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Megan A Rech, PharmD, MSc

@meganarech.bsky.social

730 followers 1K following 50 posts

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

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Megan A Rech, PharmD, MSc @meganarech.bsky.social · Apr 22

🚨 @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 🙌

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

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Megan A Rech, PharmD, MSc @meganarech.bsky.social · Sep 3

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

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Megan A Rech, PharmD, MSc @meganarech.bsky.social · Sep 3

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

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Megan A Rech, PharmD, MSc @meganarech.bsky.social · Aug 19

💡 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 14.6 minutes (95 % CI -18.1, −11.1 min)

Time for #AmericanStrokeAssociation to take notice?

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Megan A Rech, PharmD, MSc @meganarech.bsky.social · Aug 18

📣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

⛔ Concomitant thrombolytics/anticoagulants are contraindicated

Learn more in our JAMA IM Clinical Insight 👇

JAMA Internal Medicine @jamainternalmed.com · Aug 17

Antiamyloid therapies for #Alzheimer disease slow cognitive decline but pose serious adverse effects like amyloid-related imaging abnormalities.

ja.ma/3V32mjt

JAMA Internal Medicine presents: "New Frontier, New Challenges—Recognizing and Managing Adverse Effects of Antiamyloid Therapies" by Megan A. Rech, et al. Published online June 23, 2025.

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Megan A Rech, PharmD, MSc @meganarech.bsky.social · Jul 23

Real-🌎 data in Veterans with fXaI-related ICH treated w/ andexanet alfa (AA; n=129) or 4F-PCC ( n=221)
🔷Propensity matched
🔷No difference in 90-day mortality
🔷⬆️30-day thrombotic events w/ AA (11.4 % vs. 2.4 %, p < 0.01)
Free 👉https://www.sciencedirect.com/science/article/pii/S073567572500498X

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…

www.sciencedirect.com

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Megan A Rech, PharmD, MSc @meganarech.bsky.social · Jun 23

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

⛔ Concomitant thrombolytics/anticoagulants are contraindicated

Learn more in our JAMA IM Clinical Insight 👉 jamanetwork.com/journals/jam...

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.

jamanetwork.com

Reposted by Megan A Rech, PharmD, MSc

Joshua J. Friedman @joshuajfriedman.com · Jun 22

AOC: “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.

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Reposted by Megan A Rech, PharmD, MSc

Jess Piper @piperformissouri.bsky.social · Jun 22

Impeach the motherfucker.

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Reposted by Megan A Rech, PharmD, MSc

Chris Hayes @chrislhayes.bsky.social · Jun 22

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

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Megan A Rech, PharmD, MSc @meganarech.bsky.social · May 29

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.

Reposted by Megan A Rech, PharmD, MSc

SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · May 16

🎉 Thanks to everyone who joined us for the #AEMP25 business meeting - the first as an ACADEMY!!
👏🏻We are so proud of this group of EM pharmacists who are engaged with AEMP and progressing the role of EM pharmacists!
#AEMPLify

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Megan A Rech, PharmD, MSc @meganarech.bsky.social · May 16

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

Reposted by Megan A Rech, PharmD, MSc

SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · May 15

💀 Tox cases continue!
🤩 So happy to see such a full house this afternoon!
#AEMP25 #AEMPlify @meganarech.bsky.social

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Megan A Rech, PharmD, MSc @meganarech.bsky.social · May 15

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

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Megan A Rech, PharmD, MSc @meganarech.bsky.social · May 14

The IGNITE! Resident Pearl session is on @saemonline.bsky.social @saemaemp.bsky.social #AEMPlify #AEMP25

Reposted by Megan A Rech, PharmD, MSc

SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · May 14

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

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Megan A Rech, PharmD, MSc @meganarech.bsky.social · May 14

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

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Reposted by Megan A Rech, PharmD, MSc

SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · May 14

🎉 Big news from #SAEM25 -- AEMP is officially transitioning to an academy within SAEM!!
🥳 We are so excited for the opportunities this will offer us!
🥂 Thankful for all our members & the group of EM pharmacist leaders who made this possible!!
#AEMPlify #AEMP25 @saemonline.bsky.social

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Reposted by Megan A Rech, PharmD, MSc

SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · May 14

🅱️ -👁️ -🆖 -🅾️
⁉️ Are you at SAEM and #AEMP25?
🎯 Play BINGO with us! Winners will be announced on Friday at the AEMP Business meeting.
#AEMP25 #AEMPlify

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Reposted by Megan A Rech, PharmD, MSc

SAEM Academy of Emergency Medicine Pharmacists @saemaemp.bsky.social · May 14

Jumping into #AEMP25 - let’s talk about high stakes medication errors!

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Megan A Rech, PharmD, MSc @meganarech.bsky.social · May 14

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!

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Megan A Rech, PharmD, MSc @meganarech.bsky.social · May 6

“What 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)

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Reposted by Megan A Rech, PharmD, MSc

Ossoff's Office @ossoff.senate.gov · Apr 30

Sen. Ossoff: Who out there in the American public is sitting at home demanding that we shut down cancer research and Alzheimer's research?

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Megan A Rech, PharmD, MSc @meganarech.bsky.social · Apr 28

Love to see it 😍😍😍

Megan A Rech, PharmD, MSc @meganarech.bsky.social · Apr 28

🔥 RCT of EM PharmD-led TOC program
💊 330 pts to ED w/ med-related events (MRE) w/ or w/o EMP TOC @ 72h
💊EMP 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...

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...

jamanetwork.com

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