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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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Figure 1. Procedural sedation agents (courtesy of EMRA).

The Cheese - Procedural Sedation in the Emergency Department

February 14, 2025

Procedural sedation is a unique skill that is frequently utilized by Emergency Medicine (EM) trained physicians. Depending on the indication and patient’s clinical status, it can be both stressful and time consuming, but ultimately a procedure that must be mastered to facilitate safe and effective care for our patients. Let’s start with the basic steps and setup and finish with some article reviews.

Kathryn McGregor, MD; Taylor Wahrenbrock, MD; Eric Leser, MD

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In Pharmacology, Orthopedics/MSK
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