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] Lastly, the use of TXA is not without risk.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

Taming the SRU

MARCH 14, 2023

After a several week NICU stay for prematurity, the infant has been generally healthy and this is his first trip back to the hospital since discharge. Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity. His abdomen is soft.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Taming the SRU

FEBRUARY 5, 2024

These patients are often admitted to the hospital. Admission should also be strongly considered in patients with a depressed GCS, post-traumatic seizure(s), or intractable symptoms [2]. 2012 Jan 15;85(2):123-32. Patients that do not meet any of these criteria are appropriate for discharge from the Emergency Department.

Head Injuries 59

Head Injuries Emergency Department Seizures Pediatrics 59

Don't Forget the Bubbles

JULY 26, 2023

Some families have unexplained deaths during sporting events, an unusual number of car accidents, seizures in someone without a formal diagnosis of epilepsy. This has been trialled (out of hospital) in known children with SVT. On arrival at hospital the child was well with normal observations.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Pediatric Emergency Playbook

APRIL 1, 2016

S – seizure or shock – most commonly septic, but can be any type: cardiogenic, bstructive, hypovolemic, distributive. 2012; 33:1040–1045. ACCF 2012 Expert Consensus Document on Practical Clinical Considerations in the Interpretation of Troponin Elevations. 2012; 60(23): 2427-2463. 2012; 19:1276–1280. 2014; 14:83.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

Pediatric Emergency Playbook

MAY 1, 2017

Acute bilirubin encephalopathy may progress to an abnormal neurologic exam, seizures, apnea, or coma. Hospital Stay for Healthy Term Newborn Infants. 2012; 129(4). 2012 Aug;130(2):e352-7. The dehydration and neurologic dysfnction from the hyperbilirubinemia may even cause fever. References Benitz WE. Pediatrics.

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52

EMDocs

JULY 3, 2023

4 Common symptoms of SAH on presentation include vomiting, neck stiffness, altered mental status or decreased level of consciousness, hemiparesis, and seizure-like activity. 18 Seizure Seizure is common in the setting of acute SAH, especially spontaneous SAH, due to cerebral and meningeal irritation.

Seizures 98

Seizures Stroke Outcomes EMS 98

The Skeptics' Guide to EM

SEPTEMBER 7, 2019

The Lancet May 2019 Guest Skeptic: Dr. Tessa Davis is a Paediatrician specializing in Paediatric Emergency Medicine and currently practicing at the Royal London Hospitals. She is also the […] The post SGEM#265: Total EcLiPSE of the Seizure – What a ConSEPT first appeared on The Skeptics Guide to Emergency Medicine.

Seizures 52

Seizures Emergency Department Hospitals 52

EMDocs

OCTOBER 5, 2024

They are found primarily in hospital specimens but are increasing in frequency in samples from the community. 4 The incidence of ESBL-E identified in bacterial cultures in the United States increased by 53% from 2012 to 2017. He was admitted to the hospital 3 weeks ago to receive intravenous antibiotics for pneumonia.

EMS 93

EMS Infectious Diseases Sepsis Hospitals 93

EB Medicine

AUGUST 1, 2018

Nachi: Sometimes… Jeff: This month’s issue was authored by Mollie Williams, who is the EM residency program director at the Brooklyn Hospital Center. The rhabdo is believed to be due, in part, to associated seizures, muscle tremors, and agitation. Jeff: On that note, we should also touch on cannabis withdrawal.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EB Medicine

FEBRUARY 1, 2019

Let’s talk pre hospital care for headache patients. As was the case for your pre-hospital colleagues, you should also assess for red flag signs for life-threatening headaches. Nachi: Unfortunately, the 2008 ACEP guideline and 2012 AHA guidelines still recommend a lumbar puncture in those being worked up for SAH. Jeff: Good call!

Emergency Department 40

Emergency Department Stroke Ultrasounds Outcomes 40

EMDocs

JULY 19, 2023

Further, organic mercury readily crosses the placenta where it acts as a teratogen leading to a wide range of birth defects including developmental delay, blindness, seizures, and limb malformation. Mercury levels in commercial fish and shellfish (1990-2012). Mercury concentrations were not measured in dialysate. Resources: S.

Poisoning 84

Poisoning Fluid Resuscitation Administration Seizures 84

Pediatric EM Morsels

MARCH 7, 2025

2012 Feb;147(2):113-9. Tranexamic Acid Use in United States Children’s Hospitals. of IV form TXA [O’Neill 2020] Inexpensive ! 2011 Mar26;377(9771):1096-101, 1101.e1-2. PubMed: 21439633] Morrison JJ, Dubose JJ, Rasmussen TE, Midwinter MJ. PubMed: 22006852] Nishijima DK, VanBuren JM, Linakis SW, et al. Crit Care Explor.

Pediatrics 231

Pediatrics Blood Transfusions Anaphylaxis Military 231

Don't Forget the Bubbles

FEBRUARY 24, 2025

Two-month-old Isla presents to their local hospital following a prolonged apnoea at home. We know that vaccination is key for protection, as there were 63 deaths in just one year before the vaccination was recommended in pregnancy in 2012. 2012 May 7;11(1):70 Berger et al. They had a two-day history of reduced feeding.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

Don't Forget the Bubbles

OCTOBER 9, 2023

Staff, patients, and relatives can all be affected in the hospital setting, especially in life-or-death situations. Does incivility exist in hospitals? This mixed-method study surveyed 606 trainees and consultants from three large teaching hospitals. A 13-year-old girl came to the ED with an unprecedented, prolonged seizure.

Seizures 116

Seizures Incident Reporting Research Emergency Department 116

EMDocs

NOVEMBER 2, 2024

Neurology is consulted, treatment is started, and the patient is admitted to the hospital for further management. 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.,

EMS 111

EMS Infectious Diseases CDC Research 111