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EM@3AM: Pneumocephalus

EMDocs

Seizure as Early Presentation of a Pneumocephalus after Cochlear Implant: A Case Report. J 2007 ) ISBN:1888799935. The most common causes include trauma and cranial surgeries, but there are other etiological factors, and in rare cases, it can also be spontaneous. [1-3]  2022 Mar;18(2):253-255.  J Int Adv Otol. 2020 Dinallo S, Waseem M.

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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. None of the patients were documented to have joint disease at follow up. 451 pediatric patients were included. 26(10):879-91.

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ACMT Toxicology Visual Pearls: Mushroom Mishap

ALiEM

Acute hepatitis Disulfiram-like reaction with ethanol consumption Pneumonitis from inhalation of spores Seizures from glutamate agonist activity [Image from Canstockphoto] Reveal the Answer 2. 2007 Mar;5(1):64-74. What well-known adverse reaction results from ingestion of the pictured mushroom? Antimicrob Agents Chemother.

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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. Marmarou, Young, Aygok.

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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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Unconscious + STEMI criteria: activate the cath lab?

Dr. Smith's ECG Blog

The patient had a witnessed generalized tonic-clonic seizure leading to GCS 4. In the resuscitation room, the patient had another seizure that stopped after IV Lorazepam. Seizure activity was witnessed in the ED. EMS reported an initial GCS of 8 with pupils equal and reactive. Is this takotsubo? Pacing Clin Electrophysiol.

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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.

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