2016 Seizures Shock 
Pediatric EM Morsels
NOVEMBER 3, 2023
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.
EMDocs
MARCH 4, 2025
Neurologic deficits, seizures, cognitive issues, hearing loss. Bacterial Meningitis Mimics: Other flu-like illnesses: COVID, influenza, toxic shock syndrome, myocarditis, endocarditis, spinal epidural abscess, pneumonia. 2016 Jun;72 (6):768-769]. Bacterial meningitis is not common, but it can be devastating if missed.
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EMDocs
NOVEMBER 19, 2024
1 Seizures may occur due to lowered seizure threshold. 6 Seizures have been observed and are dose-dependent. 1 Benzodiazepines are preferred as the first line of treatment for agitation or seizures. Low-dose lipid emulsion for pediatric vasoplegic shock due to quetiapine and fluvoxamine overdose: a case report.
EMDocs
DECEMBER 6, 2024
Stage 3 (timing variable) Shock 1 : Can occur within hours for massive ingestion, but may occur over a longer time course. Characterized by hypovolemia, vasodilation, reduced cardiac output, hyperventilation, elevated temperature, seizure, coma, and cardiovascular collapse. McGraw Hill; 2016. Antiemetics as needed.
EMDocs
JANUARY 4, 2024
Bupropion lowers the seizure threshold and even at therapeutic doses patients can have seizures. 6 Severe toxicity: Seizures: It is unclear if seizures are caused by bupropion or the active metabolite, hydroxybupropion. 3 Seizures are dose-dependent. 3 Seizures are dose-dependent.
Don't Forget the Bubbles
JULY 26, 2023
Some families have unexplained deaths during sporting events, an unusual number of car accidents, seizures in someone without a formal diagnosis of epilepsy. For anyone approaching a structured ABC would be a priority to establish whether shock was present or not. What if this does not work? Here is his ECG: How do you classify a BRUE?
Pediatric Emergency Playbook
APRIL 1, 2016
There are two main reasons for an elevated lactate: the stress state and the shock state. The shock state is due to tissue hypoxia, seen in septic shock. We should use lactate to detect occult shock. Children compensate so well for shock, that subtle tissue hypoxia may not be detected until later. 2016; 417: 54–56.
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