EMDocs

DECEMBER 19, 2023

McGraw Hill; 2020. 2020, September 26) EM@3AM: Marine Animal Bites and Stings. Possible early antibiotic treatment Minor Marine Trauma Mechanism: Bites, Stings, Nematocysts Envenomation Presentation: All can cause localized pain, erythema, and warmth Dermatologic: Urticaria, burning, pruritus, localized paresthesia.

Poisoning 105

Poisoning Seizures Anaphylaxis Burns 105

EMDocs

JANUARY 17, 2024

When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. Benzodiazepines are first-line therapy for seizures. It is rapidly absorbed with an onset of 15-20 minutes and duration of up to 8 hours. (7) There is no specific antidote for benzonatate.

Poisoning 81

Poisoning Seizures Pediatrics EMS 81

EMDocs

FEBRUARY 15, 2024

Physostigmine does not reverse seizures or dysrhythmias. 7 Administer this antidote slowly via intravenous route over several minutes (5-10 minutes), as rapid administration is associated with seizures and bradycardia. Physostigmine does not reverse seizures or dysrhythmias. Epub 2020 Dec 9. 9 Physostigmine dosing: 0.5-2

Hyperthermia / Hypothermia 108

Hyperthermia / Hypothermia Poisoning Seizures COPD 108

Cook County EM Blog

MAY 29, 2023

As resuscitation measures are underway, you obtain collateral from EMS and parents. Upon EMS arrival, the patient was in cardiac arrest. EMS shows you the prescription bottle with a handful of capsules remaining. Seizures should be treated with benzodiazepines. "FDA Retrieved 22 April 2020. 28 June 2019.

Seizures 52

Seizures Administration Resuscitation Poisoning 52

EMDocs

NOVEMBER 1, 2023

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp!

Operations 86

Operations Radiology Radiology Fluid Resuscitation 86

Dr. Smith's ECG Blog

JUNE 17, 2016

He had a seizure this morning and rolled out of bed unable to get up. Look for old ECGs Do serial ECGs Do echocardiography == MY Comment by K EN G RAUER, MD ( 10/1/2020 ): == From time to time — it's helpful to "resurface" prior cases that convey timeless important lessons. The patient is a 36yo man who was seen for a seizure.

EKG/ECG 52

EKG/ECG Seizures EMS Outcomes 52

EMDocs

SEPTEMBER 25, 2023

Contraindicated seizures or porphyria. Personal take: While discussing this approach with many EM physicians whom we respect, one recurring critique was “We fought so hard to get the right to use paralytics in the ED, why would you want to go backwards.” Epub 2020 Dec 9. 2020 Jul;158(1):45-47. Epub 2020 Jul 2.

Emergency Department 84

Emergency Department Soft Tissue Injuries Airway Management Operations 84

Dr. Smith's ECG Blog

FEBRUARY 4, 2023

He had a seizure this morning and rolled out of bed unable to get up. Or Benign Early Repolarization? = == MY Comment by K EN G RAUER, MD ( 10/1/2020 — edited on 2/4/2023 — ): == From time to time — it's helpful to "resurface" prior cases that convey timeless important lessons. The patient is a 36yo man who was seen for a seizure.

EKG/ECG 52

EKG/ECG Seizures EMS Outcomes 52

Taming the SRU

FEBRUARY 5, 2024

Admission should also be strongly considered in patients with a depressed GCS, post-traumatic seizure(s), or intractable symptoms [2]. 4, 2020, pp. In patients with an abnormal CT Head, decisions regarding management and disposition should be made in conjunction with a Neurosurgeon. These patients are often admitted to the hospital.

Head Injuries 59

Head Injuries Emergency Department 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.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Taming the SRU

MARCH 31, 2023

of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed.

Allergic Reactions 40

Allergic Reactions Seizures Anaphylaxis Leadership 40

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.

Seizures 84

Seizures EKG/ECG Poisoning Shock 84

EMDocs

DECEMBER 16, 2023

We’ll keep it short, while you keep that EM brain sharp. A 34-year-old male is brought via EMS after collapsing during an outdoor adventure race. EMS reports the patient was conscious but altered, with slurred speech and confusion. As you attempt to examine the patient, he has a generalized, tonic-clonic seizure.

Hyperthermia / Hypothermia 87

Hyperthermia / Hypothermia EMS Stroke Seizures 87

EMDocs

JULY 3, 2023

Authors: Mikalah Ward, MD (EM Resident Physician, University of Kentucky); Susan Owens, MD (EM Attending Physician, University of Kentucky) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Unfortunately, seizures in patients with SAH increase the risk of rebleeding.

Seizures 98

Seizures Stroke Outcomes EMS 98

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. link] Updated September 14, 2020. Accessed December 14, 2020. 8 Figure 1. Cook Matt, Frey Aaron.

Poisoning 97

Poisoning Airway Management Seizures PPE 97

EMDocs

JUNE 14, 2023

Used for treatment of acutely symptomatic anxiety, muscle fasciculations, and seizures. link] Updated September 14, 2020. Accessed December 14, 2020. 1, 2 Symmetric sensorimotor axonopathy: leg cramping to extremity weakness and paralysis. 1, 2 Sensory > Motor neurons with predilection for long axons. CorePendium.

PPE 89

PPE Poisoning Seizures Emergency Department 89

Dr. Smith's ECG Blog

JANUARY 21, 2023

Evelyn Dell, with edits from Jesse McLaren EMS brought a John Doe, in his 30s, who was found in an urban forest near a homeless encampment on a cool fall day. EMS reported an initial GCS of 8 with pupils equal and reactive. The patient had a witnessed generalized tonic-clonic seizure leading to GCS 4. Is this takotsubo?

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Seizures Fractures 52

EMDocs

NOVEMBER 13, 2023

Authors: Mary Hamblen, DO (EM Resident Physician, TX); Justin Hacnik, MD (EM Resident Physician, TX); Katherine Spencer, MD (EM Resident Physician, TX); J.D. Stroke 2020, 51 (1), 331-334. World Neurosurg 2020, 137 , e315-e320. J Trauma Acute Care Surg 2020, 88 (6), 875-887. Katramados, A.; Malik, S.;

Stroke 103

Stroke Radiology Radiology Emergency Department 103

EMDocs

NOVEMBER 4, 2024

Bhana, MD (EM Resident Physician, University of Massachusetts/UMass Chan Medical School); Clarence Kong, MD (Pain Fellow, Eastern Virginia Medical School – Virginia Health Sciences at Old Dominion University); Mani Hashemi, MD (EM Attending, HCA Florida Mercy Hospital); S.M. 2017.04.011 Witt CE, Bulger EM. Epub 2020 Oct 31.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Pediatric EM Morsels

OCTOBER 6, 2023

Obasi 2020) Hepatic and splenic abscesses have been documented in children, and splenic rupture is particularly associated with cases of MDR typhoid fever. Britto 2017) There have been several neurological complications associated with typhoid fever in pediatric patients (Britto 2017): It has an increased association with febrile seizures.

Pediatrics 164

Pediatrics CDC Seizures Documentation/Coding 164

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 84

Poisoning Fluid Resuscitation Administration Seizures 84

Pediatric EM Morsels

MARCH 7, 2025

of IV form TXA [O’Neill 2020] Inexpensive ! of IV form TXA [O’Neill 2020] Inexpensive ! Published 2020 Jan 29. 2022.01.069 The post TXA (Tranexamic Acid) in Pediatrics appeared first on Pediatric EM Morsels. mg/kg [Nishijima 2016] Poorly studied in renally impaired patients. Crit Care Explor. 2020;2(1):e0075.

Pediatrics 231

Pediatrics Blood Transfusions Anaphylaxis Military 231

EMDocs

NOVEMBER 2, 2024

We’ll keep it short, while you keep that EM brain sharp. bladder incontinence) – 17% Headache – 10% Lighting pains – 10% Often described as sudden, rapidly spreading and disappearing [13] Dizziness – 10% Hearing loss – 10% Seizures – 7% Signs: Hyporeflexia – 50% Sensory impairment (e.g., Symptoms: Personality change (i.e.,

EMS 111

EMS Infectious Diseases CDC Research 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. doi:10.1136/bmjgh-2020-002694 WHO Guideline on Control and Elimination of Human Schistosomiasis.

Infectious Diseases 72

Infectious Diseases CDC PPE Rapid Diagnostic Testing 72