Remove 2004 Remove Seizures Remove Ultrasounds
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Diagnostics and Therapeutics: The Who, What, Where, When and Why of Lumbar Punctures

Taming the SRU

It is most helpful to do the ultrasound immediately before needle insertion, as movement of the patient may shift cutaneous landmarks from underlying bony structures. This resource offers additional information on ultrasound assisted LP’s. As may be seen in the table below, there are several themes as well a range of stringency.

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The Higher Tech Kid in the ED

Pediatric Emergency Playbook

Vagus nerve stimulation for partial seizures. Ultrasound-guided refilling of an intrathecal baclofen pump—a case report. 2004; 26(4): 163–167. Vagal nerve stimulation: a review of its applications and potential mechanisms that mediate its clinical effects. Neuroscience and Biobehavioral Reviews. 2005; 29: 493–500. 2015; 4, Art.

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The Undifferentiated Sick Infant

Pediatric Emergency Playbook

Was there any prenatal care or ultrasound done? Perhaps diGeorge syndrome with hypocalcemia and seizures? Inborn Errors of Metabolism - there are over 200 inborn errors of metabolism, but only four common metabolic pathways that cause a child to be critically ill. Philadelphia, PA, Lipincott Williams & Wilkins, 2004.

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MI in Children

Pediatric Emergency Playbook

The child with seizure disorder and chest pain: anti-epileptics Some anti-epileptic agents, such as carbamazepine, promote a poor lipid profile, leading to atherosclerosis and early MI. 2004; 90:e17. 2004; 110:e511-e513. Cardiovasculr Ultrasound. 2004; 114(2):255-258. Chacko P et al. 2004; 89:359-362.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

First: Are you sure it was syncope, and not SEIZURE? Conversely , frequently syncope has a short episode of tonic-clonic activity that mimics seizure. Look for Vascular Etiology -- think of these while doing H and P: --Bleeding: ruptured AAA, GI bleed, ruptured ectopic pregnancy, other spontaneous bleed such as mesenteric aneurysms.