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 EMS 52

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 67

Poisoning Seizures Pediatrics EMS 67

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 263

EKG/ECG Pediatrics Ultrasounds Seizures 263

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 78

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 78

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 75

Blood Transfusions Fluid Resuscitation Dehydration Ultrasounds 75

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 67

Operations Radiology Radiology Fluid Resuscitation 67

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 66

Seizures EKG/ECG Poisoning Shock 66

Dr. Smith's ECG Blog

FEBRUARY 4, 2023

He had a seizure this morning and rolled out of bed unable to get up. The medics recorded a prehospital ECG: The computerized QTc is 397 ms Jason writes: " What's your thoughts Steve?" Unfortunately, the R-wave is cut off on this ECG but it appears as if it would be at least 20 mm. So this was the patient's baseline ECG.

EKG/ECG 52

EKG/ECG Seizures EMS Outcomes 52

Dr. Smith's ECG Blog

AUGUST 13, 2020

Then I looked into the patient's chart and found an old EKG: This shows a previous QR-wave in V2, diagnostic of old anterior MI. I wrote back: "I am looking at his old EKG. The cath lab had been activated and then they sent me the ECG. They agreed that the ECG findings were due only to old MI and tachycardia.

EKG/ECG 52

EKG/ECG Shock Stroke Seizures 52

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 68

Hyperthermia / Hypothermia EMS Stroke Seizures 68

Dr. Smith's ECG Blog

JUNE 17, 2016

He had a seizure this morning and rolled out of bed unable to get up. The medics recorded a prehospital ECG: The computerized QTc is 397 ms Jason writes: " What's your thoughts Steve?" Unfortunately, the R-wave is cut off on this ECG but it appears as if it would be at least 20 mm. So this was the patient's baseline ECG.

EKG/ECG 52

EKG/ECG Seizures EMS Outcomes 52

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 66

Poisoning Fluid Resuscitation Administration Seizures 66

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 65

Emergency Department Soft Tissue Injuries Operations Airway Management 65