Don't Forget the Bubbles

FEBRUARY 5, 2025

Other considerations in significant TBI would be the temporary use of anti-epileptic drugs as prophylaxis to prevent early post-traumatic seizures to aid neuroprotection; the most commonly used would be levetiracetam. Disability – Altered mentation, seizure, stroke symptoms, severe headache, neurological deficit, visual symptoms.

Domestic Violence 59

Domestic Violence Fluid Resuscitation Head Injuries Sexual Assault 59

Don't Forget the Bubbles

MARCH 18, 2024

A similar process can also occur in the CNS (causing seizures ), the liver and the pancreas. Depending on the progression of the illness, children may present with pallor, oedema, lethargy, seizures, hypertension or abnormal liver function tests. Pediatric Nephrology. 2018 [cited 2023 Dec 3]. What is atypical HUS?

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

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. Claudius et al, Pediatrics 2007 here a US-based study showed that of all admitted patients only 14% had a subsequent clinical course requiring admission.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Downeast Emergency Medicine

MARCH 24, 2021

OVERVIEW Diarrhea is a common complaint for our pediatric patients in the emergency department. Most pediatric diarrhea is not life threatening, and usually is treated with supportive care. However, there are important red flags to consider when assessing a pediatric patient with diarrhea. Pediatr Emerg Care 1997, 13(3):179-182.

Pediatrics 52

Pediatrics Dehydration Emergency Department Wellness 52

Don't Forget the Bubbles

MAY 15, 2023

Signs and symptoms in this group are often non-specific and can include irritability, hypotonia, lethargy, jitteriness, temperature instability, poor feeding, vomiting, apnoea and seizures. Recommendations from the Pediatric Endocrine Society for evaluation and management of persistent hypoglycemia in neonates, infants, and children.

Wellness 103

Wellness Seizures Hospitals Dehydration 103

EB Medicine

AUGUST 1, 2018

I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta and we’ll be taking you through the August 2018 issue of Emergency Medicine Practice. Nachi: To attain the most up to date information for this article, Dr. Williams searched the PubMed and Cochrane Databases from 1950 to 2018. Jeff: Let’s get started with the pathophysiology.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Dr. Smith's ECG Blog

DECEMBER 5, 2019

Heart Rhythm 2018. The risk of ventricular fibrillation in asymptomatic patients was 0.9%/y y (3 of 88, 43.6 ± 37.4 Fever-related arrhythmic events in the multicenter Survey on Arrhythmic Events in Brugada Syndrome. In 588 patients with known Brugada syndrome and first arrhythmic event, 35 were during fever.

EKG/ECG 52

EKG/ECG Hyperthermia / Hypothermia Seizures Documentation/Coding 52

EMDocs

JUNE 7, 2023

7 Check out ToxCard: Nerve Agents by Dr. Sahi & Dr. Santos from July 2018 Organophosphates exert their toxic effects by inhibiting acetylcholinesterase within the synaptic cleft, which leads to accumulation of acetylcholine, with subsequent overstimulation of postsynaptic nicotinic and muscarinic receptors, and a predominant cholinergic effect.

Poisoning 97

Poisoning Airway Management Seizures PPE 97

Pediatric EM Morsels

OCTOBER 6, 2023

Recently, a pediatric patient presented to the ED who just returned from abroad with a gastroenteritis presentation. In the US 95% of vaccine-eligible pediatric patients who travel are unvaccinated (McAteer 2021) Drug resistance has been developing over time. In addition to my passion for PEM, I also share a passion for global health.

Pediatrics 164

Pediatrics CDC Seizures Documentation/Coding 164

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. 2018 Nov;19(6):952-960. Epub 2018 Sep 10. West J Emerg Med.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Don't Forget the Bubbles

FEBRUARY 24, 2025

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. Pertussis: severe clinical presentation in pediatric intensive care and its relation to outcome. Pediatr Crit Care Med J. Pediatrics. Pediatrics. Pediatrics.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

EMDocs

JANUARY 22, 2025

These included seizures, delirium, ARDS, hypotension, hypertension, and aspiration. drug seizure data, 2011-2016. Epub 2018 Dec 28. 2018 Aug 7;169(3):137-145. Epub 2018 Jun 19. The median IV dose administered was 0.2mg, and the median IM dose was 0.2 2mg* 2 5 0.5-1.5 2mg* 2-5 15 0.5-1.5 hours ETT 22.5x 2019.04.020.

Seizures 91

Seizures Administration Emergency Department Poisoning 91

Don't Forget the Bubbles

JULY 5, 2023

Do not use pethidine since it can cause seizures and CNS hyperexcitability. Pediatr Allergy, Immunol Pulmonol 2017; 30: 191–201. J Hematol 2018; 93: 363-370 Rubin LG, Schaffner W. Alternatives to morphine are hydromorphone or fentanyl. In addition to opiates, continue to offer paracetamol and NSAIDS (unless contraindicated).

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

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. Pediatrics. 2018 Nov;142(5):e20181009.

Seizures 59

Seizures Pediatrics Wellness Emergency Department 59

Pediatric Education

NOVEMBER 10, 2024

Related Cases Disease: Toxoplasmosis Symptom/Presentation: Health Maintenance and Disease Prevention Specialty: Infectious Diseases | Neonatology | Obstetrics / Gynecology Age: Premature Newborn To Learn More To view pediatric review articles on this topic from the past year check PubMed. Arch Dis Child Educ Pract Ed. 2020;105(5):262-269.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Resuscitation 40

Don't Forget the Bubbles

OCTOBER 9, 2023

A 13-year-old girl came to the ED with an unprecedented, prolonged seizure. When she arrived in the department, the seizure had stopped. 2018) What’s in an eye roll? 2018) Bad manners in the Emergency Department: Incivility among doctors PLOS ONE [link] Lasater K, Mood L, Buchwach D. A head CT scan was arranged.

Seizures 116

Seizures Incident Reporting Research Emergency Department 116

EMDocs

MARCH 11, 2024

2018 Nov;38(sup1):S16-S31. Among children, hypoglycemia is common and can lead to seizures. Pediatr Infect Dis J. Accessed February 26, 2024. link] Williams PCM, Berkley JA. Guidelines for the management of paediatric cholera infection: a systematic review of the evidence. Paediatr Int Child Health. 2013;8(1):e54395.

Dehydration 107

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 107

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. doi:10.1136/bmjgh-2018-001114 Okesanya OJ, Olatunji GD, Kokori E, et al. BMJ Glob Health.

Infectious Diseases 72

Infectious Diseases CDC PPE Rapid Diagnostic Testing 72