Remove 2014 Remove Blood Transfusions Remove Seizures
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EM@3AM: Amniotic Fluid Embolism

EMDocs

Eclampsia (B) is characterized by the onset of seizures in a woman with preeclampsia (hypertension and proteinuria), but it typically does not present with the sudden onset of respiratory distress and profound hypotension described here. Epub 2014 Jun 30. If AFE occurs during labor, immediate delivery is recommended. PMID: 24974876.

EMS 96
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Sickle Cell Disease Module

Don't Forget the Bubbles

Be careful if the patient has received a recent blood transfusion since it may be misinterpreted as sickle cell trait instead of sickle cell disease. In these cases, repeat the Hb electrophoresis three months after the last blood transfusion. Do not use pethidine since it can cause seizures and CNS hyperexcitability.

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emDOCs Podcast – Episode 84: Capnography

EMDocs

Correction: Correction to ‘Clinical Policy: Procedural Sedation and Analgesia in the Emergency Department’ [Annals of Emergency Medicine 63 (2014) 247-258.e18]. In cardiac arrest, EtCO 2 is dependent on compressions AND the underlying cause. PMID: 26447854 Godwin SA, Burton JH, Gerardo CJ, et al. Ann Emerg Med. 2017;70(5):758.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

She presents with a seven-day history of fever, fatigue, and myalgias associated with decreased oral intake and an episode of seizure-like activity three hours prior to arrival. Additionally, there is no family history of seizure disorders. A whole blood transfusion is initiated for the management of her anemia.