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Imported Malaria

Pediatric EM Morsels

ovale to cover the hypnozoite that can stay dormant in the liver and cause a secondary infection in the future Severe Malaria IV artesunate is currently the accepted first line treatment Previously IV quinine was first line, however it was associated with higher incidence of hypoglycemia, cardiac dysrhythmias, seizures, and comas. vivax , P.

Seizures 281
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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. Blood transfusion for clinically significant blood loss.

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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. If AFE occurs during labor, immediate delivery is recommended. “Amniotic fluid embolism.”

EMS 111
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emDOCs Podcast – Episode 84: Capnography

EMDocs

Published 2016 Jan 29. In cardiac arrest, EtCO 2 is dependent on compressions AND the underlying cause. PMID: 24381677 Bou Chebl R, Madden B, Belsky J, Harmouche E, Yessayan L. Diagnostic value of end tidal capnography in patients with hyperglycemia in the emergency department. BMC Emerg Med. Eur Respir J. 2010;35(4):735-741.

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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. Blood Transfus.

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TXA (Tranexamic Acid) in Pediatrics 

Pediatric EM Morsels

While transfusing blood can be beneficial to those who have lost it or continue to lose it quickly, blood may not always be immediately available. Or maybe the family does not desire blood transfusions. mg/kg [Nishijima 2016] Poorly studied in renally impaired patients. 2010Jul 03;376(9734):23-32.

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Leucodepletion in Bordetella Pertussis

Don't Forget the Bubbles

Infants usually present in a non-specific manner, following an apnoea, cough, cyanosis, or seizure so a high index of suspicion is required in this age group. 2016 Oct;74(7):ftw087. Exchange blood transfusion in the management of severe pertussis in young infants. Clin Infect Dis. 2008;47:32838 Carbonetti. Pathog Dis.