ACEP Now

FEBRUARY 11, 2024

Patient C, a 27-year-old female with a history of epilepsy, taking valproate and endorsing adherence, is then brought in by ambulance for a witnessed seizure. This is her first seizure in six years. This patient had her first seizure in years despite adherence to her valproate for management of her epilepsy. ACS Chem Neurosci.

Seizures 52

Seizures Fluid Resuscitation Poisoning EKG/ECG 52

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

He is not on anticoagulation and there is no history of seizures. million emergency department visits in the US in 2014 [1], with the most significant proportion of visits occurring in the elderly ≥75 (1,682/100,000) [1]. There are no other external signs of trauma on your exam.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

RebelEM

OCTOBER 5, 2022

2014, (Ch) 125: p 1636-53. mg/dL 10.5 – 12.0 Louis, Mosby, Inc., Read More LITFL: QT Interval LITFL: Hypercalcemia LITFL: Hypercalcemia Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie ) The post REBEL Core Cast 87.0 – Hypercalcemia appeared first on REBEL EM - Emergency Medicine Blog.

Dehydration 52

Dehydration Psychiatric Administration EKG/ECG 52

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

HELLP Syndrome [pdf] Sara Paul MD Intrauterine Fetal Demise [ppt] Irene Hwang, MD Obesity in Pregnancy [pdf] Rafael Garabis, MD Seizures in Pregnancy [ppt] Sherifia Heron , MD Substance Abuse in Pregnancy [ppt] Sophia Y. 2014) Emergency Care Institute, New South Wales. 2014) Tiny Tip: PRE -eclampsia. Stafford, I. Leibowitz, A.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

EMDocs

NOVEMBER 1, 2023

1 , 2 The most common non-iatrogenic cause is spontaneously due to increased intraesophageal pressure, Boerhaave syndrome, from forceful retching, coughing, straining, seizures, or even childbirth (15% of cases). McGraw-Hill Education; 2014. upper endoscopy, transesophageal echo, etc.). Esophageal Perforation. aid=1104586430 Bono MJ.

Operations 78

Operations Radiology Radiology Fluid Resuscitation 78

Don't Forget the Bubbles

MARCH 18, 2024

A similar process can also occur in the CNS (causing seizures ), the liver and the pancreas. Depending on the progression of the illness, children may present with pallor, oedema, lethargy, seizures, hypertension or abnormal liver function tests. 2014 [Cited June 2020]; 7: 231-239. What is atypical HUS? Ped Neprhrol.

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

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. 2014 Jun 2;22(1):46. Symptoms include tremor, personality changes , emotional lability, gait disturbance , paresthesias, and ataxia.

Poisoning 77

Poisoning Fluid Resuscitation Administration Seizures 77

PEMBlog

MARCH 27, 2024

They include neurologic dysfunction, which is one of the most common that includes things like developmental delay, regression, AKA loss of developmental milestones, hypotonia, encephalopathy, or seizures. So they’re lethargic, they might vomit, they’re hypotonic, hypothermic, they might have fever or seizures. Pediatr Rev.

Pediatrics 59

Pediatrics Seizures Emergency Department Sepsis 59

Northwestern EM Blog

MARCH 28, 2022

Clinical Findings of Methanol Poisoning CNS sedation Seizures Rapid, Deep Breathing Hypotension Ocular findings: Blindness Afferent pupillary defect Optic disk hyperemia Mydriasis Ethylene Glycol Toxicity Similarly, the toxic metabolites of ethylene glycol cause end-organ damage at levels greater than 20mg/dl. Clin Toxicol (Phila), 2014.

Poisoning 52

Poisoning Seizures Administration Pediatrics 52

Pediatric Emergency Playbook

JUNE 1, 2017

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. 2014; 14(1): 23-227. 2014; 5(4)L631-634. 2014; 12:15. Congenit Heart Dis. 2007; 2:2-11. Aliku TO et al. African Health Sci. 2004; 90:e17.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Pediatric Education

AUGUST 11, 2024

There was no history of seizures, abnormal staring spells, abnormal or erratic behavior, unusual or neurological infections and no specific travel history. doi:10.1136/archdischild-2014-307853 McClellan J. The past medical history shows no specific developmental concerns other than the reading issue. Arch Dis Child Educ Pract Ed.

Psychiatric 40

Psychiatric Infectious Diseases Pediatrics Seizures 40

Pediatric Emergency Playbook

APRIL 1, 2016

S – seizure or shock – most commonly septic, but can be any type: cardiogenic, bstructive, hypovolemic, distributive. 2014; 14:83. Difficult to interpret lactates when a patient is on an epinephrine drip. 2013; 88(10): 1127–1140. BMC Pediatrics. Scott HF, Donoghue AJ, Gaieski DF et al. Acad Emerg Med. 2012; 19:1276–1280.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

PEMBlog

MAY 9, 2024

Febrile Seizures are among the most common neurological problema in young children, occurring in 1 out of 50 children between the ages of 6 months and 5 years of age. Febrile Seizure. Common variants associated with general and MMR vaccine-related febrile seizures. Nat Genet 2014; 46:1274. Updated 2024 Jan 19].

Seizures 59

Seizures Pediatrics Wellness Emergency Department 59

Pediatric EM Morsels

AUGUST 18, 2023

Rose 2014) They are the most frequently prescribed class of medications in adults; however, in children they are the least frequently prescribed class , <2% of antibiotics. Hersh 2014) Fluoroquinolone Use in Children: Indications for use Let’s keep this simple, Pseudomonas ! The low dose range (30 mg/kg) did show sporadic lesions.

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

Don't Forget the Bubbles

JANUARY 24, 2024

Four-year-old Fern is a previously healthy girl who presents with a febrile illness and seizures. Seizure activity did not respond to either first or second-line treatments, so she needed rapid sequence induction and transfer to PICU for ongoing anaesthesia and management. What causes Super Refractory Status Epilepticus?

Seizures 111

Seizures Pediatrics Outcomes Hyperthermia / Hypothermia 111

Don't Forget the Bubbles

JUNE 30, 2023

As in CRASH-2, TXA did not show a significant increase in thrombotic events or seizures. There was a small increased risk of seizures in the TXA group – 0.3% (7 children) of the 1900 children in the TXA group vs none of the 1900 children in the non-TXA group. 2014 Dec;77(6):852-8; discussion 858. J Trauma Acute Care Surg.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

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. Iran Red Crescent Med J 16: e5072, 2014. 7, 9 Often have absence of excessive cholinergic stimulation.

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Poisoning Airway Management Seizures PPE 94

EMDocs

AUGUST 3, 2023

2014 Sep-Oct;52(8):856-67. Epub 2014 Aug 18. Massive acetylcysteine overdose associated with cerebral edema and seizures. Clin Toxicol (Phila). 2015;53(10):941-949. doi:10.3109/15563650.2015.1100305 Gosselin S, Juurlink DN, Kielstein JT, Ghannoum M, Lavergne V, Nolin TD, Hoffman RS; Extrip Workgroup. Clin Toxicol (Phila).

Poisoning 93

Poisoning Seizures Administration Pediatrics 93

EMDocs

JANUARY 29, 2024

Finally, anticipating and addressing known complications such as seizures, increased intracranial pressure, or cerebral edema with appropriate measures, including antiepileptic drugs or osmotic agents, is essential for improving patient outcomes. 2014 Apr;13(4):364-73. Epub 2014 Feb 13. Lancet Neurol. PMID: 24530176.

Stroke 83

Stroke Outcomes EMS Seizures 83

EMDocs

JUNE 14, 2023

Used for treatment of acutely symptomatic anxiety, muscle fasciculations, and seizures. Iran Red Crescent Med J 16: e5072, 2014. 1, 2 Symmetric sensorimotor axonopathy: leg cramping to extremity weakness and paralysis. 1, 2 Sensory > Motor neurons with predilection for long axons. Section 15: Toxicology: 1301-1303. CorePendium.

PPE 82

PPE Poisoning Seizures Emergency Department 82

EMDocs

SEPTEMBER 25, 2023

Contraindicated seizures or porphyria. PLoS One 2014; 9(11): e112779. Epub 2014 Feb 17. Minimal histamine release. Cons: Short duration of action. Pain upon injection. Adrenal suppression, limiting its use in long procedures or critically ill patients. Propofol: Mechanism of Action: GABA A Pros: Rapid onset and offset of action.

Emergency Department 76

Emergency Department Soft Tissue Injuries Airway Management Operations 76

Don't Forget the Bubbles

JULY 5, 2023

Do not use pethidine since it can cause seizures and CNS hyperexcitability. 2014; 349–356. Alternatives to morphine are hydromorphone or fentanyl. They should be used for patients who cannot tolerate morphine side effects (extreme pruritus or nausea). Pediatr Allergy, Immunol Pulmonol 2017; 30: 191–201. Macharia AW et al.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

ALiEM

SEPTEMBER 27, 2023

Acute hepatitis Disulfiram-like reaction with ethanol consumption Pneumonitis from inhalation of spores Seizures from glutamate agonist activity [Image from Canstockphoto] Reveal the Answer 2. What well-known adverse reaction results from ingestion of the pictured mushroom? The post was peer reviewed on behalf of ACMT by Drs. Goldfrank L.

Seizures 67

Seizures Academics Wellness 67

Pediatric Emergency Playbook

SEPTEMBER 1, 2016

Headache plus… a new seizure. An eleven-year-old girl presents to the ED with new headache, nausea, and vomting in the morning, then had a generalized seizure later that day, and presents with a low GCS. 2014; vol 2014. 2014 Apr;18(4):404. Headache plus… it’s unilateral and new for the patient. Scientific World J.

Pediatrics 52

Pediatrics Seizures Emergency Department Wellness 52

Advanced Emergency Nursing from AENJ

NOVEMBER 7, 2015

Even as a Paramedic, in the early days, there was no analgesia, sedative (except for seizures), or anesthetic, to provide. In the first part of my career, I did ambulance work, before there was ACLS, and certainly no pain medicine. We had only first aid, oxygen, and CPR to offer. The Journal of emergency medicine, 46(4), 588-596.

Emergency Department 40

Emergency Department Pediatrics Emergency Nursing Seizures 40

Downeast Emergency Medicine

MARCH 24, 2021

Incubation typically 2-5 days, with illness lasting up to 10 days Association with Guillain-Barre syndrome Shigella Raw and unwashed vegetables Most common to get passed around daycare Seizures, AMS, coma Rectal prolapse possible from excessive diarrhea Fecal shedding E. New York: McGraw-Hill Education; 2014.

Pediatrics 52

Pediatrics Dehydration Emergency Department Wellness 52

EMDocs

NOVEMBER 13, 2023

40 The American Academy of Emergency Medicine (AAEM) released a position statement in 2014 advocating for the use of CTA in place of LP when LP cannot be done or has equivocal results. J Neurosurg 2014, 121 (1), 24-31. Biomed Res Int 2014, 2014 , 934947. DOI: 10.1155/2014/934947 From NLM. (66) DOI: 10.3171/2014.3.Jns132239

Stroke 98

Stroke Radiology Radiology Emergency Department 98

EMDocs

NOVEMBER 4, 2024

Headache red-flag characteristics include neurological symptoms, thunderclap nature, syncope, trauma, immunocompromised, coagulopathy, fever, rash, seizure, nuchal rigidity, altered mental status, pregnancy, temporal tenderness, jaw claudication, and cancer history. doi:10.1136/heartjnl-2014-306362 LeWinter MM. 12 2019;13(4):402-407.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Taming the SRU

FEBRUARY 3, 2025

These can lead to a wide spectrum of emergent complications including but not limited to cardiac dysrhythmias, seizures, and acute renal failure. This can often become significant enough to precipitate dysrhythmias, seizures, and tetany (20). Academic Press; 2014:39-64. in females and 2.5-7.0 in males) phosphate > 4.5

Fluid Resuscitation 55

Fluid Resuscitation Seizures Dehydration Emergency Department 55

Don't Forget the Bubbles

OCTOBER 9, 2023

A 13-year-old girl came to the ED with an unprecedented, prolonged seizure. When she arrived in the department, the seizure had stopped. 2014) Reducing Incivility in the Workplace: Results of a Three-Part Educational Intervention The Journal of Continuing Education in Nursing. A head CT scan was arranged. D, Exadaktylos A.

Seizures 116

Seizures Incident Reporting Research Emergency Department 116

EMDocs

JANUARY 6, 2025

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 review of systems is notable for nausea and vomiting but no diarrhea. Qual Health Res.

Infectious Diseases 67

Infectious Diseases CDC PPE Rapid Diagnostic Testing 67

EMDocs

NOVEMBER 2, 2024

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., International journal of dermatology 53,7 (2014): 812-9. Symptoms: Personality change (i.e.,

EMS 104

EMS Infectious Diseases CDC Research 104