Don't Forget the Bubbles

AUGUST 12, 2024

After a traumatic brain injury, all children and young people should have a C-ABCDE rapid assessment for life-threatening injuries (as per ATLS guidelines) focussed on trauma resuscitation and stabilisation, followed by a secondary assessment. Do we need seizure prophylaxis? Published 2016 Feb 4. World J Crit Care Med.

Seizures 75

Seizures Pediatrics Emergency Department Ambulance Services 75

Don't Forget the Bubbles

MARCH 18, 2024

She receives fluid resuscitation, and you organise some tests to find out why she is so tired. A similar process can also occur in the CNS (causing seizures ), the liver and the pancreas. 2016 Oct 10 [cited 2023 Nov 30];281(2):123–48. 2016 Jan;6(1):e009933. 2016 Jan 1;137(1). What causes haematuria in children?

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

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. 2016 Sep 15;375(11):1033-43. Epub 2016 Jun 8. N Engl J Med.

Stroke 99

Stroke Outcomes EMS Seizures 99

Taming the SRU

MARCH 31, 2023

of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed.

Allergic Reactions 40

Allergic Reactions Seizures Anaphylaxis Leadership 40

EMDocs

SEPTEMBER 25, 2023

Contraindicated seizures or porphyria. Resuscitation 2013; 84(11): 1500 – 4. 2016 Sep;117 Suppl 1:i9-i13. Minimal histamine release. Cons: Short duration of action. Pain upon injection. Adrenal suppression, limiting its use in long procedures or critically ill patients. Excellent amnestic and sedative properties. 2021): e12373.

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

Pediatric Emergency Playbook

JUNE 1, 2017

Hemodynamically labile children should be resuscitated and a stat transesophageal echocardiogram obtained. 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. 2016; 203:138-140. 2016; 10(6):14-15.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Pediatric Emergency Playbook

APRIL 1, 2016

S – seizure or shock – most commonly septic, but can be any type: cardiogenic, bstructive, hypovolemic, distributive. 2016; 417: 54–56. Early Lactate Elevations Following Resuscitation From Pediatric Cardiac Arrest Are Associated With Increased Mortality. Difficult to interpret lactates when a patient is on an epinephrine drip.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

EMDocs

DECEMBER 16, 2023

As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. The patient is agitated, not oriented, and becoming combative with ED staff.

Hyperthermia / Hypothermia 94

Hyperthermia / Hypothermia EMS Stroke Seizures 94

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., mg/kg (of 0.1 mg/kg (of 0.1 2x maintenance rate

Psychiatric 89

Psychiatric Seizures Emergency Department Pediatrics 89

Pediatric EM Morsels

MARCH 7, 2025

mg/kg [Nishijima 2016] Poorly studied in renally impaired patients. Military Application of Tranexamic Acid in TraumaEmergency Resuscitation (MATTERs) Study. But what is the drug really approved for, how does it actually work, and what are some of the off-label (for now) uses of TXA that add value to this medication?

Pediatrics 231

Pediatrics Blood Transfusions Anaphylaxis Military 231

EMDocs

APRIL 1, 2025

Most common issues include vision loss, cranial nerve (CN) palsies, pituitary dysfunction, hemiparesis, facial disfigurement, seizures, cortical vein thrombosis. Mental status changes, seizures, focal deficit may occur. Treatment includes resuscitation, broad-spectrum antibiotics, anticoagulation, and specialist consultation.

Dehydration 95

Dehydration Sepsis Seizures Resuscitation 95

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. International Monetary Fund; 2016. She also endorses dysuria, cough, and neck rigidity.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75