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

Pediatric Education

AUGUST 11, 2024

He is described as being a quieter child but is well-liked at school and has friends at home and school that he plays with. 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.

Psychiatric 40

Psychiatric Infectious Diseases Pediatrics Seizures 40

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. " Well, then, what to do? 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. Erickson, M.D. (an

Emergency Department 40

Emergency Department Pediatrics Emergency Nursing Seizures 40

Pediatric Emergency Playbook

APRIL 1, 2016

Brain natriuretic peptide (BNP) In adults, we typically think of a BNP Luckily, we have data in children with congenital heart disease as well. This has been studied in children as well, and an elevated lactate in children – typically above 4 – was a predictor of prolonged ICU course and mortality in septic patients. 2014; 14:83.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

EMDocs

DECEMBER 18, 2024

fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold

Seizures 106

Seizures Hyperthermia / Hypothermia Emergency Department EMS 106

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

EMDocs

JUNE 22, 2024

The newborn is doing well, but the mother is complaining of shortness of breath and chest pain. 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.

EMS 111

EMS Resuscitation Blood Transfusions Seizures 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. Well, one study in Kornelson’s systematic review and meta-analysis is interesting. But the evidence is a bit contrary – the systematic review and meta-analysis found no increased risk of seizures in the 14 included studies.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

Pediatric Emergency Playbook

JUNE 1, 2017

This child is at risk for expected complications, as well as overdiagnosis and iatrogenia. These children depend on their preload to run blood passively into the pulmonary circuit; afterload reduction is also important to compensate for a poor left ejection fraction, as well as to avoid the development of pulmonary hypertension.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

EMDocs

SEPTEMBER 25, 2023

They increase the risks of hypoxia and acidosis during the apneic period as well as hypotension and hypoperfusion caused by the abrupt transition from negative-pressure to positive-pressure ventilation (10). Contraindicated seizures or porphyria. PLoS One 2014; 9(11): e112779. Epub 2014 Feb 17. Minimal histamine release.

Emergency Department 93

Emergency Department Soft Tissue Injuries Operations Airway Management 93

EMDocs

AUGUST 22, 2023

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.

Emergency Department 95

Emergency Department Blood Transfusions Resuscitation Sepsis 95

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

PEMBlog

MARCH 27, 2024

Or, well, the ringer called me. 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. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: [link] Rice GM, Steiner RD.

Pediatrics 59

Pediatrics Seizures Emergency Department Sepsis 59

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

All went well. 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.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

Downeast Emergency Medicine

MARCH 24, 2021

Well, patients have a greater potential to be sicker, and even though there is a higher chance of a bacterial infection these patients should NOT be started empirically on antibiotics. In this patient population, well appearing children can have stool cultures ordered and be referred to follow up as an outpatient.

Pediatrics 52

Pediatrics Dehydration Emergency Department Wellness 52

ACEP Now

MARCH 11, 2025

A survey that looked at 637 residency programs including pediatric, family, and internal medicine in 2014 found that only 42 programs offered formal training in eating disorders. 16 An elevated amylase suggests repetitive vomiting as well. There is a lack of education on eating disorders in residency programs in the United States.

Emergency Department 83

Emergency Department Psychiatric Dehydration Pediatrics 83

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 106

Emergency Department Fractures Burns EMS 106

EMDocs

NOVEMBER 13, 2023

2019) argue against a minimum NIHSS score to trigger the use of CTA, instead purporting that clinical suspicion of acute ischemic stroke presenting within 24 hours of the last known well was sufficient evidence to order the study. J Neurosurg 2014, 121 (1), 24-31. 8 The data in Mayer et al. positivity rate on CTA for BCVI.

Stroke 106

Stroke Radiology Radiology Emergency Department 106

EMDocs

JUNE 14, 2023

This leads to an enhanced, as well as a prolonged predominant cholinergic effect. Used for treatment of acutely symptomatic anxiety, muscle fasciculations, and seizures. Iran Red Crescent Med J 16: e5072, 2014. Farmers treating sheep for parasites may be symptomatic after exposure, an illness called Dipper’s Flu. CorePendium.

PPE 96

PPE Poisoning Seizures Emergency Department 96

Pediatric Education

MARCH 23, 2025

She was overall well and had no complaints. Some people use this for adolescents as well but adolescents have anovulatory cycles which may make the 2 cycle requirement difficult for someone with a very irregular cycle. doi:10.1515/ijamh-2014-0051 Schoep ME, Nieboer TE, van der Zanden M, Braat DDM, Nap AW. 2015;27(4):363-368.

Pediatrics 40

Pediatrics Seizures Wellness 40

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

Don't Forget the Bubbles

JULY 5, 2023

SCD, therefore, is not only a mechanical disease but there are also many other cellular and plasma factors as well as endothelial interaction that generate chronic inflammation. Do not use pethidine since it can cause seizures and CNS hyperexcitability. 2014; 349–356. Alternatives to morphine are hydromorphone or fentanyl.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

EMDocs

NOVEMBER 2, 2024

The CSF studies return positive for CSF VDRL as well as for CSFfluorescent treponemal antibody-absorption test (FTA-ABS), with 75 WBCs/microL and a CSF protein of 60 mg/dL and elevated opening pressures. International journal of dermatology 53,7 (2014): 812-9. Symptoms: Personality change (i.e., doi:10.1111/j.1755-5949.2010.00183.x

EMS 115

EMS Infectious Diseases CDC Research 115

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 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75