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Glasgow Coma Scale in Children

Pediatric EM Morsels

2003 Jul;40(7):620-5. Systematic review showed 85% of studies with substantial reliability with kappa statistic >0.6 Indian J Pediatr. 2001 Apr;68(4):311-4. doi: 10.1007/BF02721834. PMID: 11370435. Nayana Prabha PC, Nalini P, Tiroumourougane Serane V. Role of Glasgow Coma Scale in pediatric nontraumatic coma. Indian Pediatr. Biradar, S.

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

EMDocs

This article will discuss blood pressure goals and preferred pharmacotherapy for non-traumatic ischemic and hemorrhagic strokes. Ischemic Strokes: Ischemic stroke is characterized by a blockage of a blood vessel in the brain. The BP targets for patients with ischemic strokes depend on the available therapeutic options.

Stroke 91
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Diagnostics: Inflammatory Markers

Taming the SRU

2003 Jun;111(12):1805-12. 2003 Jul;112(2):299. 2003 Jun;111(12):1805-12. 2003 Jul;112(2):299. Serological reactions in pneumonia with non-protein somatic fraction of pneumococcus. J Exp Med 1930;52:561-571 Pepys MB, Hirschfield GM. C-reactive protein: a critical update. J Clin Invest. doi: 10.1172/JCI18921. 2023 Jul 10.

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Altered Mental Status in Children

Pediatric Emergency Playbook

For altered adults, use AEIOU TIPS (Alcohol-Epilepsy-Insulin-Overdose-Uremia-Trauma-Infection-Psychosis-Stroke). 2003; 112(3) Schwartz J et al. Keep your mind open to the possibilities, and be ready to change it, when new information becomes available. Try this for altered children: remember that they need their VITAMINS! N Engl J Med.

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What is strange about this paroxysmal atrial fibrillation in an otherwise healthy patient? And what happened after giving ibutilide?

Dr. Smith's ECG Blog

Emergency providers only see the “tip of the iceberg” of this huge number of AFib episodes — which consists of patients who call EMS or present to the ED with new-onset palpitations, heart failure exacerbation, acute stroke ( or other symptom related to their AFib ).

EKG/ECG 52
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MI in Children

Pediatric Emergency Playbook

The previously well child now decompensated: undiagnosed thrombophilia Asymptomatic patent foramen ovale (PFO) is the cause of some cases of cryptogenic vascular disease, such as stroke and MI. 2003; 18(2):150-151. However, the presence of PFO alone does not connote higher risk. DOI: 10.5772/56177. Toxins De Chadarévian JP et al.

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Testicular torsion

Don't Forget the Bubbles

“Time is brain” urges us to think about thrombolysis or clot retrieval in acute strokes. The cremasteric reflex The cremasteric reflex is a superficial reflex in males, triggered by lightly stroking the inner part of the thigh. The cremaster muscle contracts, elevating the testicle on that side. Mellick, L.B., Sinex, J.E.,