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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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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.

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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. 2007 Jul 18;2007(3):CD000277. 1998 Apr;50(4):876-83. doi: 10.1212/wnl.50.4.876.

Stroke 99
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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. Reid, C (2011) Prehospital resuscitative hysterotomy op.cit. Episiotomy [ppt] Alice Teich, MD. Weingart, S.,

OB/GYN 40
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Beyond Ketamine: When to use Facilitated Intubation in the ED

EMDocs

Contraindicated seizures or porphyria. Resuscitation 2013; 84(11): 1500 – 4. 2007): 748. Minimal histamine release. Cons: Short duration of action. Pain upon injection. Adrenal suppression, limiting its use in long procedures or critically ill patients. Excellent amnestic and sedative properties. Can be titrated easily.

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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. 2007; 2:2-11. 2007; 5(3):172-176.

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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.