Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Perhaps diGeorge syndrome with hypocalcemia and seizures? Inborn Errors of Metabolism - there are over 200 inborn errors of metabolism, but only four common metabolic pathways that cause a child to be critically ill. Part 15: Neonatal Resuscitation: 2010 American Heart Association Guidelines. ACEP/McGraw-Hill, 2013. McGowan et al.

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Seizures Sepsis Pediatrics Shock 40

Dr. Smith's ECG Blog

JANUARY 21, 2023

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. Heart Rhythm 2010 Hudzik B, Gasior M. Seizure activity was witnessed in the ED. EMS reported an initial GCS of 8 with pupils equal and reactive.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Seizures Fractures 52

Dr. Smith's ECG Blog

FEBRUARY 8, 2015

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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Seizures Administration Outcomes Hospitals 52

Taming the SRU

MARCH 31, 2023

of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed.

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Allergic Reactions Seizures Anaphylaxis Leadership 40

Downeast Emergency Medicine

APRIL 26, 2021

We know that if administered too rapidly, it can lead to hypotension and other adverse effects including seizures, headaches, backache, abdominal pain, nausea, vomiting, diarrhea, fatigue, pulmonary embolism, deep vein thrombosis, anaphylaxis, impaired color vision, and other visual disturbances.[1] Lancet 2010; 376:23-32.[

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Head Injuries Administration Outcomes Seizures 52

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

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. Asthma in Pregnancy [ppt] James Huang, MD Chorioamnionitis [ppt] Sara Paul M.D Episiotomy [ppt] Alice Teich, MD.

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OB/GYN Ultrasounds Emergency Department Resuscitation 40

Pediatric Emergency Playbook

JUNE 1, 2017

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. 2010; 12(3): 3–8. Viral myocarditis Presenting with Seizure and Electrocardiographic Findings of Acute Myocardial Infarction in a 14-Month-Old Child.

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Pediatrics EKG/ECG Wellness Seizures 52

Pediatric EM Morsels

MAY 10, 2024

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.

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Dr. Smith's ECG Blog

OCTOBER 6, 2018

The patient was in his 50s with history of hypertension, diabetes, seizure disorder, and smoking, but no known coronary artery disease. JACC 2010 Post hoc analysis of the TRITON-TIMI-38 randomized controlled trial comparing prasugrel with clopidogrel among ACS patients undergoing cardiac catheterization. From AM et al. Pride et al.

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EKG/ECG Seizures Documentation/Coding Outcomes 40

PEMBlog

MAY 9, 2024

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. Updated 2024 Jan 19]. In: StatPearls [Internet]. Ann Emerg Med.

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Seizures Pediatrics Wellness Emergency Department 59

EMDocs

JANUARY 4, 2024

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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Seizures EKG/ECG Poisoning Shock 77

Pediatric EM Morsels

AUGUST 18, 2023

Myth # 2: Neurologic affects Nervous system adverse events mostly include central concerns (ex, seizures, headaches, dizziness, lightheadedness, sleep disorders, hallucinations) and peripheral neuropathy. So, in the right clinical situtation, the benefits of the fluoroquinolone use in children may outweigh the risk.

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Pediatrics Infectious Diseases Seizures Hospitals 130

EMDocs

AUGUST 3, 2023

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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Poisoning Seizures Administration Pediatrics 93

ALiEM

OCTOBER 4, 2023

They were first developed in the 1950s by the Nazis and were used in chemical warfare in the Iran-Iraq War in the 1980s, by the Japanese Aum Shinrikyo cult in Tokyo, and in Syria in the 2010’s. Use benzodiazepines such as diazepam or midazolam for seizures. They have been used in Europe recently for assassinations [4].

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Poisoning Seizures Hospitals 78

Don't Forget the Bubbles

JULY 5, 2023

Do not use pethidine since it can cause seizures and CNS hyperexcitability. Alternatives to morphine are hydromorphone or fentanyl. They should be used for patients who cannot tolerate morphine side effects (extreme pruritus or nausea). In addition to opiates, continue to offer paracetamol and NSAIDS (unless contraindicated).

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Blood Transfusions Stroke Dehydration Sepsis 126

Pediatric Emergency Playbook

MAY 1, 2016

sludge phenomenon, secondary sepsis, hypoglycemia from supply-demand mismatch) S – Seizure (e.g. Many authors report a broad array of neurological manifestations associated with influenza, such as altered mental status, seizures, cranial nerve abnormalities, hallucinations, abnormal behavior, and persistent irritability.

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Seizures Sepsis Stroke Pediatrics 40

EMDocs

DECEMBER 16, 2023

As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. Clinical decision making in seizures and status epilepticus. The patient is agitated, not oriented, and becoming combative with ED staff. A 12-lead EKG shows sinus tachycardia but is otherwise normal. 1 Fever is usually < 40C. link] Larach, M.

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Hyperthermia / Hypothermia EMS Stroke Seizures 80

EB Medicine

AUGUST 1, 2018

Jeff: Medicinally, cannabinoids are currently used in the treatment of chronic pain syndromes, complications of multiple sclerosis and paraplegia, weight loss due to appetite suppression in HIV/aids, chemotherapy-induced nausea and vomiting, seizures, and many other neuropsychiatric disorders.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Downeast Emergency Medicine

MARCH 24, 2021

Incubation typically 2-5 days, with illness lasting up to 10 days Association with Guillain-Barre syndrome Shigella Raw and unwashed vegetables Most common to get passed around daycare Seizures, AMS, coma Rectal prolapse possible from excessive diarrhea Fecal shedding E. Jones and Bartlett Publishers; 2010. Sudbury, Mass.:

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Pediatrics Dehydration Emergency Department Wellness 52

EMDocs

NOVEMBER 4, 2024

Headache red-flag characteristics include neurological symptoms, thunderclap nature, syncope, trauma, immunocompromised, coagulopathy, fever, rash, seizure, nuchal rigidity, altered mental status, pregnancy, temporal tenderness, jaw claudication, and cancer history. Prevalence and treatment of pain in EDs in the United States, 2000 to 2010.

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Emergency Department Fractures Burns EMS 105

Dr. Smith's ECG Blog

APRIL 8, 2015

First: Are you sure it was syncope, and not SEIZURE? Conversely , frequently syncope has a short episode of tonic-clonic activity that mimics seizure. J Am Coll Cardiol, 2010; 55:713-721, doi:10.1016/j.jacc.2009.09.049 Patients with trauma, alcohol, or drug-associated loss of consciousness and definite seizures were excluded.

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Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

NOVEMBER 13, 2023

Scand J Trauma Resusc Emerg Med 2010, 18 , 61. Am J Med Sci 2010, 339 (1), 25-30. CTA head/neck is absolutely indicated if suspicion is high for this condition. 46 All of these states are some gradation of consciousness impairment. Acquafresca, M.; Bartolini, M.; DOI: 10.1186/1757-7241-18-61 From NLM. (32) 32) Müther, M.; Sporns, P.

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EMDocs

NOVEMBER 2, 2024

bladder incontinence) – 17% Headache – 10% Lighting pains – 10% Often described as sudden, rapidly spreading and disappearing [13] Dizziness – 10% Hearing loss – 10% Seizures – 7% Signs: Hyporeflexia – 50% Sensory impairment (e.g., CNS neuroscience & therapeutics 16,5 (2010): e157-68. Symptoms: Personality change (i.e.,

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EMS Infectious Diseases CDC Research 104