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emDOCs Revamp: Alcohol Withdrawal

EMDocs

2003; 348:1786-1795. fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold Management of drug and alcohol withdrawal. N Engl JMed. Gortney J, Raub J, Patel P, et al.

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ToxCard: Iron

EMDocs

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.

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Toxic Alcohols

Northwestern EM Blog

Clinical Findings of Methanol Poisoning CNS sedation Seizures Rapid, Deep Breathing Hypotension Ocular findings: Blindness Afferent pupillary defect Optic disk hyperemia Mydriasis Ethylene Glycol Toxicity Similarly, the toxic metabolites of ethylene glycol cause end-organ damage at levels greater than 20mg/dl. Emerg Med J, 2003.

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Altered Mental Status in Children

Pediatric Emergency Playbook

sludge phenomenon, secondary sepsis, hypoglycemia from supply-demand mismatch) S – Seizure (e.g. Many authors report a broad array of neurological manifestations associated with influenza, such as altered mental status, seizures, cranial nerve abnormalities, hallucinations, abnormal behavior, and persistent irritability. N Engl J Med.

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Blood Pressure Management in Neurologic Emergencies: What Does the Evidence Say?

EMDocs

Finally, anticipating and addressing known complications such as seizures, increased intracranial pressure, or cerebral edema with appropriate measures, including antiepileptic drugs or osmotic agents, is essential for improving patient outcomes. 2003 Oct 28;61(8):1047-51. 2003 Nov;42(5):619-26. doi: 10.1212/01.wnl.0000092498.75010.57.

Stroke 73
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ToxCard: Organic Mercury Poisoning

EMDocs

Further, organic mercury readily crosses the placenta where it acts as a teratogen leading to a wide range of birth defects including developmental delay, blindness, seizures, and limb malformation. 2003 Oct 30;349(18):1731-7. Ten Things Physicians and Patients Should Question. link] Clarkson TW, Magos L, Myers GJ. N Engl J Med.

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"The crowner hath sat on her and finds it Christian burial." [Hamlet]

Advanced Emergency Nursing from AENJ

This includes subdural hematomas, comas, paraplegia, quadriplegia, fractures and seizure disorders, regardless of the time interval between the injury and death. 2003 Revision. 2003 Revision. Searchable statute from commercial site. Accessed 07/25/2016. Physicians' Handbook on Medical Certification of Death. Accessed 07/25/2016.