Remove 2006 Remove Resuscitation Remove Seizures
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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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EM@3AM: Hyperthermia

EMDocs

As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. The patient is agitated, not oriented, and becoming combative with ED staff.

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The Undifferentiated Sick Infant

Pediatric Emergency Playbook

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. 2006; 53:69-84. Part 15: Neonatal Resuscitation: 2010 American Heart Association Guidelines. McGowan et al.

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Big Labs, Little People

Pediatric Emergency Playbook

S – seizure or shock – most commonly septic, but can be any type: cardiogenic, bstructive, hypovolemic, distributive. 2006; 118(4): 1165-1168. 2006; 107(1)21-31. Early Lactate Elevations Following Resuscitation From Pediatric Cardiac Arrest Are Associated With Increased Mortality. Pediatrics. Koch A, Singer H. Pediatrics.

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MI in Children

Pediatric Emergency Playbook

Hemodynamically labile children should be resuscitated and a stat transesophageal echocardiogram obtained. 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. 2006; 87:e168-e171. Signa Vitae.