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ToxCard: N-Acetylcysteine for Acetaminophen Toxicity

EMDocs

IV is usually recommended due to faster onset, ease of administration, and shorter protocol duration. Cumberland Pharmaceuticals, Nashville, TN, 2006. Massive acetylcysteine overdose associated with cerebral edema and seizures. Hernandez SH, Howland M, Schiano TD, Hoffman RS. Clin Toxicol (Phila). 2015;53(10):941-949.

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Neonatal Jaundice

Pediatric Emergency Playbook

Also, newborns have a double-whammy administrative load. Acute bilirubin encephalopathy may progress to an abnormal neurologic exam, seizures, apnea, or coma. 2006 Jun;11(3):214-24. Newborns are terrible at answering emails. There is a lot of unread unconjugated bilirubin is floating around. Pediatrics. 2009; 124(4):1193-6.

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ACMT Toxicology Visual Pearl – Apricot Kernels: Eat or pass?

ALiEM

1,6,7] Dizziness, confusion, headache Shortness of breath Weakness and malaise Nausea and vomiting Hypotension, seizures, coma, apnea, arrhythmias Death due to cardiorespiratory arrest How do you diagnose cyanide poisoning? [7] 2006 ;118(5):2146-58. What are the symptoms of cyanide poisoning? Pediatrics.

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Grand Rounds Recap 3.15.23

Taming the SRU

of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed.

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Pain Management of Common Chief Complaints in the ED

EMDocs

Headache red-flag characteristics include neurological symptoms, thunderclap nature, syncope, trauma, immunocompromised, coagulopathy, fever, rash, seizure, nuchal rigidity, altered mental status, pregnancy, temporal tenderness, jaw claudication, and cancer history. 2006 Jun;26(6):684-90. Migraines: Migraines cause approximately 1.2

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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. Patients with trauma, alcohol, or drug-associated loss of consciousness and definite seizures were excluded. Quinn et al.

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Sickle Cell Disease Module

Don't Forget the Bubbles

It has been routine practice in the UK since 2006. Do not use pethidine since it can cause seizures and CNS hyperexcitability. How is sickle cell disease diagnosed? Newborn screening: sickle cell screening is donethrough heel-prick blood at five days of life. Alternatives to morphine are hydromorphone or fentanyl.