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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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Sickle Cell Disease Module

Don't Forget the Bubbles

Be careful if the patient has received a recent blood transfusion since it may be misinterpreted as sickle cell trait instead of sickle cell disease. In these cases, repeat the Hb electrophoresis three months after the last blood transfusion. Do not use pethidine since it can cause seizures and CNS hyperexcitability.

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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. The Pediatric Infectious Disease Journal 37(3):p 202-205, March 2018. Exchange blood transfusion in the management of severe pertussis in young infants. Pediatrics.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

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 whole blood transfusion is initiated for the management of her anemia.