EMDocs

JANUARY 17, 2024

Her electrocardiogram (ECG) showed atrial fibrillation which was cardioverted to sinus rhythm. A 2020 National Poison Data System (NPDS) study comparing pre-DSC and post-DSC benzonatate poisonings showed no decrease in the severity nor incidence of benzonatate poisonings reported to US poison control centers. (1)

Poisoning 74

Poisoning Seizures Pediatrics EMS 74

EMDocs

MAY 15, 2024

ECG: Evaluate for ischemia, right heart strain. American Society of Hematology 2020 guidelines for sickle cell disease: transfusion support. Published 2020 Feb 12. Infectious: bacterial or viral pneumonia ( M. pneumoniae, C. Overestimates arterial oxygen saturation. Up to 3x less accurate in black patients. 2020;4(2):327-355.

Blood Transfusions 90

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 90

Cook County EM Blog

MAY 29, 2023

Signs and symptoms of toxicity include alerted mental status, seizures, CNS depression, apnea, respiratory failure, hypotension, ventricular dysrhythmias, and cardiac arrest. If a therapeutic dose is chewed, it can lead to bronchospasm, laryngospasm, seizures, and cardiovascular collapse which further reinforces the danger to children.

Seizures 52

Seizures Administration Resuscitation Poisoning 52

EMDocs

MAY 28, 2024

ECG: Evaluate for ischemia, right heart strain. American Society of Hematology 2020 guidelines for sickle cell disease: transfusion support. Published 2020 Feb 12. Infectious: bacterial or viral pneumonia ( M. pneumoniae, C. Based on light absorption from blood flow at the sensor site (using HbA, not HbS). 2020;4(2):327-355.

Blood Transfusions 88

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 88

EMDocs

JULY 19, 2023

Further, organic mercury readily crosses the placenta where it acts as a teratogen leading to a wide range of birth defects including developmental delay, blindness, seizures, and limb malformation. 2020 Aug 15;417:213343. Epub 2020 May 7. Sulfhydryl groups as targets of mercury toxicity. Coord Chem Rev. doi: 10.1016/j.ccr.2020.213343.

Poisoning 77

Poisoning Fluid Resuscitation Administration Seizures 77

Ken Grauer, MD

MAY 31, 2024

I was sent the ECG in Figure-1 — without the benefit of any history. Figure-1: I was sent this ECG without any history. MY Thoughts on Today’s CASE: As tempting as it might be to reach for the defibrillator on seeing the ECG shown in Figure-1 — My initial reaction was different. Is this VT? Is this VT? What to do next ?

Shock 411

Shock EKG/ECG Seizures 411

EMDocs

NOVEMBER 1, 2023

1 , 2 The most common non-iatrogenic cause is spontaneously due to increased intraesophageal pressure, Boerhaave syndrome, from forceful retching, coughing, straining, seizures, or even childbirth (15% of cases). McGraw-Hill Education; 2020. upper endoscopy, transesophageal echo, etc.). aid=1104586430 Bono MJ. Esophageal Emergencies.

Operations 78

Operations Radiology Radiology Fluid Resuscitation 78

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

Her husband called EMS when the patient experienced new onset seizures accompanied by micturition. The ECG below was recorded by EMS. ECG #1 Interpretation: ECG #1 shows sinus rhythm at a heart rate of 77 bpm. At first glance, the ECG does not look too abnormal. All patients with seizures needs an ECG.

Seizures 115

Seizures EKG/ECG EMS Stroke 115

Mind The Bleep

OCTOBER 29, 2024

Circulation Assess heart rate, blood pressure, peripheral and central CRT, pulses and 3 lead ECG. These systemic effects can include central nervous system (agitation, seizures , and coma), as well as cardiac ( hypotension and dysrhythmias) [10, 11]. Administer high-flow oxygen if indicated and consider arterial blood gas ( ABG ).

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

Pediatric EM Morsels

MAY 10, 2024

Add the risk assessment for sudden cardiac death into your workflow Have you ever fainted or had a seizure without warning, during exercise or in response to a loud noise? EKG Reasonable screen for cardiac etiology [ Kane, 2010 ]: Chest Pain with Exertion? Pediatr Rev September 2020; 41 (9): 469–480. 2011;140(4):859-866.

EKG/ECG 268

EKG/ECG Pediatrics Ultrasounds Seizures 268

EMDocs

NOVEMBER 19, 2024

1 Seizures may occur due to lowered seizure threshold. 6 Seizures have been observed and are dose-dependent. Recommend obtaining multiple EKGs to aid in the diagnosis of cardiotoxic effects such as dysrhythmias or interval widening, even if not apparent immediately after the overdose. 8 Hypersalivation can occur.

Poisoning 102

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 102

EMDocs

JANUARY 4, 2024

In 2020, bupropion was the 18 th most-prescribed medication in the USA. 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. EMIT II immunoassay).

Seizures 77

Seizures EKG/ECG Poisoning Shock 77

Dr. Smith's ECG Blog

JUNE 26, 2023

Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). As I discuss in detail in My Comment at the bottom of the page in the May 24, 2020 post in Dr. Smith's ECG Blog — AV dissociation is not the same as AV block. How would YOU interpret this tracing?

EKG/ECG 97

EKG/ECG Seizures Sepsis Operations 97

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., mg/kg (of 0.1 mg/kg (of 0.1 2x maintenance rate

Psychiatric 88

Psychiatric Seizures Emergency Department Pediatrics 88

EMDocs

SEPTEMBER 25, 2023

Contraindicated seizures or porphyria. Epub 2020 Dec 9. 2020 Jul;158(1):45-47. Epub 2020 Jul 2. ” Journal of the Medical Association of Thailand 103 (2020). Notable Physical Exam: General: Tripoding, severe respiratory distress. Minimal histamine release. Cons: Short duration of action. Pain upon injection.

Emergency Department 76

Emergency Department Soft Tissue Injuries Airway Management Operations 76

EMDocs

DECEMBER 16, 2023

A 12-lead EKG shows sinus tachycardia but is otherwise normal. As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. Clinical decision making in seizures and status epilepticus. Triage vital signs include BP 80/40 mm Hg, HR 154 bpm, T 41C rectal, RR 28 breaths per minute, saturation 94% on room air.

Hyperthermia / Hypothermia 80

Hyperthermia / Hypothermia EMS Stroke Seizures 80

EMDocs

NOVEMBER 4, 2024

Pain can be associated with a friction rub on cardiac auscultation, a pericardial effusion on a bedside echocardiogram, or diffuse ST elevations on an EKG. Epub 2020 Oct 31. Epub 2020 Oct 31. 2020 Apr/Jun;42(2):96-102. 2020 Jul;95(7):E160-E163. Epub 2020 May 1. Migraines: Migraines cause approximately 1.2

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Taming the SRU

FEBRUARY 3, 2025

These can lead to a wide spectrum of emergent complications including but not limited to cardiac dysrhythmias, seizures, and acute renal failure. This can often become significant enough to precipitate dysrhythmias, seizures, and tetany (20). McGraw-Hill Education; 2020:962-963. in females and 2.5-7.0 Accessed January 21, 2025.

Fluid Resuscitation 55

Fluid Resuscitation Seizures Dehydration Emergency Department 55