Brian Gilbert, PharmD, MBA, FCCM, FNCS, FKCHP

“See ya babe going down to the command center”

Dangerous. Bad ass. I love it.

Comment on “Evaluation of burnout among pharmacy residents in the United States” Click on the article title to read more.

“The Silent Crisis in Clinical Pharmacy.” This LTTE discusses a lot of what we all have felt, discussed amongst colleagues, but only whispered about. It’s time to have honest and heartfelt discussions if we want to save the profession

#PharmSky

accpjournals.onlinelibrary.wiley.com/doi/10.1002/...

Transdermal rivastigmine as a therapeutic option in severe diphenhydramine‐induced anticholinergic toxicity: A case report and literature review Diphenhydramine overdose is a common toxicological emergency characterized by anticholinergic symptoms such as delirium, hallucinations, and cardiovascular instability. Physostigmine, a centrally act...

New case and literature review! Physostigmine might be gone but doesn’t mean we don’t have options.

#PharmSky

accpjournals.onlinelibrary.wiley.com/doi/10.1002/...

A Case of Angiotensin II Utilization for Refractory Shock in a Polysubstance Overdose - Journal of Medical Toxicology Amlodipine and quetiapine are widely utilized medications that are generally well-tolerated at therapeutic doses. However, overdoses can lead to severe, life-threatening cardiovascular effects, leadin...

Interesting case we had where conventional therapies weren’t cutting it. Ang II is underutilized I believe and has a definitive place in therapy that should continued to be explored.

#PharmSky

link.springer.com/article/10.1...

It’s time for more than just thoughts and prayers: A plea for a call to action Brian W Gilbert, PharmD, MBA, BCCCP, FCCM, FNCS, Rebecca F Gilbert, MSN, RN; It’s time for more than just thoughts and prayers: A plea for a call to action

The definition of insanity is doing the same thing over and over and expecting different results right?

Why would gun violence be any different?

Here’s our editorial on gun violence from the perspective of emergency medicine personnel.

#PharmSky

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Honored to have received the EM Pharmacist of the Year from AEMP & Research Early Career Achievement Award from AGEM at @saemonline.bsky.social

A mad-libs style make your own antibiotic game where one chooses a drug name based on your first initial and month you were born in, a random number for a dose, choice of formulation, a random number for frequency, and a choice of route. Notably missing from routes is rectal, but the audience includes boys aged 8-11. A conscientious decision was made.

Once again I'm headed to the 3rd-5th grade STEM career fair & am repping infectious diseases/pharmacy. I created this mad-libs type activity to make your own antibiotic. Any easy 😂 & constructive feedback is appreciated.

And no I'm not changing it to "antimicrobial" bc this is for the children

Comparison of anticoagulation reversal strategies for warfarin associated acute gastrointestinal bleeding Gastrointestinal bleeding (GIB) is a common complication associated with warfarin use. However, the optimal approach for anticoagulation reversal—whet…

⁉️Which patients require reversal in warfarin associated GIB? We lack large RCTs to guide treatment.

Check out our retrospective study evaluating treatments in GIB

www.sciencedirect.com/science/arti...

Big news! Meet the powerhouse editors of the new Journal of Acute Care Pharmacotherapy (#JACP):
• EIC: Dr. Brian Gilbert
• Deputy EIC: Dr. Christopher Edwards

Leaders from the frontlines of acute care.

#SEMP #PharmacyLeadership #JACP #ForUsByUs #AcuteCare

Did vibrio write this post 😂

Antimicrobial proteins from oyster hemolymph improve the efficacy of conventional antibiotics Discovering new antibiotics and increasing the efficacy of existing antibiotics are priorities to address antimicrobial resistance. Antimicrobial proteins and peptides (AMPPs) are considered among the...

Shame on those who shamed the mighty oyster! @jobadd.bsky.social @paulsaxmd.bsky.social

journals.plos.org/plosone/arti...

Identification of education gaps for pharmacists treating transgender and gender‐diverse patients: A quality initiative at a single academic health system Background Transgender and gender-diverse (TGD) patients experience challenges and disparities when seeking health care across a multitude of settings. Studies have demonstrated that TGD individuals...

So proud of this team and all the work they’re doing to improve the care for transgender patients! 👏🏻

accpjournals.onlinelibrary.wiley.com/doi/10.1002/...

This would be awesome to see outside of a standardized study setting! Keep us posted for sure

SQuID states BMP q4h and finger stick q2h, so maybe a care tech could handle the q2h while nursing/lab handle the q4h BMP? Also if they’re requiring more than that then they probably shouldn’t be subq only anyway

We pretty much start all our DKA patients on basal right away, we’ve dipped our toes in the SQuID 🦑 land for our mild cases who show lab and clinical improvement. Biggest barriers is education, nursing time, and education 😂

🚨Reminder🚨you can treat mild DKA with fluids and subq insulin only, especially if it’s their primary ddx. IV insulin isn’t benign, we have extreme congestion in our EDs, and if you can save an ICU bed then everyone will be happy!

#PharmSky #MedSky

PMID:36775281

🦑🦑🦑

@bgundiluted.bsky.social made sure to hit upon this very important point during his AI talk @emprx25.bsky.social

This is something my wife @tessaoconnell.bsky.social and her colleagues are extremely concerned about and needs to be a much larger point of discussion around the use of AI

Def helped with door to abx time. Cost savings is somewhat negligible for us but different payer models so maybe for you? Outcomes wise there’s too many confounders 100% to say if it’s improved but definitely seems reasonable to think expedited administration could improve patient care

Push the majority of beta-lactams minus ampicillin products in the ED. Workhorses, ceftriaxone, pip-tazo, cefepime, cefazolin, meropenem, dapto, all pushed. Great operational efficiency especially in times of boarding. Secondary doses besides CEPHs are infusions

Thanks Anthony!

Shout out to Brock whose work continues to be impactful for patients everywhere! The DREAMER study evaluated droperidol for undiff abd pain in the ED and demonstrated less opiate requirements compared to those who did not receive it.

#PharmSky #ED #FOAMED

www.sciencedirect.com/science/arti...

This means so much to me. KCHP is a special organization with amazing people who truly put their lives on hold at times to do the right thing for Kansas and patients. It’s inspiring the amount of leaders who change culture at the national level in our “little” organization. Truly honored and humbled

Sexually Transmitted Infections Read chapter 31 of McGraw Hill’s NAPLEX^® Review Guide, 5^th Edition online now, exclusively on AccessPharmacy. AccessPharmacy is a subscription-based resource from McGraw Hill tha...

Thrilled to announce my first book chapter is published! 📕

Chapter 31: Sexually Transmitted Infections in the McGraw Hill #NAPLEX Review Guide 🦠💉

Huge thanks to Scott Sutton and my co-authors for making this milestone possible!

accesspharmacy.mhmedical.com/content.aspx...

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We’ve all been there when you have a pharmacist + 🧠🩸.

Ensure you’re not ⬇️ pressures too rapidly with over aggressive Tx.

Slow and smooth BP reduction is >>>> drastic variability for ICH.

Trust you have more ⏰ than you think.

Slow is smooth. Smooth is fast. #PharmSky #NeuroSky

PMID: 33017754

So blessed and humbled to have even been considered 🙏❤️ #PharmSky #MedSky

What a pleasure to discuss some of my favorite topics with some of my favorite people. #MedSky #PharmSky #TEG #MedTrauma

#SelfieSunday at #SCCM2025

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Had to bail on Twitter because I make it a point to not support nazis. So, here to give this platform a shot! #NotSureWhatPplHashTagHere