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Chest Pain in Children: ReBaked Morsel

Pediatric EM Morsels

Add the risk assessment for sudden cardiac death into your workflow Have you ever fainted or had a seizure without warning, during exercise or in response to a loud noise? EKG Reasonable screen for cardiac etiology [ Kane, 2010 ]: Chest Pain with Exertion? 2010 Jul-Aug;5(4):366-73. 2010 Dec;57(6):1385-95. PMID: 20653703.

EKG/ECG 271
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ToxCard: Benzonatate

EMDocs

When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. 3, 7) The accumulating post marketing adverse event reports led to the FDA release of a Drug Safety Communication (DSC) in 2010, over 50 years after initial approval. (9) 11) A bolus dose at 1.5

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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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The Toxic Shelf

Cook County EM Blog

As resuscitation measures are underway, you obtain collateral from EMS and parents. Upon EMS arrival, the patient was in cardiac arrest. EMS shows you the prescription bottle with a handful of capsules remaining. Seizures should be treated with benzodiazepines. Treatment: The mainstay of treatment is supportive care.

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ToxCard: N-Acetylcysteine for Acetaminophen Toxicity

EMDocs

2010 Aug;48(7):770]. Massive acetylcysteine overdose associated with cerebral edema and seizures. A multicenter comparison of the safety of oral versus intravenous acetylcysteine for treatment of acetaminophen overdose [published correction appears in Clin Toxicol (Phila). Clin Toxicol (Phila). 2010;48(5):424-430. Clin Toxicol (Phila).

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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. PMID: 29356761 The post Fluoroquinolone Use In Children appeared first on Pediatric EM Morsels. Pediatr Infect Dis J.

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ToxCard: PNU (Vacor)

EMDocs

Shortly after this, he began vomiting, and developed a tonic clonic seizure. There was no prodromal illness, recent trauma, polyuria or polydipsia, family history of seizure disorder or diabetes. Elsevier; 2010:2153-2217. References: Pelfrène AF. Rodenticides. In: Krieger R, ed. Hayes’ Handbook of Pesticide Toxicology.