Pediatric EM Morsels

AUGUST 9, 2024

2019, there were 1,875 and this trend has continued to increase (2,157 case in 2020; 2,855 cases in 2021). If not treated early, then increased risk of poor outcomes and death. Worldwide, congenital syphilis complicates about 1 million pregnancies / year. Hussain, 2023 ] Leads to >300,000 perinatal deaths / year globally.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

Mind The Bleep

OCTOBER 29, 2024

These systemic effects can include central nervous system (agitation, seizures , and coma), as well as cardiac ( hypotension and dysrhythmias) [10, 11]. Proper stabilization and detailed communication with the burns centre are essential for optimal patient outcomes. 2019 Nov;34(4):276-281. Epub 2019 Nov 29. J Med Toxicol.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

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. Lowering the MAP may mitigate these risks and possibly improve outcomes.

Stroke 99

Stroke Outcomes EMS Seizures 99

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

Date: September 10th, 2019 Reference: Fournier et al. Emergency Medicine Journal 2019. Date: September 10th, 2019 Reference: Fournier et al. Emergency Medicine Journal 2019. He is not on anticoagulation and there is no history of seizures. There are no other external signs of trauma on your exam.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

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. 2019 [cited 2023 Nov 30]. 2019 Sep 25;8:1690. 2019 [cited 2023 Nov 30].

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

Taming the SRU

MARCH 14, 2023

Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity. The seizure abated with rectal diazepam given by the squad. You notice a med-alert bracelet with the patient’s name and the word “SEIZURES.” His abdomen is soft. Neuroanatomy. Lancet Neurol.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Downeast Emergency Medicine

APRIL 26, 2021

4] We also know that severe TBI is commonly associated with the development of intracranial hemorrhage where the presence and volume of blood are associated with increased mortality and poor outcomes.[5] Lancet 2019; Vol 394, Iss 10210, P 1713-1723[ Full Text ]. There were no differences found in the secondary outcomes.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

Dr. Smith's ECG Blog

NOVEMBER 18, 2019

Case outcome The Na was 109. This was the etiology of seizures. No more abnormal U-waves == MY Comment, by K EN G RAUER, MD ( 11/18/2019 ): == LOTS of great points regarding use of the ECG in association with electrolyte abnormalities. He was treated with hypertonic saline. Volume was down, and so repleted.

EKG/ECG 52

EKG/ECG Seizures Stroke Wellness 52

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. Information on complications following Fontan has been brought together by: Management of the Child and Adult with Fontan Circulation, Rychik et al, Ciculation 2019.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

EMDocs

SEPTEMBER 25, 2023

Still, there are those that believe that FPS is more of a physician-centered endpoint that does not fully reflect important patient-centric outcomes (16). Contraindicated seizures or porphyria. 2019, 64:617-28. Minimal histamine release. Cons: Short duration of action. Pain upon injection. Can be titrated easily. 1985, 25:347-9.

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

EB Medicine

AUGUST 1, 2018

Jeff: Medicinally, cannabinoids are currently used in the treatment of chronic pain syndromes, complications of multiple sclerosis and paraplegia, weight loss due to appetite suppression in HIV/aids, chemotherapy-induced nausea and vomiting, seizures, and many other neuropsychiatric disorders.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

EMDocs

JULY 3, 2023

Introduction SAH has the potential for rapid progression and devastating outcomes. 4 Common symptoms of SAH on presentation include vomiting, neck stiffness, altered mental status or decreased level of consciousness, hemiparesis, and seizure-like activity. Unfortunately, seizures in patients with SAH increase the risk of rebleeding.

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. The child was started on Levetiracetam and levels always have been normal despite breakthrough seizures.

Forensics 98

Forensics Psychiatric Seizures Pediatrics 98

EMDocs

DECEMBER 16, 2023

As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. Clinical characteristics and outcome of thyroid storm: a case series and review of neuropsychiatric derangements in thyrotoxicosis. Wilderness Medical Society Clinical Practice Guidelines for the Prevention and Treatment of Heat Illness: 2019 Update.

Hyperthermia / Hypothermia 94

Hyperthermia / Hypothermia EMS Stroke Seizures 94

EB Medicine

FEBRUARY 1, 2019

Nachi: In addition, nimodipine, 60 mg q4h, should be given to those with aneurysmal SAH to improve outcomes. Nachi: Thanks to the CADISP study, we know there is no difference in mortality or neurologic outcome when choosing between antiplatelet therapy and anticoagulation. Seizures are very common as well. That’s quite a list.

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. Millions are poisoned, and hundreds of thousands die each year worldwide. 7 May lead to respiratory failure.

Poisoning 98

Poisoning Airway Management Seizures PPE 98

EMDocs

NOVEMBER 13, 2023

2 Outcomes of patients presenting with ischemic stroke who received MRI as initial imaging modality have demonstrated similar outcomes to those with initial CTA, with Kim et al. demonstrating that functional outcome at 3 months did not differ between the CTA and MRI groups (38.5% vs. 38.1%) with a good functional outcome.

Stroke 105

Stroke Radiology Radiology Emergency Department 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. However, our true success is measured by how effectively we share knowledge, foster understanding, and improve patient outcomes. Pathog Dis. 2016 Oct;74(7):ftw087. Machado, M.B.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

Don't Forget the Bubbles

JULY 5, 2023

Furthermore, educating both patients and their families is important in order to achieve good treatment compliance and better clinical outcomes. Do not use pethidine since it can cause seizures and CNS hyperexcitability. 2019, 3 rd edition. Alternatives to morphine are hydromorphone or fentanyl.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

Taming the SRU

JANUARY 5, 2025

Potential complications include dysrhythmias, respiratory failure, DIC, seizures, and hepatic failure. The neuroleptic malignant syndrome-a systematic case series analysis focusing on therapy regimes and outcome. 2019; 44(2): 327-334. Workup for complications should be initiated on a case by case basis. Acta Psychiatr Scand.

Hyperthermia / Hypothermia 97

Hyperthermia / Hypothermia Dehydration Psychiatric Poisoning 97

Taming the SRU

NOVEMBER 18, 2024

Hiccups in patients with cancer: a multi-site, single-institution study of etiology, severity, complications, interventions, and outcomes. Cham: Springer; 2019. Available at: [link] Ehret CJ, Almodallal Y, Le-Rademacher JG, et al. BMC Cancer. 2022;22:659. doi:10.1186/s12885-022-09760-5 Ergen M, Arikan F, Çetin RF. 2021;62(3).

Stroke 86

Stroke Administration COPD Dehydration 86

ACEP Now

MARCH 10, 2025

Antihypertensive treatment is the priority, followed by magnesium treatment for seizure prevention. Patients should be educated on key symptoms to watch for, such as severe headache, visual disturbances, swelling, shortness of breath, chest pain, vomiting, or seizures. Revised January 2019. Hypertension. 2022;79(2):e21-e41.

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% 2023.05.002.

Stroke 70

Stroke EMS Seizures Outcomes 70

Don't Forget the Bubbles

DECEMBER 9, 2024

The SANDWICH trial found that children exposed to prolonged sedation and ventilation had a higher incidence of delirium, indicating the strong influence of sedation practices on delirium outcomes in critically ill patients. Published 2019 Nov 10. doi:10.1136/bmjopen-2019-031630 Blackwood B, Morris KP, Jordan J, et al.

Pediatrics 59

Pediatrics Sepsis Hospitals Administration 59