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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. Ultrasound J.

EKG/ECG 268
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Diagnostics and Therapeutics: The Who, What, Where, When and Why of Lumbar Punctures

Taming the SRU

The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3). It is most helpful to do the ultrasound immediately before needle insertion, as movement of the patient may shift cutaneous landmarks from underlying bony structures. WHO - Who Needs an LP in the ED?

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The Higher Tech Kid in the ED

Pediatric Emergency Playbook

Vagus nerve stimulation for partial seizures. 2010; 30:76–81. Ultrasound-guided refilling of an intrathecal baclofen pump—a case report. 2010; 6: 46-53. Vagal nerve stimulation: a review of its applications and potential mechanisms that mediate its clinical effects. Neuroscience and Biobehavioral Reviews. 2015; 4, Art.

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The Undifferentiated Sick Infant

Pediatric Emergency Playbook

Was there any prenatal care or ultrasound done? 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. Look for clitoromegaly in girls, or hyperpigmented scrotum in boys.

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Emergencies of the Third Trimester

Advanced Emergency Nursing from AENJ

Keep your ultrasound handy. 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. Here, then, are some links for Third Trimester Emergencies. Bisanzo, M. Capriola, M.

OB/GYN 40
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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

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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Sickle Cell Disease Module

Don't Forget the Bubbles

Do not use pethidine since it can cause seizures and CNS hyperexcitability. The high blood flow velocities through these stenotic segments can be detected using transcranial doppler ultrasound (TCD). Alternatives to morphine are hydromorphone or fentanyl. Annual screening with TCD is recommended to all SCD patients > 2 years old.