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ToxCard: Iron

EMDocs

Characterized by hypovolemia, vasodilation, reduced cardiac output, hyperventilation, elevated temperature, seizure, coma, and cardiovascular collapse. Consider intubation for patients with airway compromise, respiratory failure, altered mental status, or seizure. 5 Seizure: IV benzodiazepine first line, barbiturates as second line.

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The Higher Tech Kid in the ED

Pediatric Emergency Playbook

2005; 29: 493–500. Vagus nerve stimulation for partial seizures. Vagal nerve stimulation: a review of its applications and potential mechanisms that mediate its clinical effects. Neuroscience and Biobehavioral Reviews. Panebianco M, Rigby A,Weston J,Marson AG. Cochrane Database of Systematic Reviews. 2015; 4, Art.

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Diagnostics: The Shunt Series

Taming the SRU

Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity. The seizure abated with rectal diazepam given by the squad. You notice a med-alert bracelet with the patient’s name and the word “SEIZURES.” His abdomen is soft. Neurosurg Focus.

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Emergencies of the Third Trimester

Advanced Emergency Nursing from AENJ

HELLP Syndrome [pdf] Sara Paul MD Intrauterine Fetal Demise [ppt] Irene Hwang, MD Obesity in Pregnancy [pdf] Rafael Garabis, MD Seizures in Pregnancy [ppt] Sherifia Heron , MD Substance Abuse in Pregnancy [ppt] Sophia Y. Asthma in Pregnancy [ppt] James Huang, MD Chorioamnionitis [ppt] Sara Paul M.D Episiotomy [ppt] Alice Teich, MD.

OB/GYN 40
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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. Viral myocarditis Presenting with Seizure and Electrocardiographic Findings of Acute Myocardial Infarction in a 14-Month-Old Child. 2005; 237(1):75-82.

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Chest Pain in Children: ReBaked Morsel

Pediatric EM Morsels

Add the risk assessment for sudden cardiac death into your workflow Have you ever fainted or had a seizure without warning, during exercise or in response to a loud noise? 2005 Jun;33(6):1231-8. Have you ever had chest pain or shortness of breath in exercise? Has anyone in the family died unexpectedly before age 50? Crit Care Med.

EKG/ECG 268
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Fluoroquinolone Use In Children

Pediatric EM Morsels

Gatifloxacin use was evaluated in 867 children, which resulted in 12 (1.4%) of children having transient arthritis which resolved within 2 weeks (Pichichero 2005) Ciprofloxacin was compared to Cephalospoin for the treatment of complicated UTI’s in children. Arthropathy was seen in 13.7% of the Ciprofloxacin group vs 9.5% Clin Infect Dis.