EMDocs

AUGUST 17, 2023

Welcome back to the “52 in 52” series. This collection of posts features recently published must-know articles. Today we look at the CENSER trial. vs 48.4% (OR 3.4, 5.53) Takeaways: Positive trial => there was a statistically significant rate of shock control attained with the treatment arm. vs 48.4% (OR 3.4,

Sepsis 93

Sepsis Shock Resuscitation Fluid Resuscitation 93

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. PMID: 29356761 The post Fluoroquinolone Use In Children appeared first on Pediatric EM Morsels. Pediatr Infect Dis J.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

Cook County EM Blog

MAY 29, 2023

As resuscitation measures are underway, you obtain collateral from EMS and parents. Upon EMS arrival, the patient was in cardiac arrest. EMS shows you the prescription bottle with a handful of capsules remaining. Seizures should be treated with benzodiazepines. 2013 Jan;33(1):38-43. Pharmacotherapy. 2015.09.020.

Seizures 52

Seizures Resuscitation Poisoning Administration 52

EMDocs

JANUARY 29, 2024

Authors: Sameer Desai, MD (EM Attending Physician, University of Kentucky); Omar Abbas Ahmed Malik, MBBS (Patients’ Aid Foundation, Jinnah Postgraduate Medical Center) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine in St. 2013 Jul;44(7):1846-51. Epub 2013 May 23.

Stroke 99

Stroke Outcomes EMS Seizures 99

EMDocs

SEPTEMBER 25, 2023

Contraindicated seizures or porphyria. Personal take: While discussing this approach with many EM physicians whom we respect, one recurring critique was “We fought so hard to get the right to use paralytics in the ED, why would you want to go backwards.” Resuscitation 2013; 84(11): 1500 – 4. 2013): 71-78. 2021.01.010.

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

ACEP Now

MARCH 11, 2025

A special thanks to Dr. Samantha Martin and Dr. Jennifer Tomlin for their expertise in the EM Cases podcast that inspired this column. and comorbid condition that prohibits or limits appropriate outpatient treatment (severe depression, suicidal ideation, obsessive compulsive disorder, Type 1 diabetes). Int J Eat Disorder., Int J Eat Disord.

Emergency Department 83

Emergency Department Psychiatric Dehydration Pediatrics 83

EMDocs

JUNE 7, 2023

Used for treatment of acutely symptomatic anxiety, muscle fasciculations, and seizures. Case Follow-up: The patient required benzodiazepine administration for seizure management and subsequent intubation for airway protection. 2013; 6:524. Published 2013 Dec 9. Clin Toxicol (Phila) 51: 838, 2013. 8 Figure 1.

Poisoning 98

Poisoning Airway Management Seizures PPE 98

EMDocs

JUNE 14, 2023

Used for treatment of acutely symptomatic anxiety, muscle fasciculations, and seizures. Published 2013 Dec 9. doi:10.1186/1756-0500-6-524 Ross SM, McManus IC, Harrison V, Mason O: Neurobehavioral problems following low-level exposure to organophosphate pesticides: a systematic and meta-analytic Crit Rev Toxicol 43: 21, 2013.

PPE 95

PPE Poisoning Seizures Emergency Department 95

EMDocs

NOVEMBER 13, 2023

Authors: Mary Hamblen, DO (EM Resident Physician, TX); Justin Hacnik, MD (EM Resident Physician, TX); Katherine Spencer, MD (EM Resident Physician, TX); J.D. Am Surg 2013, 79 (1), 23-29. Eur Radiol 2013, 23 (6), 1443-1449. Neurology 2013, 81 (11), 1004-1011. AJNR Am J Neuroradiol 2013, 34 (5), 1077-1081.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

ACEP Now

OCTOBER 29, 2024

EMS found the patient pulseless and apneic, with an initial rhythm showing ventricular fibrillation (see figure 1). Figure 1: The EMS rhythm strip. 3-6 Additional features include first-degree atrioventricular block, atrial arrhythmias, nocturnal agonal breathing, and seizures. Click to enlarge.) Figures 4: A. Heart Rhythm.

Pediatrics 52

Pediatrics EKG/ECG Documentation/Coding Hospitals 52

EMDocs

NOVEMBER 2, 2024

We’ll keep it short, while you keep that EM brain sharp. 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., 2013 Dec;51(12):4060-6. J Clin Microbiol.

EMS 115

EMS Infectious Diseases CDC Research 115