2010 Seizures Wellness 
Taming the SRU
FEBRUARY 5, 2024
The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3). As may be seen in the table below, there are several themes as well a range of stringency. WHO - Who Needs an LP in the ED? Patients with concern for infection (i.e.,
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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Pediatric Emergency Playbook
SEPTEMBER 1, 2015
Definition of status epilepticus:Continuous seizure activity of 5 minutes or greater – OR – Recurrent activity without recovery between intervals. This definition includes clinically apparent seizures as well as those seen only on EEG.) During a seizure, GABA receptors in the neuron’s membrane are internalized and destroyed.
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.
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.
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.
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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