The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

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The Elective Rotation - the number 1 ranked Hospital Pharmacy podcast - is created for YOU Pharmacy Nation! If you are a Pharmacy Student, Resident, Pharmacist, Nurse, Physician, or Critical Care Practitioner in a hospital, intensive care unit (ICU) or emergency department looking to improve your practice, The Elective Rotation delivers unbiased critical care and hospital pharmacy content from a Board Certified Pharmacotherapy Specialist. Episodes are published every Monday and Thursday at 3AM EST. Find the show notes at pharmacyjoe.com.

Pharmacy Joe


    • Jun 2, 2025 LATEST EPISODE
    • weekdays NEW EPISODES
    • 3m AVG DURATION
    • 1,032 EPISODES

    4.8 from 245 ratings Listeners of The Elective Rotation: A Critical Care Hospital Pharmacy Podcast that love the show mention: pharmacy podcast, critical care, short and concise, codes, icu, rotations, pharmacists, thanks joe, joe's, clinical, physicians, pearls, colleagues, succinct, patients, medicine, medical, students, practice, member.


    Ivy Insights

    The Elective Rotation: A Critical Care Hospital Pharmacy Podcast is a high-quality podcast that provides valuable information and updates for those in the pharmacy profession. Pharmacy Joe, the host of the show, is a true leader in both pharmacy and podcasting. The content of the podcast is excellent and covers quick little pearls that are extremely useful in hospital settings. The episodes are evidence-based and provide clinically relevant information to keep listeners' pharmacy knowledge fresh. Overall, this podcast is a valuable resource for anyone in the pharmacy field.

    One of the best aspects of this podcast is the succinct and clear presentation of information. Pharmacy Joe does an excellent job of presenting salient facts without unnecessary "bells and whistles." The information provided is easy to understand and sticks in the brain for recall when it counts. Additionally, Joe includes resources for further reading, allowing listeners to delve deeper into topics if desired. The guests on certain episodes also add value by sharing their expertise on specific subjects.

    There aren't many negative aspects to this podcast, but one potential downside is that it focuses mainly on critical care hospital pharmacy. While this may be beneficial for those working in that setting, people outside of critical care may find some episodes less applicable to their practice. However, even those who are not directly involved in critical care can still benefit from listening to this podcast as it provides a wealth of clinical knowledge.

    In conclusion, The Elective Rotation: A Critical Care Hospital Pharmacy Podcast is an excellent resource for pharmacists looking to stay informed and up-to-date on current topics in their field. Pharmacy Joe does a fantastic job of presenting information clearly and concisely, making it easy for listeners to apply insights to their daily practice. Overall, this podcast is highly recommended for anyone interested in expanding their clinical pharmacy knowledge.



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    Latest episodes from The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

    1031: How Long Does it Take for IM Medications to Work in Acute Agitation?

    Play Episode Listen Later Jun 2, 2025 5:48


    Show notes at pharmacyjoe.com/episode1031. In this episode, I'll discuss expectations for the onset of action of IM medications used for acute agitation. The post 1031: How Long Does it Take for IM Medications to Work in Acute Agitation? appeared first on Pharmacy Joe.

    1030: Adding dexmedetomidine to lidocaine for topical application to prevent cough during extubation

    Play Episode Listen Later May 29, 2025 3:10


    Show notes at pharmacyjoe.com/episode1030. In this episode, I’ll discuss adding dexmedetomidine to lidocaine for topical application to prevent cough during extubation of thyroidectomy patients. The post 1030: Adding dexmedetomidine to lidocaine for topical application to prevent cough during extubation appeared first on Pharmacy Joe.

    1029: A Systematic Review of the Ketorolac Dose Ceiling for ED Analgesia

    Play Episode Listen Later May 26, 2025 2:54


    Show notes at pharmacyjoe.com/episode1029. In this episode, I’ll discuss a systematic review of the ketorolac dose ceiling for ED analgesia. The post 1029: A Systematic Review of the Ketorolac Dose Ceiling for ED Analgesia appeared first on Pharmacy Joe.

    1028: Three ways to tell the difference between serotonin syndrome and neuroleptic malignant syndrome

    Play Episode Listen Later May 22, 2025 3:07


    Show notes at pharmacyjoe.com/episode1028. In this episode, I'll discuss three ways to tell the difference between serotonin syndrome and neuroleptic malignant syndrome. The post 1028: Three ways to tell the difference between serotonin syndrome and neuroleptic malignant syndrome appeared first on Pharmacy Joe.

    1027: Probiotics in the ICU – How Bad Can It Get?

    Play Episode Listen Later May 19, 2025 3:19


    Show notes at pharmacyjoe.com/episode1027. In this episode, I’ll discuss probiotic-associated central venous catheter bloodstream infections in the ICU. The post 1027: Probiotics in the ICU – How Bad Can It Get? appeared first on Pharmacy Joe.

    1026: Is the Low-Dose Ketamine In the Room With Us Right Now?

    Play Episode Listen Later May 15, 2025 4:05


    Show notes at pharmacyjoe.com/episode1026. In this episode, I’ll discuss hallucinations from low-dose ketamine use in the ICU. The post 1026: Is the Low-Dose Ketamine In the Room With Us Right Now? appeared first on Pharmacy Joe.

    1025: Does the Definition of Oliguria Need to Change?

    Play Episode Listen Later May 12, 2025 3:29


    Show notes at pharmacyjoe.com/episode1025. In this episode, I'll discuss an alternative definition of oliguria. The post 1025: Does the Definition of Oliguria Need to Change? appeared first on Pharmacy Joe.

    1024: Adjuvant Midodrine Lowers Norepinephrine Dose But Not Length of Stay in Patients With Septic Shock

    Play Episode Listen Later May 8, 2025 4:48


    Show notes at pharmacyjoe.com/episode1024. In this episode, I'll discuss the use of adjuvant midodrine in patients with septic shock. The post 1024: Adjuvant Midodrine Lowers Norepinephrine Dose But Not Length of Stay in Patients With Septic Shock appeared first on Pharmacy Joe.

    1023: The Dose of Inhaled Tranexamic Acid For Nonmassive Hemoptysis

    Play Episode Listen Later May 5, 2025 2:54


    Show notes at pharmacyjoe.com/episode1023. In this episode, I'll discuss the dose of inhaled tranexamic acid used for nonmassive hemoptysis. The post 1023: The Dose of Inhaled Tranexamic Acid For Nonmassive Hemoptysis appeared first on Pharmacy Joe.

    1022: Can Animal Data Inform the Ideal Rate of Correction for Acute Hypernatremia?

    Play Episode Listen Later May 1, 2025 3:24


    Show notes at pharmacyjoe.com/episode1022. In this episode, I'll discuss animal data on the rate of correction for acute hypernatremia. The post 1022: Can Animal Data Inform the Ideal Rate of Correction for Acute Hypernatremia? appeared first on Pharmacy Joe.

    1021: How Long Is the Duration of DOAC Interference With Heparin Anti-Xa Levels?

    Play Episode Listen Later Apr 28, 2025 4:37


    Show notes at pharmacyjoe.com/episode1021. In this episode, I'll discuss the duration of DOAC interference with heparin anti-Xa levels. The post 1021: How Long Is the Duration of DOAC Interference With Heparin Anti-Xa Levels? appeared first on Pharmacy Joe.

    1020: How to Predict Which Critically Ill DKA Patients Will Fail the Transition from IV to SubQ Insulin

    Play Episode Listen Later Apr 24, 2025 2:48


    Show notes at pharmacyjoe.com/episode1020. In this episode, I'll discuss how to predict failure of insulin transition in critically ill patients with diabetic ketoacidosis. The post 1020: How to Predict Which Critically Ill DKA Patients Will Fail the Transition from IV to SubQ Insulin appeared first on Pharmacy Joe.

    1019: Normal Saline Vs. Balanced Crystalloids - Could the First Few Liters Be the Ones That Matter Most?

    Play Episode Listen Later Apr 21, 2025 4:25


    Show notes at pharmacyjoe.com/episode1019. In this episode, I'll discuss whether the composition of the first few liters of resuscitation fluid is most important for patients with sepsis. The post 1019: Normal Saline Vs. Balanced Crystalloids - Could the First Few Liters Be the Ones That Matter Most? appeared first on Pharmacy Joe.

    balanced liters normal saline
    1018: Balancing Risk vs Benefit – Andexanet vs. Prothrombin Complex Concentrate for Reversal of Factor Xa Inhibitor-Related Intracranial Hemorrhage

    Play Episode Listen Later Apr 17, 2025 4:25


    Show notes at pharmacyjoe.com/episode1018. In this episode, I'll discuss andexanet vs. prothrombin complex concentrate for reversal of factor Xa inhibitor-related intracranial hemorrhage. The post 1018: Balancing Risk vs Benefit – Andexanet vs. Prothrombin Complex Concentrate for Reversal of Factor Xa Inhibitor-Related Intracranial Hemorrhage appeared first on Pharmacy Joe.

    1017: Tips for providing effective feedback to PGY-1 residents

    Play Episode Listen Later Apr 14, 2025 3:12


    Show notes at pharmacyjoe.com/episode1017. In this episode, I'll discuss 10 tips for providing effective feedback to PGY-1 residents. The post 1017: Tips for providing effective feedback to PGY-1 residents appeared first on Pharmacy Joe.

    1016: Melatonin for Sleep Disruption in the ICU But You Pick the Dose

    Play Episode Listen Later Apr 10, 2025 2:57


    Show notes at pharmacyjoe.com/episode1016. In this episode, I'll discuss the use of melatonin in ICU patients. The post 1016: Melatonin for Sleep Disruption in the ICU But You Pick the Dose appeared first on Pharmacy Joe.

    dose icu melatonin sleep disruption
    1015: What To Do If Mannitol Extravasates

    Play Episode Listen Later Apr 7, 2025 2:33


    Show notes at pharmacyjoe.com/episode1015. In this episode, I'll discuss mannitol extravasation. The post 1015: What To Do If Mannitol Extravasates appeared first on Pharmacy Joe.

    mannitol
    1014: Using Thrombin Time to Transition Patients from Dabigatran to Unfractionated Heparin

    Play Episode Listen Later Apr 3, 2025 4:44


    Show notes at pharmacyjoe.com/episode1014. In this episode, I'll discuss using thrombin time to transition patients from dabigatran to unfractionated heparin. The post 1014: Using Thrombin Time to Transition Patients from Dabigatran to Unfractionated Heparin appeared first on Pharmacy Joe.

    1013: A Setback For the Use of Inhaled Sedation in the ICU

    Play Episode Listen Later Mar 31, 2025 3:32


    Show notes at pharmacyjoe.com/episode1013. In this episode, I'll discuss inhaled sedation for ICU patients with acute respiratory distress syndrome. The post 1013: A Setback For the Use of Inhaled Sedation in the ICU appeared first on Pharmacy Joe.

    1012: Strong evidence in support of 7 days antibiotics for gram negative bacteremia

    Play Episode Listen Later Mar 27, 2025 3:37


    Show notes at pharmacyjoe.com/episode1012. In this episode, I’ll discuss 7 vs 14 days of antibiotic therapy for gram-negative bacteremia. The post 1012: Strong evidence in support of 7 days antibiotics for gram negative bacteremia appeared first on Pharmacy Joe.

    1011: High Dose Insulin For Massive Caffeine Overdose

    Play Episode Listen Later Mar 24, 2025 2:54


    Show notes at pharmacyjoe.com/episode1011. In this episode, I'll discuss high-dose insulin euglycemic therapy in the treatment of a patient with massive caffeine overdose. The post 1011: High Dose Insulin For Massive Caffeine Overdose appeared first on Pharmacy Joe.

    1010: Does Dexmedetomidine Improve Vasopressor Sensitivity in Refractory Septic Shock?

    Play Episode Listen Later Mar 20, 2025 3:46


    Show notes at pharmacyjoe.com/episode1010. In this episode, I’ll discuss the use of dexmedetomidine to reduce vasopressor resistance in refractory septic shock. The post 1010: Does Dexmedetomidine Improve Vasopressor Sensitivity in Refractory Septic Shock? appeared first on Pharmacy Joe.

    1009: The Dose For Methylene Blue to Treat Acquired Methemoglobinemia

    Play Episode Listen Later Mar 17, 2025 2:44


    Show notes at pharmacyjoe.com/episode1009. In this episode, I'll discuss the dose of methylene blue for the treatment of acquired methemoglobinemia. The post 1009: The Dose For Methylene Blue to Treat Acquired Methemoglobinemia appeared first on Pharmacy Joe.

    1008: This Problem With Rocuronium Keeps Coming Up

    Play Episode Listen Later Mar 13, 2025 4:09


    Show notes at pharmacyjoe.com/episode1008. In this episode, I’ll discuss the time to delivery of sedation and analgesia after RSI using rocuronium vs succinylcholine. The post 1008: This Problem With Rocuronium Keeps Coming Up appeared first on Pharmacy Joe.

    coming up rsi rocuronium
    1007: The New SCCM Sedation Guidelines Recommend Melatonin

    Play Episode Listen Later Mar 10, 2025 3:10


    Show notes at pharmacyjoe.com/episode1007. In this episode, I’ll discuss the SCCM’s updated guidelines on pain, agitation, delirium, immobility, and sleep and the new recommendation regarding melatonin. The post 1007: The New SCCM Sedation Guidelines Recommend Melatonin appeared first on Pharmacy Joe.

    1006: Any Port in a Storm (For a Little While At Least) – The Safety of Peripheral Vasopressors and Hypertonic Saline

    Play Episode Listen Later Mar 6, 2025 4:14


    Show notes at pharmacyjoe.com/episode1006. In this episode, I'll discuss a review article on the safety of peripheral vasopressors and hypertonic saline. The post 1006: Any Port in a Storm (For a Little While At Least) – The Safety of Peripheral Vasopressors and Hypertonic Saline appeared first on Pharmacy Joe.

    1005: Does a pacemaker or implanted cardiac defibrillator suggest a higher or lower risk of medication-induced torsades?

    Play Episode Listen Later Mar 3, 2025 2:38


    Show notes at pharmacyjoe.com/episode1005. In this episode, I'll discuss whether a pacemaker or implanted cardiac defibrillator (ICD) protects from medication-induced torsades. The post 1005: Does a pacemaker or implanted cardiac defibrillator suggest a higher or lower risk of medication-induced torsades? appeared first on Pharmacy Joe.

    1004: An Example of a Study Where the Forest is More Informative Than the Trees

    Play Episode Listen Later Feb 27, 2025 4:25


    Show notes at pharmacyjoe.com/episode1004. In this episode, I'll discuss oral sedation strategies for young patients presenting to the ED with acute severe behavioral disturbance. The post 1004: An Example of a Study Where the Forest is More Informative Than the Trees appeared first on Pharmacy Joe.

    1003: The 3 Types of ICU Patients and Why They Matter for Making Patient Focused Risk:Benefit Assessments

    Play Episode Listen Later Feb 24, 2025 3:46


    Show notes at pharmacyjoe.com/episode1003. In this episode, I’ll discuss 3 types of ICU patients and why they matter for making patient-focused risk:benefit assessments. The post 1003: The 3 Types of ICU Patients and Why They Matter for Making Patient Focused Risk:Benefit Assessments appeared first on Pharmacy Joe.

    1002: Less Opioid Consumption With Low-Dose Ketamine But at What Cost?

    Play Episode Listen Later Feb 20, 2025 3:51


    Show notes at pharmacyjoe.com/episode1002. In this episode, I’ll discuss some possible negative effects of using low-dose ketamine to achieve an opioid-sparing effect in critically ill patients. The post 1002: Less Opioid Consumption With Low-Dose Ketamine But at What Cost? appeared first on Pharmacy Joe.

    1001: Saving Money on Oral Vancomycin Is Great For Inpatients But Can Cause Problems On Discharge

    Play Episode Listen Later Feb 17, 2025 3:55


    Show notes at pharmacyjoe.com/episode1001. In this episode, I’ll discuss the impact of compounded oral vancomycin liquid on hospital readmission for C diff infection. The post 1001: Saving Money on Oral Vancomycin Is Great For Inpatients But Can Cause Problems On Discharge appeared first on Pharmacy Joe.

    1000: Should Pharmacists Be paying Attention to This Bacteremia Metric?

    Play Episode Listen Later Feb 13, 2025 3:10


    Show notes at pharmacyjoe.com/episode1000. In this episode, I’ll discuss time to positivity as a predictor of catheter-related bacteremia and mortality in adults with Pseudomonas aeruginosa bloodstream infection. The post 1000: Should Pharmacists Be paying Attention to This Bacteremia Metric? appeared first on Pharmacy Joe.

    999: Is This Study a Breakthrough for Antimicrobial Stewardship?

    Play Episode Listen Later Feb 10, 2025 3:31


    Show notes at pharmacyjoe.com/episode999. In this episode, I'll discuss whether delayed broad-spectrum antibiotics have an impact on clinical outcomes. The post 999: Is This Study a Breakthrough for Antimicrobial Stewardship? appeared first on Pharmacy Joe.

    998: Why the NKF Says Its OK to Use Race-Free eGFR to Make Renal Dose Adjustments

    Play Episode Listen Later Feb 6, 2025 4:35


    Show notes at pharmacyjoe.com/episode998. In this episode, I’ll discuss why the NKF says its OK to use race-free eGFR to make renal dose adjustments. The post 998: Why the NKF Says Its OK to Use Race-Free eGFR to Make Renal Dose Adjustments appeared first on Pharmacy Joe.

    997: The use of methylene blue for the treatment of refractory anaphylaxis without hypotension

    Play Episode Listen Later Feb 3, 2025 3:44


    Show notes at pharmacyjoe.com/episode997. The post 997: The use of methylene blue for the treatment of refractory anaphylaxis without hypotension appeared first on Pharmacy Joe.

    996: Tisdale Risk Score For Identifying ICU Patients at Risk of QTc Prolongation

    Play Episode Listen Later Jan 30, 2025 3:36


    Show notes at pharmacyjoe.com/episode996. In this episode, I’ll discuss whether the Tisdale Risk Score can be used to identify ICU patients at risk of QTc prolongation. The post 996: Tisdale Risk Score For Identifying ICU Patients at Risk of QTc Prolongation appeared first on Pharmacy Joe.

    995: Expert Recommendations For Using Dialysis to Treat Ethylene Glycol Poisoning

    Play Episode Listen Later Jan 27, 2025 3:36


    Show notes at pharmacyjoe.com/episode995. In this episode, I’ll discuss when dialysis is recommended to be used to treat ethylene glycol poisoning. The post 995: Expert Recommendations For Using Dialysis to Treat Ethylene Glycol Poisoning appeared first on Pharmacy Joe.

    994: When can octreotide be discontinued in patients with variceal bleeding?

    Play Episode Listen Later Jan 23, 2025 1:43


    Show notes at pharmacyjoe.com/episode994. In this episode, I’ll discuss when octreotide can be discontinued in patients with variceal bleeding. The post 994: When can octreotide be discontinued in patients with variceal bleeding? appeared first on Pharmacy Joe.

    993: Ketamine vs Ketorolac for Pain Management in ED Patients with Chest Trauma

    Play Episode Listen Later Jan 20, 2025 4:10


    Show notes at pharmacyjoe.com/episode993. In this episode, I'll discuss ketamine vs ketorolac for pain management in ED patients with chest trauma. The post 993: Ketamine vs Ketorolac for Pain Management in ED Patients with Chest Trauma appeared first on Pharmacy Joe.

    992: Should A C Diff Test Be Auto-Canceled With Recent Laxative Use?

    Play Episode Listen Later Jan 16, 2025 5:09


    Show notes at pharmacyjoe.com/episode992. In this episode, I'll discuss whether recent laxative use should preclude testing for C diff.

    991: What Dose of Steroids Prevents Post-Extubation Stridor and Re-Intubation?

    Play Episode Listen Later Jan 13, 2025 2:32


    Show notes at pharmacyjoe.com/episode991. In this episode, I’ll discuss what dose of steroids can prevent post-extubation stridor. The post 991: What Dose of Steroids Prevents Post-Extubation Stridor and Re-Intubation? appeared first on Pharmacy Joe.

    990: Lowest Effective Dose of Haloperidol for Agitation in Elderly Patients

    Play Episode Listen Later Jan 9, 2025 4:37


    Show notes at pharmacyjoe.com/episode990. In this episode, I’ll discuss the lowest effective dose of IV or IM haloperidol for elderly hospitalized patients with agitation. The post 990: Lowest Effective Dose of Haloperidol for Agitation in Elderly Patients appeared first on Pharmacy Joe.

    989: How to Identify an ED Toxicology Patient at Risk of Delayed QTc Prolongation

    Play Episode Listen Later Jan 6, 2025 3:08


    Show notes at pharmacyjoe.com/episode989. In this episode, I'll discuss delayed QTc prolongation in overdose patients. The post 989: How to Identify an ED Toxicology Patient at Risk of Delayed QTc Prolongation appeared first on Pharmacy Joe.

    988: Sugammadex vs. Neostigmine and Postoperative Delirium – If the Findings Were Reversed, There’s No Way This Abstract Would Be Written the Same Way

    Play Episode Listen Later Jan 2, 2025 3:51


    Show notes at pharmacyjoe.com/episode988. In this episode, I'll discuss neostigmine plus anticholinergics vs sugammadex and the incidence of postoperative delirium. The post 988: Sugammadex vs. Neostigmine and Postoperative Delirium – If the Findings Were Reversed, There’s No Way This Abstract Would Be Written the Same Way appeared first on Pharmacy Joe.

    987: What Is the Recommended Dose of Cefazolin For a CNS infection?

    Play Episode Listen Later Dec 30, 2024 4:08


    Show notes at pharmacyjoe.com/episode987. In this episode, I'll discuss recommendations on the dose of cefazolin for a CNS infection. The post 987: What Is the Recommended Dose of Cefazolin For a CNS infection? appeared first on Pharmacy Joe.

    986: Give the Beta-Lactam First Until an RCT Says Otherwise

    Play Episode Listen Later Dec 26, 2024 3:10


    Show notes at pharmacyjoe.com/episode986. In this episode, I'll discuss whether the beta-lactam should be given before vancomycin in patients with sepsis that need both antibiotics. The post 986: Give the Beta-Lactam First Until an RCT Says Otherwise appeared first on Pharmacy Joe.

    985: Is the IV or Nebulized Route Better When Giving Tranexamic Acid for Hemoptysis?

    Play Episode Listen Later Dec 23, 2024 3:15


    Show notes at pharmacyjoe.com/episode985. In this episode, I'll discuss the IV vs nebulized route for tranexamic acid to treat hemoptysis. The post 985: Is the IV or Nebulized Route Better When Giving Tranexamic Acid for Hemoptysis? appeared first on Pharmacy Joe.

    984: N-acetylcysteine in Acute Liver Failure Not Caused by Acetaminophen

    Play Episode Listen Later Dec 19, 2024 2:56


    Show notes at pharmacyjoe.com/episode984. In this episode, I'll discuss N-acetylcysteine in non-acetaminophen-induced acute liver failure. The post 984: N-acetylcysteine in Acute Liver Failure Not Caused by Acetaminophen appeared first on Pharmacy Joe.

    983: Four Potential Reasons for a False Heparin Anti-Xa Level

    Play Episode Listen Later Dec 16, 2024 4:58


    Show notes at pharmacyjoe.com/episode983. In this episode, I'll discuss four potential reasons for a false heparin anti-Xa level. The post 983: Four Potential Reasons for a False Heparin Anti-Xa Level appeared first on Pharmacy Joe.

    982: Do Non-Benzo Psychotropic Medications Enhance Respiratory Depression From Opioids?

    Play Episode Listen Later Dec 12, 2024 4:01


    Show notes at pharmacyjoe.com/episode982. In this episode, I'll discuss whether psychotropic medications other than benzodiazepines enhance respiratory depression from opioids. The post 982: Do Non-Benzo Psychotropic Medications Enhance Respiratory Depression From Opioids? appeared first on Pharmacy Joe.

    981: Tranexamic Acid to Control Iatrogenic Bleeding During Flexible Bronchoscopy

    Play Episode Listen Later Dec 9, 2024 4:14


    Show notes at pharmacyjoe.com/episode981. In this episode, I'll discuss tranexamic acid for controlling iatrogenic bleeding during flexible bronchoscopy. The post 981: Tranexamic Acid to Control Iatrogenic Bleeding During Flexible Bronchoscopy appeared first on Pharmacy Joe.

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