltered synaptically active receptors.

www.linkedin.com/posts/jacobs...

Can you add me? thanks!

Consciousness is a propofol deficiency