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the County Consult

A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.

Pharm & Cheese: ⚡ Thyroid Storm 🌩

September 22, 2025

There are no specific lab value parameters that differentiate thyroid storm from less severe thyrotoxicosis, but the presence of multiorgan dysfunction is key8. We have a great guideline for general thyrotoxicosis management (“Thyrotox Updated Guideline”) on the Intranet, so this Cheese is only a closer look at thyroid storm in particular. 

Nanditha Ravichandran MD, Joanne Routsolias PharmD, and Eric Leser MD

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In Endocrine, Pharmacology Tags Pharmocology, Weekly Cheese
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Pharm & Cheese: Nebulized TXA

August 14, 2025

Bedside Clinical Question: Can nebulized tranexamic acid (TXA) be used as treatment in a patient presenting with hemoptysis?

Yasmeen Ettrick, PharmD PGY1 Pharmacy Resident and Joanne Routsolias, PharmD, RN, BCPS, Clinical PharmD Specialist

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In Pharmacology Tags Pharmocology, PharmD Pearl
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Source: Image by freepik on Freepik

The Cheese - Low-Cost, High-Value Obstetrical Care

May 24, 2024

Here at County, we are lucky enough to have an open labor and delivery unit and on-site OB/GYN consultants. Unfortunately, 217 obstetric units have closed from 2011 to 2023 according to the health care consulting firm Chartis. With decreasing access to obstetrical care, you, in your future practice, may be in a position where patients depend on you for high-quality care related to reproductive health. Here, we discuss some recent randomized trials investigating low-cost, high-value interventions related to gynecologic and obstetrical processes.

Jose Reyes MD

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In OB/GYN Tags Reproductive Health, Pharmocology
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