Remove 2008 Remove Seizures Remove Wellness
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A Relatively Narrow Complex Tachycardia at a Rate of 180.

Dr. Smith's ECG Blog

Both of these also cause seizures. Here is the history : Male in 40's who had seizures and was unconscious. Second , if the patient is hemodynamically stable, without pulmonary edema, it may be wise to try some fluids and and benzodiazepines and/or propofol for this post-seizure patient with likely high catecholamine levels.

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Diagnostics: The Shunt Series

Taming the SRU

He appears well and is triaged to an ESI 4. 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.”

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Hyponatremia

Northwestern EM Blog

For those well-appearing neurologically intact hyponatremia patients w/ sodium levels > 120, further work-up & analysis of the underlying etiology can be deferred to the inpatient side. Hypertonic saline is not only indicated for seizures, coma, suspected cerebral herniation or focal neurological deficits as noted above.

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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. Pacing Clin Electrophysiol 2008 Choi SH, Lee OH, Yoon G-S, et al. Seizure activity was witnessed in the ED. Is this takotsubo?

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Intranasal Medications

Pediatric Emergency Playbook

We can use intranasal drugs for analgesia, for anxiolysis, for seizures – but not all drugs used for those purposes will perform well – or at all – via the IN route. 2008 Oct;5(10):1159-68. Right Dose – Dosing with IN meds will vary considerably from the IV route. Rule of thumb: the IN dose is 2-3 times the IV dose.

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A "normal ECG" on a busy night

Dr. Smith's ECG Blog

The patient was in his 50s with history of hypertension, diabetes, seizure disorder, and smoking, but no known coronary artery disease. The patient did well at least in the short term. JACC 51(3):307-14; January 22, 2008. EF was 55%. High Lateral OMI: The high lateral wall is often aptly called "electrocardiographically silent."

EKG/ECG 40
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Podcast Episode: Febrile Seizures

PEMBlog

Febrile Seizures are among the most common neurological problema in young children, occurring in 1 out of 50 children between the ages of 6 months and 5 years of age. Febrile Seizure. Common variants associated with general and MMR vaccine-related febrile seizures. 2008 Jul 15;71(3):170-6. Epub 2008 Jun 4.