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CIPNM is an acute axonal sensory-motor polyneuropathy commonly seen in critically ill patients with sepsis and multiorgan failure. While no specific pharmacologic treatments exist, preventive measures such as the early provision of appropriate nutrition, glucose control, physical rehabilitation, and the cautious use of medications, including corticosteroids and NMBAs, can help reduce the incidence of CIPNM.

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Objectives: To determine the impact that the presence of a pharmacist has on the care a trauma patient in the emergency department. Methods: Single center, retrospective, observational study that assessed the charts of all trauma patients that presented as Priority 1 or Priority 2 trauma alerts from December 1, 2009-November 30, 2010. Patients were separated into two categories, pharmacist present and pharmacist not present. Patient age, gender, weight, past medical history, allergies and injuries sustained from trauma, medications given during trauma, and time from arrival to administration of medications. Results: 508 charts were included in this study. Pharmacists were present for 26% of these patients. When the pharmacist was present it was more likely that the patient received the appropriate dose of antibiotic (99% vs 79%, p-value <0.05). In adult patients when the pharmacist was present the antibiotics were given faster (17.9 min vs 36.6 min, p-value <0.05). Conclusion: The presence of pharmacists at trauma alerts can improve the care that trauma patients receive.