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Fluoroquinolone Use In Children

Pediatric EM Morsels

Myth # 2: Neurologic affects Nervous system adverse events mostly include central concerns (ex, seizures, headaches, dizziness, lightheadedness, sleep disorders, hallucinations) and peripheral neuropathy. Oral Fluoroquinolone Prescribing to Children in the United States From 2006 to 2015. Clin Pediatr. 55(2):107-10. 38 (3):268-270.

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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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Pediatric Status Epilepticus

Pediatric Emergency Playbook

Definition of status epilepticus:Continuous seizure activity of 5 minutes or greater – OR – Recurrent activity without recovery between intervals. This definition includes clinically apparent seizures as well as those seen only on EEG.) During a seizure, GABA receptors in the neuron’s membrane are internalized and destroyed.

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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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The Higher Tech Kid in the ED

Pediatric Emergency Playbook

Vagus nerve stimulation for partial seizures. 2006; 113: 2313-2319. Vagal nerve stimulation: a review of its applications and potential mechanisms that mediate its clinical effects. Neuroscience and Biobehavioral Reviews. 2005; 29: 493–500. Panebianco M, Rigby A,Weston J,Marson AG. Cochrane Database of Systematic Reviews. 2015; 4, Art.

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EM@3AM: Hyperthermia

EMDocs

As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. Clinical presentation, treatment, and complications of malignant hyperthermia in North America from 1987 to 2006. Clinical decision making in seizures and status epilepticus. A 12-lead EKG shows sinus tachycardia but is otherwise normal.

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ToxCard: N-Acetylcysteine for Acetaminophen Toxicity

EMDocs

Cumberland Pharmaceuticals, Nashville, TN, 2006. Massive acetylcysteine overdose associated with cerebral edema and seizures. Hernandez SH, Howland M, Schiano TD, Hoffman RS. The pharmacokinetics and extracorporeal removal of N-acetylcysteine during renal replacement therapies. Clin Toxicol (Phila). 2015;53(10):941-949. PMID: 21740141.