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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.

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ToxCard: N-Acetylcysteine for Acetaminophen Toxicity

EMDocs

2005 Apr;54(4):515-21. Massive acetylcysteine overdose associated with cerebral edema and seizures. Br Med J (Clin Res Ed). 1984;289(6439):217-219. doi:10.1136/bmj.289.6439.217 289.6439.217 Knudsen TT, Thorsen S, Jensen SA, Dalhoff K, Schmidt LE, Becker U, Bendtsen F. doi: 10.1136/gut.2004.043505. 2004.043505. Minhaj, F. Leonard, J.

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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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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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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. 2005 Jun;23(6):1217-23. 2002 May;33(5):1315-20. doi: 10.1161/01.str.0000014509.11540.66.

Stroke 73
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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