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EM@3AM: Pneumocephalus

EMDocs

We’ll keep it short, while you keep that EM brain sharp. Seizure as Early Presentation of a Pneumocephalus after Cochlear Implant: A Case Report. J 2007 ) ISBN:1888799935. A 58-year-old female with a history of diabetes, hypertension, and chronic back pain presents to the ED with severe headache and nausea.  J Int Adv Otol. 2020

EMS 119
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ToxCard: Bupropion

EMDocs

Bupropion lowers the seizure threshold and even at therapeutic doses patients can have seizures. 6 Severe toxicity: Seizures: It is unclear if seizures are caused by bupropion or the active metabolite, hydroxybupropion. 3 Seizures are dose-dependent. 3 Seizures are dose-dependent.

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Fluoroquinolone Use In Children

Pediatric EM Morsels

Noel 2007) In a very robust, recent multicenter, randomized, double-blind controlled study Moxifloxacin was compared to a comparator drug (IV ertapenem followed by PO Augmentin) for complex intraabdominal infections. PMID: 29356761 The post Fluoroquinolone Use In Children appeared first on Pediatric EM Morsels. Pediatric Infect Dis J.

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Brain Trauma Guidelines for Emergency Medicine

ACEP Now

This document is an update of guidelines first published in 2000, and then updated in 2007. Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented. 2019;154(7):e191152.

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Blood Pressure Management in Neurologic Emergencies: What Does the Evidence Say?

EMDocs

Authors: Sameer Desai, MD (EM Attending Physician, University of Kentucky); Omar Abbas Ahmed Malik, MBBS (Patients’ Aid Foundation, Jinnah Postgraduate Medical Center) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine in St. 2007 Jul 18;2007(3):CD000277. 1998 Apr;50(4):876-83.

Stroke 99
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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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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

Contraindicated seizures or porphyria. Personal take: While discussing this approach with many EM physicians whom we respect, one recurring critique was “We fought so hard to get the right to use paralytics in the ED, why would you want to go backwards.” 2007): 748. Minimal histamine release. Cons: Short duration of action.