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Megan A Rech, PharmD, MSc

@meganarech

Wife & boy mama πŸ‘¦πŸ‘¦| Research health scientist | EM pharmacist πŸš‘ | Co-founder empharmnet.org | Inaugural chair AEMP 🚨 (SAEM.org/AEMP)

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Latest posts by Megan A Rech, PharmD, MSc @meganarech

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It was such a joy meeting the University of Toledo #RxSTAT Chapter at the ACCP Annual Meeting!

They’re already building the future of emergency medicine pharmacy, and I can’t wait to see all that they accomplish next.

@saemaemp.bsky.social @meganarech.bsky.social

21.10.2025 16:23 πŸ‘ 2 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Wonderful. Thanks for your consideration - I will send you an email

03.09.2025 19:44 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Great time to add an EM pharmacist your editorial board. Happy to suggest a few @saemaemp.bsky.social members πŸ€—

03.09.2025 17:58 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

πŸ’‘ Need one more reason to love your friendly EM pharmacist? Check out this #EMPHARM_NET SR/MA:

⏰ EMP presence was associated with reduced mean DTN time by 14.6β€―minutes (95β€―% CI -18.1, βˆ’11.1β€―min)

Time for #AmericanStrokeAssociation to take notice?

19.08.2025 21:22 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

πŸ“£Have you heard of antiamyloid therapies for Alzheimer’s disease? They cause ADEs called ARIAs that are non-specific, typically require MRI, & can mimic stroke

β›” Concomitant thrombolytics/anticoagulants are contraindicated

Learn more in our JAMA IM Clinical Insight πŸ‘‡

18.08.2025 20:34 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Andexanet alfa increases 30-day thrombotic events relative to four-factor prothrombin complex concentrate for factor Xa inhibitors-related intracerebral hemorrhage in veterans Two hemostatic agents are commonly used to reverse factor Xa (fXa) inhibitor-related intracranial hemorrhage (ICH): andexanet alfa (AA) or 4-factor pr…

Real-🌎 data in Veterans with fXaI-related ICH treated w/ andexanet alfa (AA; n=129) or 4F-PCC ( n=221)
πŸ”·Propensity matched
πŸ”·No difference in 90-day mortality
πŸ”·β¬†οΈ30-day thrombotic events w/ AA (11.4Β % vs. 2.4Β %, pΒ <Β 0.01)
Free πŸ‘‰https://www.sciencedirect.com/science/article/pii/S073567572500498X

23.07.2025 15:15 πŸ‘ 5 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Recognizing and Managing Adverse Effects of Antiamyloid Therapies This clinical insight discusses the diagnosis and management of adverse effects of antiamyloid therapies and what medications require consideration or avoidance.

πŸ“£Have you heard of antiamyloid therapies for AD? They cause ADEs called ARIAs that are non-specific, typically require MRI & can mimic stroke

β›” Concomitant thrombolytics/anticoagulants are contraindicated

Learn more in our JAMA IM Clinical Insight πŸ‘‰ jamanetwork.com/journals/jam...

23.06.2025 17:39 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
The President's disastrous decision to bomb Iran without authorization is a grave violation of the Constitution and Congressional War Powers.
He has impulsively risked launching a war that may ensnare us for generations.
It is absolutely and clearly grounds for impeachment.

The President's disastrous decision to bomb Iran without authorization is a grave violation of the Constitution and Congressional War Powers. He has impulsively risked launching a war that may ensnare us for generations. It is absolutely and clearly grounds for impeachment.

AOC: β€œIt is absolutely and clearly grounds for impeachment.”

22.06.2025 02:03 πŸ‘ 71128 πŸ” 16260 πŸ’¬ 329 πŸ“Œ 1310

Impeach the motherfucker.

22.06.2025 02:46 πŸ‘ 11317 πŸ” 1868 πŸ’¬ 317 πŸ“Œ 100

Just to be crystal clear: bombing Iran is completely illegal.

22.06.2025 02:47 πŸ‘ 49174 πŸ” 9184 πŸ’¬ 1982 πŸ“Œ 516

Nothing has made me love clinical pharmacy practice more than leaving it full time, taking some time away and coming back part time. This model doesn’t scale well but it makes me hopeful nonetheless.

29.05.2025 23:43 πŸ‘ 9 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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πŸŽ‰ Thanks to everyone who joined us for the #AEMP25 business meeting - the first as an ACADEMY!!
πŸ‘πŸ»We are so proud of this group of EM pharmacists who are engaged with AEMP and progressing the role of EM pharmacists!
#AEMPLify

16.05.2025 12:53 πŸ‘ 5 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Leaving @saemonline.bsky.social @saemaemp.bsky.social Annual Meeting with an immense gratitude for all of the individuals who built up AEMP into an Academy & continuing to trail-blaze to advance EM pharmacy practice. Can’t wait to do it again next year in Atlanta! #AEMP25 #AEMPlify

16.05.2025 23:25 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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πŸ’€ Tox cases continue!
🀩 So happy to see such a full house this afternoon!
#AEMP25 #AEMPlify @meganarech.bsky.social

15.05.2025 17:52 πŸ‘ 4 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Great turnout at the @saemaemp.bsky.social happy hour last night planned by AEMP Membership Committee! Thanks @empoisonpharmd.bsky.social for wrangling everyone for the picture #AEMP25 #AEMPlify

15.05.2025 17:27 πŸ‘ 7 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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The IGNITE! Resident Pearl session is on @saemonline.bsky.social @saemaemp.bsky.social #AEMPlify #AEMP25

14.05.2025 18:10 πŸ‘ 4 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

πŸ”₯ Happening now: IGNITE Resident Pearls!!
🧨 Slides auto-advance and presenters have 5️⃣ minutes to present their pharmacotherapy pearl!
πŸ“‘ Stay tuned for our winners of this fun fast paced competition later this week!
#AEMPlify #AEMP25

14.05.2025 17:54 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Congrats to @cbthepharmd.bsky.social on her early career @agem-saem.bsky.social award! First @saemaemp.bsky.social member to trail blaze in this space! #AEMPlify #AEMP25

14.05.2025 18:02 πŸ‘ 5 πŸ” 2 πŸ’¬ 0 πŸ“Œ 1
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πŸŽ‰ Big news from #SAEM25 -- AEMP is officially transitioning to an academy within SAEM!!
πŸ₯³ We are so excited for the opportunities this will offer us!
πŸ₯‚ Thankful for all our members & the group of EM pharmacist leaders who made this possible!!
#AEMPlify #AEMP25 @saemonline.bsky.social

14.05.2025 13:44 πŸ‘ 8 πŸ” 4 πŸ’¬ 0 πŸ“Œ 0
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πŸ…±οΈ -πŸ‘οΈ -πŸ†– -πŸ…ΎοΈ
⁉️ Are you at SAEM and #AEMP25?
🎯 Play BINGO with us! Winners will be announced on Friday at the AEMP Business meeting.
#AEMP25 #AEMPlify

14.05.2025 14:00 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Jumping into #AEMP25 - let’s talk about high stakes medication errors!

14.05.2025 17:11 πŸ‘ 5 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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So excited to announce that @saemaemp.bsky.social is officially the 9th @saemonline.bsky.social Academy! Thanks so everyone who worked so hard to get us to this point & continue to promote our mission of advancing EM pharmacy practice! So grateful to work with all of you!

14.05.2025 13:50 πŸ‘ 6 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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β€œWhat do you mean I don’t work with an emergency medicine pharmacist?”

(Let’s fix that in season 2! @hbomax.bsky.social @emrap.bsky.social)

06.05.2025 22:49 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Sen. Ossoff: Who out there in the American public is sitting at home demanding that we shut down cancer research and Alzheimer's research?

30.04.2025 18:13 πŸ‘ 29015 πŸ” 8586 πŸ’¬ 629 πŸ“Œ 352

Love to see it 😍😍😍

28.04.2025 21:41 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Emergency Department Visits for Medication-Related Events With vs Without Pharmacist Intervention This randomized clinical trial assesses the efficacy of a pharmacist-led transition of care program in reducing emergency department visits related to the same medication-related event at 6 months com...

πŸ”₯ RCT of EM PharmD-led TOC program
πŸ’Š 330 pts to ED w/ med-related events (MRE) w/ or w/o EMP TOC @ 72h
πŸ’ŠEMP group⬇️ ED visits for same MRE (3% v 22%) & overall ED visits, ⬇️ hospitalizations, more outpatient follow up

LOVE to see it!

jamanetwork.com/journals/jam...

28.04.2025 21:18 πŸ‘ 7 πŸ” 5 πŸ’¬ 0 πŸ“Œ 0
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Deaths from heart disease down 75%, that’s NIH.

Deaths from stroke down 75%, that’s NIH.

HIV/AIDS no longer a death sentence, that’s NIH.

99% of FDA approved drugs in the last decade, that’s NIH.

Please show this video to anyone who doesn’t understand why the NIH is so important.

28.04.2025 17:20 πŸ‘ 5055 πŸ” 2389 πŸ’¬ 57 πŸ“Œ 72
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Comparison of anticoagulation reversal strategies for warfarin associated acute gastrointestinal bleeding Gastrointestinal bleeding (GIB) is a common complication associated with warfarin use. However, the optimal approach for anticoagulation reversalβ€”whet…

⁉️Which patients require reversal in warfarin associated GIB? We lack large RCTs to guide treatment.

Check out our retrospective study evaluating treatments in GIB

www.sciencedirect.com/science/arti...

19.04.2025 20:23 πŸ‘ 8 πŸ” 4 πŸ’¬ 2 πŸ“Œ 0
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🚨 @acepnation.bsky.social ED Accreditation Criteria are out & thanks to @saemonline.bsky.social & #AEMP, a pharmacist is now required for all Level 1 & Level 2 sites - THIS is the work we're doing to advance EM pharmacy practice πŸ™Œ

www.acep.org/siteassets/s...

22.04.2025 19:45 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 1

Just got a paper accepted after SIX rounds of peer and editorial review. Everyone only sees the finished product but sometimes you really have to work for it to it get there.

16.04.2025 17:58 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0