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ToxCard: Iron

EMDocs

Characterized by hypovolemia, vasodilation, reduced cardiac output, hyperventilation, elevated temperature, seizure, coma, and cardiovascular collapse. Consider intubation for patients with airway compromise, respiratory failure, altered mental status, or seizure. 5 Seizure: IV benzodiazepine first line, barbiturates as second line.

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Pediatric Status Epilepticus

Pediatric Emergency Playbook

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.

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MI in Children

Pediatric Emergency Playbook

The Systemic Lupus International Collaborating Clinics (SLICC) revised the criteria in 2012. 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. 2012; AID 471759. 2012; 7:19796.

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Subarachnoid hemorrhage: ED presentation, evaluation, and management

EMDocs

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.

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Episode 25 - Evaluation and Management of Life-Threatening Headaches in the Emergency Department

EB Medicine

Let’s talk radiology. Nachi: Unfortunately, the 2008 ACEP guideline and 2012 AHA guidelines still recommend a lumbar puncture in those being worked up for SAH. Seizures are very common as well. That’s quite a list. For a visual reference, see Table 3 in the print issue. Nachi: Pretty impressive performance characteristics.

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CT Angiography Head and Neck: Indications and Limitations

EMDocs

The American College of Radiology (ACR) recommends a premedication schedule 12 hours before a contrasted CT with steroids and diphenhydramine in patients who are at high risk for hypersensitivity reaction but recognizes that this is not feasible in the acute setting. Lancet Neurol 2012, 11 (4), 307-314. 21) Romero, J. Artunduaga, M.;

Stroke 103
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When Doctors and Incivility Collide

Don't Forget the Bubbles

Both studies found external specialities , particularly cardiology and radiology, were more hostile than their own teams. A 13-year-old girl came to the ED with an unprecedented, prolonged seizure. When she arrived in the department, the seizure had stopped. A head CT scan was arranged. K, Leiter M. P, Day A, Gilin-Oore D.

Seizures 116