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Alphabet Soup: TXA & IVDA

Intramuscular Medications

Matthew DeLaney, MD, FACEP, FAAEM
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17:08
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Tags injections · Intramuscular · Pharmacology

A wide variety of Intramuscular injections are often used in the UC setting. Often these injections have little evidence to support their use and do not reliably outperform oral formulations. Matthew takes a look at the data behind our use of IM injections.

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Ian L., Dr -

There is value in intramuscular injections in the house calls cohort especially to special accomodation homes for the elderly and nursing homes .
In Australia many doctors do house visits for ill patients after hours both in the community and for the elderly .
Here IM medications such as maxolon for gastroenteritis in patients older than twelve often works .
IM ceftriaxone One Gram
for elderly in special accomodation where the ceftriaxone powder is mixed with 1% or 2% xylocaine finds favour for pneumonia suspected urinary infection and cellulitis particularly at night if clinically safe to avoid transfer to Emergency and hospital.
IM adrenalin is the route of first choice for anaphylaxis and severe asthma provided the patients are not anywhere near extremis by clinical judgement .

Mike W., MD -

Good points, thx Ian!

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Alphabet Soup: TXA & IVDA Full episode audio for MD edition 210:46 min - 99 MB - M4AHippo Urgent Care RAP - January 2018 Summary 343 KB - PDF