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The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

The Elective Rotation - the number 1 ranked Hospital Pharmacy podcast - is created for YOU Pharmacy Nation! If you are a Pharmacy Student, Resident, Pharmacist, Nurse, Physician, or Critical Care Practitioner in a hospital, intensive care unit (ICU) or emergency department looking to improve your practice, The Elective Rotation delivers unbiased critical care and hospital pharmacy content from a Board Certified Pharmacotherapy Specialist. Episodes are published every Monday and Thursday at 3AM EST. Find the show notes at pharmacyjoe.com.

888: The Effects of Fluid Overload On the Pharmacokinetics of Extended Infusion Meropenem in Critically Ill Patients with Sepsis

Published: Jan. 18, 2024, 8 a.m.
Duration: 4 minutes 13 seconds

Listed in: Science

877: Sedation and Analgesia Statements From the AHA/NCS Scientific Statement on Critical Care Management of Patients After Cardiac Arrest

Published: Dec. 11, 2023, 8 a.m.
Duration: 2 minutes 53 seconds

Listed in: Science

871: Can a nasal MRSA screen be useful for choosing antibiotics in critically ill patients with an intra abdominal infection?

Published: Nov. 20, 2023, 8 a.m.
Duration: 2 minutes 51 seconds

Listed in: Science

824: Torsemide vs Furosemide Which Is Better For Symptoms and Quality of Life Among Patients Hospitalized for Heart Failure?

Published: June 8, 2023, 7 a.m.
Duration: 3 minutes 10 seconds

Listed in: Science

801: 7 Pharmacotherapy-Related Recommendations from the 6th European Guideline on Management of Major Bleeding and Coagulopathy Following Trauma

Published: March 20, 2023, 7 a.m.
Duration: 4 minutes 31 seconds

Listed in: Science

741: Is it safe to use early antibiotic discontinuation in hematology patients with fever of unknown origin during chemotherapy-induced neutropenia?

Published: Aug. 22, 2022, 7 a.m.
Duration: 4 minutes 14 seconds

Listed in: Science

731: Company sponsored indrect comparison concludes the companys product is better for the reversal of apixaban- or rivaroxaban-associated intracranial hemorrhage

Published: July 18, 2022, 7 a.m.
Duration: 4 minutes 10 seconds

Listed in: Science

667: If Nebulized Formoterol is Compatible with Most Other Nebulized Medications, Why Are They Not Recommended To Be Mixed?

Published: Dec. 6, 2021, 8 a.m.
Duration: 5 minutes 3 seconds

Listed in: Science

639: What is the optimal timing of remdesivir initiation in hospitalized COVID-19 patients administered with dexamethasone?

Published: Aug. 30, 2021, 7 a.m.
Duration: 3 minutes 23 seconds

Listed in: Science

628: Does fluid overload affect the pharmacokinetics of extended infusion meropenem in critically ill patients with sepsis?

Published: July 22, 2021, 7 a.m.
Duration: 4 minutes 16 seconds

Listed in: Science

608: Low dose versus standard dose four factor prothrombin complex concentrate for factor Xa inhibitor reversal in spontaneous and traumatic intracranial hemorrhage

Published: May 13, 2021, 7 a.m.
Duration: 2 minutes 44 seconds

Listed in: Science

599: Enoxaparin is associated with lower rates of mortality than unfractionated Heparin in hospitalized COVID-19 patients

Published: April 12, 2021, 7 a.m.
Duration: 3 minutes 34 seconds

Listed in: Science

584: Can a nasal MRSA screen be useful for choosing antibiotics in critically ill patients with an intra abdominal infection?

Published: Feb. 18, 2021, 8 a.m.
Duration: 2 minutes 51 seconds

Listed in: Science

474: Effect of Vitamin C, Hydrocortisone, and Thiamine vs Hydrocortisone Alone on Time Alive and Free of Vasopressor Support Among Patients With Septic Shock

Published: Feb. 3, 2020, 8 a.m.
Duration: 5 minutes 45 seconds

Listed in: Science

426: Impact of total body weight on rate of acute kidney injury in patients treated with piperacillin tazobactam and vancomycin

Published: Aug. 19, 2019, 7 a.m.
Duration: 4 minutes 40 seconds

Listed in: Science

383: Is a short course of antibiotics for critically ill patients with postoperative intra abdominal infection just as good as a standard course?

Published: March 21, 2019, 7 a.m.
Duration: 2 minutes 9 seconds

Listed in: Science

382: Two Clinical Rules for Predicting ED Patients at High Risk of an Adverse Drug Event

Published: March 18, 2019, 7 a.m.
Duration: 6 minutes 34 seconds

Listed in: Science

381: Which IM medication is the best first-line treatment for acute agitation in patients presenting to the emergency department?

Published: March 14, 2019, 7 a.m.
Duration: 2 minutes 35 seconds

Listed in: Science

374: Musculoskeletal toxicities in patients receiving concomitant statin and daptomycin therapy and the benefit of de-escalating ceftriaxone to cefazolin

Published: Feb. 18, 2019, 8 a.m.
Duration: N/A

Listed in: Science

370: The impact of an emergency medicine pharmacist during trauma resuscitation, probiotics via NG tube in the ICU, and a tip for responding to inpatient medical emergencies

Published: Feb. 4, 2019, 8 a.m.
Duration: 6 minutes 35 seconds

Listed in: Science

366: Metronidazole in mild Clostridium difficile infection, captisol-based amiodarone, and a tip for responding to inpatient medical emergencies

Published: Jan. 21, 2019, 8 a.m.
Duration: 6 minutes 32 seconds

Listed in: Science

362: 7 vs 14 days of antibiotics in gram-negative bacteremia, using cefazolin to predict sensitivity to cephalexin sensitivity, and a tip for responding to inpatient medical emergencies

Published: Jan. 7, 2019, 8 a.m.
Duration: 7 minutes 3 seconds

Listed in: Science

358: Antibiotic exposure and development of resistance, naloxone for clonidine toxicity, and a tip for responding to medical emergencies

Published: Dec. 24, 2018, 8 a.m.
Duration: 6 minutes 35 seconds

Listed in: Science

350: Effect of propofol and dexmedetomidine on norepinephrine requirements in patients with septic shock, amantadine in TBI, and a tip for responding to inpatient medical emergencies

Published: Nov. 26, 2018, 8 a.m.
Duration: 6 minutes 47 seconds

Listed in: Science

349: What to do about serum calcium during a massive transfusion

Published: Nov. 22, 2018, 8 a.m.
Duration: 2 minutes 1 second

Listed in: Science

348: De-escalating anti-MRSA therapy in culture-negative nosocomial pneumonia, should low serum calcium be replaced by protocol in the ICU, and a tip for responding to inpatient medical emergencies

Published: Nov. 19, 2018, 8 a.m.
Duration: 8 minutes 8 seconds

Listed in: Science

344: Inhaled tranexamic acid for hemoptysis, milrinone in CRRT, and a tip for responding to inpatient medical emergencies

Published: Nov. 5, 2018, 8 a.m.
Duration: 6 minutes 20 seconds

Listed in: Science

340: Can piperacillin-tazobactam be used in ESBL, adjunctive dexamethasone in bacterial meningitis, and a tip for responding to inpatient medical emergencies

Published: Oct. 22, 2018, 7 a.m.
Duration: 6 minutes 21 seconds

Listed in: Science

336: Comparison of two lidocaine administration techniques on perceived pain from bedside procedures, can vasopressors be given via the intraosseous route, and a tip for responding to inpatient medical emergencies

Published: Oct. 8, 2018, 7 a.m.
Duration: 5 minutes 22 seconds

Listed in: Science

332: How to predict oversedation in hospitalized patients, nitroglycerin for hepatic artery spasm in the interventional radiology suite, and a tip for responding to medical emergencies

Published: Sept. 24, 2018, 7 a.m.
Duration: 6 minutes 4 seconds

Listed in: Science

326: Thiamine to improve outcomes in septic shock, why the dose of adenosine is reduced when given via a central line, and a tip for responding to inpatient medical emergencies

Published: Sept. 3, 2018, 7 a.m.
Duration: 6 minutes 26 seconds

Listed in: Science

322: Prothrombin time and bleeding in hospitalized patients receiving rivaroxaban, melatonin and physical dependence, and a tip for responding to inpatient medical emergencies

Published: Aug. 20, 2018, 7 a.m.
Duration: 6 minutes 35 seconds

Listed in: Science

318: Half-dose versus full-dose alteplase for PE, enoxaparin vs heparin after alteplase for PE, and a tip for responding to inpatient medical emergencies

Published: Aug. 6, 2018, 7 a.m.
Duration: 6 minutes 5 seconds

Listed in: Science

314: Daptomycin vs linezolid for VRE bacterial clearance, should lidocaine be added to potassium infusions to reduce pain, and a tip for responding to inpatient medical emergencies

Published: July 23, 2018, 7 a.m.
Duration: N/A

Listed in: Science

310: Cost effective C diff treatment, phenobarbital monotherapy in severe alcohol withdrawal, and a tip for responding to inpatient medical emergencies

Published: July 9, 2018, 7 a.m.
Duration: 6 minutes 32 seconds

Listed in: Science

306: Order of vasopressor discontinuation, why is daptomycin dosed once daily, and a tip for responding to inpatient medical emergencies

Published: June 25, 2018, 7 a.m.
Duration: 6 minutes 15 seconds

Listed in: Science

298: Subcutaneous dexmedetomidine, why IV dextrose is given to patients with DKA, and a tip for responding to inpatient medical emergencies

Published: May 28, 2018, 7 a.m.
Duration: 5 minutes 24 seconds

Listed in: Science

294: Infusion rate for analgesic doses of ketamine, Is sodium polystyrene sulfate effective for the treatment of severe, acute hyperkalemia, and a tip for responding to inpatient medical emergencies

Published: May 14, 2018, 7 a.m.
Duration: 6 minutes 16 seconds

Listed in: Science

290: Trends in Use of Midodrine in the ICU, phentolamine for dobutamine extravasation, and a resource for targeted medication safety best practices for hospitals

Published: April 30, 2018, 7 a.m.
Duration: 6 minutes 15 seconds

Listed in: Science

286: Oral versus intraoperative i.v. acetaminophen, Should vasopressin be started at the same time as norepinephrine in septic shock? And a resource on what a pharmacist should know about mechanical ventilation

Published: April 16, 2018, 7 a.m.
Duration: 5 minutes 32 seconds

Listed in: Science

282: Predicting intubation-related cardiac arrest, apnea risk of ketamine, and a resource for patients who cannot have a blood transfusion

Published: April 2, 2018, 7 a.m.
Duration: 6 minutes 15 seconds

Listed in: Science

274: Modification of guideline-directed medical therapy in heart failure, linezolid in nec fasc, and how to get full-text journal access

Published: March 5, 2018, 8 a.m.
Duration: 6 minutes 1 second

Listed in: Science

270: Stress ulcer prophylaxis vs enteral nutrition, tamsulosin for trial without catheter in a female patient, and a resource for understanding statistical significance versus the clinical importance of observed effect sizes

Published: Feb. 19, 2018, 8 a.m.
Duration: 6 minutes 50 seconds

Listed in: Science

266: Corticosteroids in septic shock, which dose of vasopressin should be used, and a resource for residency and job interviews

Published: Feb. 5, 2018, 8 a.m.
Duration: 6 minutes 21 seconds

Listed in: Science

262: Which vasopressor should be stopped first? Do patients with liver disease and prolonged PT/INR levels still need VTE prophylaxis? And a resource that reviews noteworthy Emergency Medicine articles from 2017

Published: Jan. 22, 2018, 8 a.m.
Duration: 5 minutes 55 seconds

Listed in: Science

258: Higher vs. lower MAP targets, should a higher dose of heparin be used for VTE prophylaxis in obese patients, and a resource for patient education materials on sepsis

Published: Jan. 8, 2018, 8 a.m.
Duration: 6 minutes 4 seconds

Listed in: Science

254: High-dose daptomycin for patients with MRSA bacteremia, which patients receiving once-daily gentamicin dosing should have a trough level checked, and a resource for up to date antimicrobial sensitivity breakpoints

Published: Dec. 25, 2017, 8 a.m.
Duration: 5 minutes 43 seconds

Listed in: Science

250: Ketamine infusion for sedation in mechanically ventilated patients, therapeutic hypothermia and anticoagulation, and a resource for HIV guidelines

Published: Dec. 11, 2017, 8 a.m.
Duration: 8 minutes 53 seconds

Listed in: Science

246: Part 2 of the Guidelines for the Diagnosis and Management of Critical Illness-Related Corticosteroid Insufficiency (CIRCI) in Critically Ill Patients, does dexmedetomidine prolong the QTc interval? and a resource for looking up chemical and physical properties of a medication

Published: Nov. 27, 2017, 8:10 a.m.
Duration: 6 minutes 12 seconds

Listed in: Science

242: Mortality effects of prolonged versus short-term intravenous infusion of antipseudomonal β-lactams, bicarb IV compatibility, and a free resource for checking IV compatibility

Published: Nov. 13, 2017, 8 a.m.
Duration: 6 minutes 13 seconds

Listed in: Science

238: Ketamine as an analgesic adjunct in critically ill patients, at what MIC should an alternative to vancomycin be used to treat meningitis, and a resource for those interested in pharmacy compounding

Published: Oct. 30, 2017, 7 a.m.
Duration: 5 minutes 59 seconds

Listed in: Science

234: 5 vs 10 units of insulin for hyperkalemia, how long can you use high dose insulin for a calcium channel blocker overdose, and a resource for learning about pharmacologic issues in anesthesia

Published: Oct. 16, 2017, 7 a.m.
Duration: 5 minutes 58 seconds

Listed in: Science

230: IVIG for refractory HIT, differences in QTc risk among quinolones, and a resource for searching FDA reports of adverse reactions to medications

Published: Oct. 2, 2017, 7 a.m.
Duration: 5 minutes 56 seconds

Listed in: Science

226: Nebulized amikacin to treat hospital and ventilator associated pneumonia, sodium polystyrene sulfate and intestinal necrosis, and a resource for pharmacy calculations and other useful information

Published: Sept. 18, 2017, 7 a.m.
Duration: 5 minutes 6 seconds

Listed in: Science

222: Fondaparinux in critically ill patients with severe renal dysfunction, clindamycin in necrotizing fasciitis, and a resource to make your midyear poster presentation easier to read

Published: Sept. 4, 2017, 7 a.m.
Duration: 5 minutes 25 seconds

Listed in: Science

218: Double carbapenem use for severe carbapenemase-producing Klebsiella pneumoniae infections, dexamethasone dose for cerebral edema, and a resource for therapeutic hypothermia

Published: Aug. 21, 2017, 7 a.m.
Duration: 5 minutes 59 seconds

Listed in: Science

214: Readmission for recurrent sepsis, lactated ringers and the bicarbonate shortage, and a resource to learn about ongoing clinical trials

Published: Aug. 7, 2017, 7 a.m.
Duration: 5 minutes 45 seconds

Listed in: Science

213: How can you tell if you need to adjust a medication dose for a patient receiving ECMO?

Published: Aug. 3, 2017, 7 a.m.
Duration: 1 minute 33 seconds

Listed in: Science

212: Starting extracorporeal membrane oxygenation in the ED & ECMO pharmacotherapy – an interview with Joe Bellezzo MD & Ashkan Khabazian PharmD

Published: July 31, 2017, 7 a.m.
Duration: 46 minutes 41 seconds

Listed in: Science

211: When should empiric double coverage for pseudomonas be used for HAP?

Published: July 27, 2017, 6:59 a.m.
Duration: 2 minutes 2 seconds

Listed in: Science

210: Antibiotic stewardship in aspiration pneumonia, green urine after methylene blue, and a resource on critical care toxicology

Published: July 24, 2017, 7 a.m.
Duration: 5 minutes 10 seconds

Listed in: Science

206: Gabapentin is associated with postoperative respiratory failure, can IV labetalol be continued after the 300 mg maximum has been reached, and a resource for building a smart pump library

Published: July 10, 2017, 7 a.m.
Duration: 5 minutes 48 seconds

Listed in: Science

202: IV acetaminophen in critically ill adults, why is my post-op patient who is on rifampin at home still in pain after being given fentanyl?, and a resource for the treatment of intracranial hypertension after traumatic brain injury

Published: June 26, 2017, 7 a.m.
Duration: 6 minutes 20 seconds

Listed in: Science

201: How to tell the difference between serotonin syndrome, malignant hyperthermia, and neuroleptic malignant syndrome?

Published: June 22, 2017, 7 a.m.
Duration: 1 minute 25 seconds

Listed in: Science

200: Etomidate use in the ICU

Published: June 19, 2017, 7 a.m.
Duration: 5 minutes 54 seconds

Listed in: Science

199: Withholding stress ulcer prophylaxis in critically ill patients, can pancrelipase pellets be given via gastrostomy tube, and a resource from Vanderbilt University School of Medicine

Published: June 15, 2017, 7 a.m.
Duration: 5 minutes 49 seconds

Listed in: Science

198: How to use high dose insulin therapy for beta-blocker or calcium channel blocker overdose

Published: June 12, 2017, 7 a.m.
Duration: 5 minutes 49 seconds

Listed in: Science

197: Delay in the 2nd dose of antibiotic for septic patients, is it OK to give lactated ringers to a septic patient with elevated lactate, and a resource for learning about rare disorders

Published: June 8, 2017, 7 a.m.
Duration: 5 minutes 31 seconds

Listed in: Science

196: How to easily perform a Monte Carlo Simulation in under 10 minutes using Microsoft Excel, Apple Numbers or Google Sheets

Published: June 5, 2017, 7 a.m.
Duration: 7 minutes 15 seconds

Listed in: Science

195: Is allometric dosing of vancomycin likely to achieve AUC/MIC ratio over 400?

Published: June 1, 2017, 7 a.m.
Duration: 6 minutes 7 seconds

Listed in: Science

194: Interaction between valproic acid and carbapenem antibiotics should it be considered contraindicated in ICU patients?

Published: May 29, 2017, 7 a.m.
Duration: 5 minutes

Listed in: Science

193: Allometric vancomycin dosing, how long to give steroids be given for severe alcoholic hepatitis, and an allometric vancomycin dosing calculator

Published: May 25, 2017, 7 a.m.
Duration: N/A

Listed in: Science