EMDocs

MAY 25, 2023

Design: Multi-centered, double-blinded, randomized trial PICO: Population: Inclusion Criteria: Age 2 years and older Must have been treated with a specified minimum dose of certain benzodiazepines for generalized convulsive seizures: Intravenous or rectal diazepam 0.3 mg/kg or 10 mg Intravenous lorazepam 0.1

Seizures 89

Seizures Administration Anaphylaxis Outcomes 89

EMDocs

FEBRUARY 15, 2024

8 However, it is not considered first line in treatment of anticholinergic toxicity and is not available in all emergency departments. Physostigmine does not reverse seizures or dysrhythmias. Physostigmine does not reverse seizures or dysrhythmias. Goldfrank’s Toxicologic Emergencies, 11e. McGraw Hill; 2019.

Hyperthermia / Hypothermia 111

Hyperthermia / Hypothermia Poisoning Seizures COPD 111

EMDocs

AUGUST 22, 2023

Capnography in the Emergency Department: A Review of Uses, Waveforms, and Limitations. J Emerg Med. Capnography for the nonintubated patient in the emergency setting. Ann Emerg Med. Predictive value of capnography for suspected diabetic ketoacidosis in the emergency department. West J Emerg Med.

Emergency Department 94

Emergency Department Blood Transfusions Resuscitation Sepsis 94

EMDocs

JANUARY 17, 2024

She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9) 9) In 2019, benzonatate accounted for ~ 10% of all pediatric antitussive prescriptions dispensed via retail pharmacies. (9)

Poisoning 89

Poisoning Seizures Pediatrics EMS 89

Don't Forget the Bubbles

AUGUST 12, 2024

What neuroprotective measures can we undertake in the emergency department? Neuroprotective measures are undertaken in the emergency department and PICU to optimise intracerebral conditions, minimise secondary brain injury, and create optimal tissue healing conditions. Do we need seizure prophylaxis? 2019;13:528.

Seizures 75

Seizures Pediatrics Emergency Department Ambulance Services 75

Dr. Smith's ECG Blog

OCTOBER 25, 2023

A man in his 60s with a history of severe alcohol use disorder and epidural abscess on long-term ciprofloxacin presented to the emergency department after an episode of syncope while standing in line at a grocery store. Written by Sean Trostel MD, peer reviewed by Meyers, Smith, Grauer, etc. He did not have chest pain.

EKG/ECG 124

EKG/ECG Seizures Hospitals Stroke 124

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

Date: September 10th, 2019 Reference: Fournier et al. Emergency Medicine Journal 2019. Guest Skeptics: Dr. Sarah Berg is a PGY-3 resident in Emergency Medicine at Washington University School of Medicine in St. Date: September 10th, 2019 Reference: Fournier et al. Emergency Medicine Journal 2019.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

Taming the SRU

FEBRUARY 5, 2024

Traumatic brain injury (TBI) accounts for millions of Emergency Department visits annually. While moderate and severe TBI is often managed on an inpatient basis, patients presenting with mild TBI, or concussion, are often managed solely by Emergency physicians. Acetaminophen, NSAIDs, and antiemetics are all reasonable choices.

Head Injuries 59

Head Injuries Emergency Department Seizures Pediatrics 59

Taming the SRU

MARCH 14, 2023

Case 1 Fussy 1 month old A 1-month-old (ex-34 week premature) infant comes to your emergency department for fussiness. Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity. More on this below as we work through a few cases….

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

EMDocs

JANUARY 29, 2024

Introduction: Neurologic emergencies are common in the Emergency Department (ED), and blood pressure management is critical to immediate management. Stroke 2019; 50:e344. 2019 Aug;50(8):2023-2029. Epub 2019 Jun 20. appeared first on emDOCs.net - Emergency Medicine Education. PMID: 35579034.

Stroke 99

Stroke Outcomes EMS Seizures 99

EMDocs

SEPTEMBER 25, 2023

Contraindicated seizures or porphyria. actors Associated with the Occurrence of Cardiac Arrest after Emergency Tracheal Intubation in the Emergency Department. Okubo M, Gibo K, Hagiwara Y, Nakayama Y, Hasegawa K; Japanese Emergency Medicine Network Investigators. Int J Emerg Med. J Emerg Med.

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

Northwestern EM Blog

JANUARY 10, 2022

Hypertonic saline is not only indicated for seizures, coma, suspected cerebral herniation or focal neurological deficits as noted above. Seizures attributed to hyponatremia need treatment ASAP. Safety of Peripheral Line Administration of 3% Hypertonic Saline and Mannitol in the Emergency Department. J Emerg Med.

Administration 52

Administration Seizures Emergency Department Wellness 52

Dr. Smith's ECG Blog

JANUARY 15, 2024

Colin is an emergency medicine resident beginning his critical care fellowship in the summer with a strong interest in the role of ECG in critical care and OMI. A patient in their 40s with type 1 diabetes mellitus and hyperlipidemia presented to the emergency department with 5 days of “flu-like” illness. Edits by Willy Frick.

EKG/ECG 64

EKG/ECG Wellness Point-of-Care Testing Shock 64

Don't Forget the Bubbles

JULY 26, 2023

Prioritise listening to the first 30 minutes which given a good overview of aetiology and treatment (53 mins) Basics of cardiac rhythm problems in the ED Palpitations are a common reason for children to present to the emergency department, the majority of these will be benign from a cardiac perspective and instead related to stress or anxiety.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

EMDocs

JULY 3, 2023

Louis); Alex Koyfman, MD (@EMHighAK); Marina Boushra, MD (EM-CCM Attending, Cleveland Clinic Foundation) Case A 62-year-old male with past medical history of hypertension (HTN), hyperlipidemia (HLD), and prior cerebrovascular accident (CVA) presents to the emergency department (ED) via ambulance.

Seizures 98

Seizures Stroke Outcomes EMS 98

ACEP Now

MAY 10, 2024

A 9-month-old male presents to emergency department (ED) with his mother for seizure. The child was diagnosed with seizure disorder at 2 months of age and has had multiple visits to the emergency department (ED) for seizures. Immunizations are up to date. These resolved during hospitalization.

Forensics 98

Forensics Psychiatric Seizures Pediatrics 98

The Skeptics' Guide to EM

SEPTEMBER 7, 2019

Date: September 5th, 2019 Reference: Dalziel et al. The Lancet May 2019 Guest Skeptic: Dr. Tessa Davis is a Paediatrician specializing in Paediatric Emergency Medicine and currently practicing at the Royal London Hospitals. Date: September 5th, 2019 Reference: Dalziel et al.

Seizures 52

Seizures Emergency Department Hospitals 52

EMDocs

DECEMBER 16, 2023

As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. An 18-month-old boy presents to the emergency department with loss of consciousness. The patient is agitated, not oriented, and becoming combative with ED staff. A 12-lead EKG shows sinus tachycardia but is otherwise normal. Heatstroke.

Hyperthermia / Hypothermia 94

Hyperthermia / Hypothermia EMS Stroke Seizures 94

EB Medicine

FEBRUARY 1, 2019

This month, we’re tackling an incredibly important topic - evaluation and management of life threatening headaches in the Emergency Department. Seizures are very common as well. Jeff: So that wraps up episode 25 - Evaluation and Management of Life-Threatening Headaches in the Emergency Department. Ann Emerg Med.

Emergency Department 40

Emergency Department Stroke Outcomes Ultrasounds 40

EMDocs

JUNE 7, 2023

Used for treatment of acutely symptomatic anxiety, muscle fasciculations, and seizures. Case Follow-up: The patient required benzodiazepine administration for seizure management and subsequent intubation for airway protection. Parenteral organophosphorus poisoning in a rural emergency department: a case report.

Poisoning 98

Poisoning Airway Management Seizures PPE 98

EMDocs

JUNE 14, 2023

Used for treatment of acutely symptomatic anxiety, muscle fasciculations, and seizures. Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 9th Edition. Parenteral organophosphorus poisoning in a rural emergency department: a case report. 1, 2 Sensory > Motor neurons with predilection for long axons.

PPE 95

PPE Poisoning Seizures Emergency Department 95

EMDocs

NOVEMBER 13, 2023

The use of CTA (computed tomography angiography) in the emergency department (ED) has increased dramatically in the past 20 years. Pearls and Pitfalls CT Angiography has become a more readily available tool for diagnosis in the emergency department though requires an understanding of its specific uses and indications.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

EMDocs

JANUARY 22, 2025

Is there an ideal observation period in the emergency department after reversal with naloxone? These included seizures, delirium, ARDS, hypotension, hypertension, and aspiration. Drug Overdose Deaths with Evidence of Counterfeit Pill Use – United States, July 2019-December 2021. drug seizure data, 2011-2016.

Seizures 96

Seizures Administration Emergency Department Poisoning 96

Don't Forget the Bubbles

JULY 5, 2023

Do not use pethidine since it can cause seizures and CNS hyperexcitability. A 6-year-old girl from Saudi Arabia was referred by her General Practitioner to the local emergency department. 2019, 3 rd edition. Alternatives to morphine are hydromorphone or fentanyl. She complained of cough and runny nose for 3 days.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

Taming the SRU

NOVEMBER 18, 2024

This blog post will attempt to serve as a resource to assist in the evaluation of persistent/intractable hiccups and cover the physiology, classification, associated disease processes, evaluation and management strategies of hiccups in the emergency department. Cham: Springer; 2019. Indian J Psychol Med. 2014;36(3):341-343.

Stroke 86

Stroke Administration COPD Dehydration 86

ACEP Now

MARCH 10, 2025

You follow the recommended emergency department (ED) lab workup for hypertensive disorders of pregnancy, including urine protein/creatinine ratio, serum creatinine, platelet count, complete blood count, and renal liver function tests. Antihypertensive treatment is the priority, followed by magnesium treatment for seizure prevention.

OB/GYN 52

OB/GYN Seizures Stroke Hospitals 52

EMDocs

FEBRUARY 3, 2025

However, the European Alliance of Associations for Rheumatology(EULAR) and American College of Rheumatology (ACR) created a classification criterion in 2019 with a 96.1% 2019 European League Against Rheumatism/American College of Rheumatology Classification Criteria for Systemic Lupus Erythematosus. sensitivity and 93.4%

Stroke 70

Stroke EMS Seizures Outcomes 70

Don't Forget the Bubbles

OCTOBER 9, 2023

focussed on emergency departments. A 13-year-old girl came to the ED with an unprecedented, prolonged seizure. When she arrived in the department, the seizure had stopped. 2019) Fostering a Culture of Civility and Respect in Nursing. All grades were affected, though consultants were less so. Klingberg et al.

Seizures 116

Seizures Incident Reporting Emergency Department Research 116

EMDocs

MARCH 11, 2024

Louis) // Reviewed by: Joshua Lowe, MD (EM Staff Physician, USAF); Alex Koyfman, MD (@EMHighAK); Brit Long, MD (@long_brit) Case A 25-year-old woman presented to the emergency department (ED) in Uganda with acute encephalopathy. Among children, hypoglycemia is common and can lead to seizures. 2023;10:1155751. doi:10.3389/fmed.2023.1155751

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111

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. HIV Prevention and Treatment: The Evolving Role of the Emergency Department.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75