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A 36-year-old male presents to the emergencydepartment after being found down at home by his spouse. This series provides evidence-based updates to previous posts so you can stay current with what you need to know. Per the mans wife, the patient is a heavy drinker often consuming two to three pints of vodka daily.
2 This requirement was ultimately removed in 2003, however iron related exposures and deaths have stayed low. Characterized by hypovolemia, vasodilation, reduced cardiac output, hyperventilation, elevated temperature, seizure, coma, and cardiovascular collapse. 5 Seizure: IV benzodiazepine first line, barbiturates as second line.
Introduction: Neurologic emergencies are common in the EmergencyDepartment (ED), and blood pressure management is critical to immediate management. 2003 Oct 28;61(8):1047-51. Ann Emerg Med. 2003 Nov;42(5):619-26. His blood pressure (BP) is 220/120 mmHg. doi: 10.1212/01.wnl.0000092498.75010.57.
Act V, scene I [Text from Folger Shakespeare Library] [Audio recording of Dramatic Reading; Chapter Vox] [Video recording of Act V, scene1] Most deaths that are brought to, or occur in, an emergencydepartment will require, at least, discussion with the local Coroner or Medical Examiner. 2003 Revision. 2003 Revision.
First: Are you sure it was syncope, and not SEIZURE? Conversely , frequently syncope has a short episode of tonic-clonic activity that mimics seizure. The ROSE (Risk Stratification of syncope in the emergencydepartment) Study. J Am Coll Cardiol, 2010; 55:713-721, doi:10.1016/j.jacc.2009.09.049
Do not use pethidine since it can cause seizures and CNS hyperexcitability. A 6-year-old girl from Saudi Arabia was referred by her General Practitioner to the local emergencydepartment. 2003; 5: 229–240. Alternatives to morphine are hydromorphone or fentanyl. She complained of cough and runny nose for 3 days.
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