About The Bloggers

Clinical Pharmacist, Emergency Medicine
Trinity Mother Frances Hospital
Tyler, Texas
Twitter: @iEMPharmD


Associate Editor and Staff Blogger:
Nadia Awad, Pharm.D., BCPS
Emergency Medicine Pharmacist
Robert Wood Johnson University Hospital
New Brunswick, New Jersey
Twitter: @Nadia_EMPharmD


  1. Hey Craig and Nadia,

    I am an emergency room pharmacist in a smaller community hospital near Portland, OR. Our service just started about 4 months ago. Just wanted to say I dig your blog, find it useful and keep up the good work!


    1. Thank you for following us! If you have any questions or run into any problems starting up the service, send us an email and we'll try to help.

    2. Hi, Brian,

      Thank you for the kind words! Again, as Craig mentioned, if you have any questions or if you would like to see something discussed on this blog, please feel free to contact us and we'll do our best to provide you with answers.


  2. Great blog. I am a Pgy-1 EM resident in California. I start my first shift next week and I was looking for a resource to review important ED meds/doses. Thank you for posting http://empharmd.blogspot.com/2013/05/need-to-know-medications-for-em.html

    It would be great if you posted a blog about pain management drugs in the ED, including drugs/doses? I know its a debated topic right now in the EM world.

    Thanks again!

  3. Hi! I'm an ED pharmacist at a 500 bed community hospital (our census is usually 200-300 though). I came across your blog when doing some research on procainamide loading doses in Afib. Great blog and I've added you to my feedly list. Looking forward to future posts. By the way, we mostly give procainamide 1gm IVPB to our patients. Your post didn't mention about a common dose. What dose is commonly ordered by your ED physicians?

    1. Thanks for reading!

      When we do administer procainamide (which is a few times a year) it's frequently the 1g IVPB dosing.

  4. Great blog Craig & Nadia, from a fellow EM pharmacist in upstate SC. Thanks!

  5. Hello,

    I am an emergency department pharmacist within Community Health Network in Indianapolis, IN. Our MDs are interested in setting up a laceration "cart" containing medications (such as lidocaine, bupivicaine, etc) and materials needed for doing sutures, etc in the ED. The current issue is that our ED MDs and PAs do not like waiting for an RN to get the medications they need out of Pyxis. We have suggested giving everyone Pyxis access, but they are still interested in going the cart route. If possible, we are trying to avoid this since carts are inherently less secure and require manual charging. I was hoping to gain insight into whether other sites utilize carts for this type of purpose and/or what they do differently. I'd love to hear your thoughts.

    Thank you,

    1. I agree with you that having lidocaine in those carts would not be ideal for safety. I understand the argument that it would be nice to have all of the supplies needed in one location, however, this is an old ideology that we're stuck in (similar to anesthesiology in the OR). The bottom line is that these are medications aren't 'life saving' medications (for suturing) and should require an order, verified by a pharmacist and then dispensed (manually or through an automated dispensing cabinet, ie pyxis). It may take longer, and be inconvenient for the physicians or PA's but it is the safe and appropriate way to do so.
      Hope this helps!

  6. I also want to echo the comments previously posted. As a fellow ED pharmacist, thank you for the blog. I enjoy reading it! I often forward the information to fellow pharmacists, nurses or providers. Again, thank you!