jep395

It is by no means exhaustive. On the contrary, I have made effort to remove medications that although may be textbook standards of care, I have not encountered in practice, or medications that may be falling out of favor, but still part of some medical teams' treatment plans. For example, Lidocaine is not included, rather only Amiodarone. Add to the list by commenting below! Some medicines may be more common in EMS, Intensive Care, or post admission hospitalist care. But as more patients are boarded within the walls of the ED, understanding of these medications (primarily drips) is very necessary. The medications are listed first by pharmacological category and subsequently by order of importance (I.e. which one should I learn first). Airway Management Albuterol Ipratropium Antibiotics Azithromycin - macrolide Vancomycin - glycopeptide Piperacillin/Tazobactam (Zosyn) - beta-lactamase inhibitor Ampicillin/Sulbactam (Unasyn) - beta-lactamase inhibitor Metronidazole (Flagyl) - bacterial & Amebicidal Ciprofloxacin- fluoroquinolones Ceftriaxone (Rocephin) - 3rd cephalosporin Cefazolin - 1st cephalosporin Clindamycin - Lincomycin derivative Doxycycline - tetracycline Amoxicillin and Clavulanate - beta-lactamase inhibitor Bacitracin Seizure / Neurological Phenytoin Psychiatric Lorazepam Midazolam (Versed) Haloperidol Antiarrhythmics / Electric Manipulators Amiodarone Procainamide Adenosine Myocardial Management Diltiazem Digoxin Dobutamine Esmolol Magnesium Blood Pressor Management / Fluid Management Lebetalol Metoprolol Norepinephrine Epinephrine Dopamine Nitroglycerine Furosemide Mannitol Phenylephrine Anticoagulants / Thrombolytics Aspirin tPA Heparin Enoxaparin Antiemetics / Antacids Ondansetron Metoclopramide Meclizine Famotidine (Pepcid) Esomeprazole (Nexium) Pantoprazole (Protonix) Milk of Magnesia Sedation / Induction / Paralysis Rocuronium Succinylcholine Etomidate Ketamine Propofol Dermatology Silver Sulfadiazine Inflammation Dexamethasone Prednisone/Prednisolone Methylprednisolone (Solu-Medrol) Diphenhydramine Pain Hydromorphone Morphine Tramadol Fentanyl Ibuprofen Acetaminophen Ketorolac Oxycodone Hydrocodone Percocet (oxycodone/aceta) Norco (hydrocodone/aceta) Vicodin (hydrocodone/aceta) Glucose Management Insulin Aspart (Novolog) Regular Insulin (Humulin) Dextrose 50 Antidotes Naloxone Flumazenil Protamine Sulfate Phentolamine N-acetylcysteine Activated Charcoal Methylene Blue Cyanide Kit Contrast Dyes Gastrographin IV Constrast The following medications are generally not mainstays of classic emergency treatment. But do play a role in the right patient. In addition they are are commonly taken by our patients on a regular basis, or we will need to provide teaching for patients being prescribed these medications. Outpatient / Inpatient Meds Clopidogrel Rivaroxaban Verapamil Atorvastatin The following medications will be contained in any crash cart. However these medications have many uses outside of the realm of rapid decompensation and cardiopulmonary events. Crash Cart Medications Atropine Calcium Chloride 10% Calcium Gluconate Sodium Bicarbonate Vasopressin Dangerous Not To Know These medicines are for high acuity patients. You may not need them often, but when you do, you may not have time to check your reference. A mistake could cause serious M&M, or might be result in a terrible experience for the patient. Epinephrine Rocuronium Succinylcholine Etomidate Ketamine Propofol rtPA Nitroglycerine Norepinephrine Diltiazem Lebetalol Metoprolol Like The Back Of Your Hand Insulin Morphine Fentanyl Heparin Meat And Potatoes, Learn Them Well Albuterol Ipratropium Lorazepam Famotidine (Pepcid) Dexamethasone Ondansetron Metoclopramide Meclizine All antibiotics Pearls Know which class of antibiotic a particular antibiotic falls into. When a patient tells you about a penicillin allergy, it's in everyone's best interest that you do not administer any beta-lactams. **Please add to what I have forgotten! Or any pearls about these meds**

I am curious if anyone has any information about NYP's East Campus (Cornell) housing. I have heard that studios are cheaper than than some of the surrounding area studio apartments. But I have also some negative things (maintenance, no lease, etc). Thanks!

Does anyone listen to the CME podcast EM RAP? If you do listen to it I'm curious if you feel the subscription is worth the money? I understand a new edition came out specifically for RNs. But RN edition or not, I have heard a lot of good things about this podcast and listen to some of the individual contributors (Scott Weingart, Rob Orman).

I'm not sure about NYP. I know some people in Sinai who were hired straight into the ED as of 2012. And lots of people who transferred in from the hospital after a few months at Sinai. So I think it is still possible. Watch for ED openings on their website (they do post them on there and won't automatically cancel the app because of being a new grad like some applications do)

New York Presbyterian Cornell accepts a couple of new grads into the ED every year. NYU's ED has taken a couple of kids (but they knew someone who knew someone) officially, they do not take new grads. Mount Sinai used to take new grads into the ED (as of 3 years ago) however they currently claim they will not. I have heard rumors about Queens hospital, Lutheran hospital, and Bellevue taking new grads but cannot confirm.