RebelEM

SEPTEMBER 27, 2023

If QRS >100 msec = 33% chance of seizures If QRS >160 msec = 50% of ventricular dysrhythmias Often extrapolated to other sodium channel blocking agents: diphenhydramine, loperamide, cocaine, lamotrigine, Type 1A/1C Anti-Dysrhythmics. Mohan 2021 ) Recall that the subsequently alkalemia will shift potassium intracellular.

Poisoning 105

Poisoning Seizures Administration EKG/ECG 105

EMDocs

DECEMBER 19, 2023

2020, September 26) EM@3AM: Marine Animal Bites and Stings. McGraw Hill; 2021. McGraw Hill; 2021. McGraw Hill; 2021. McGraw Hill; 2021. McGraw Hill; 2021. McGraw Hill; 2021. Rosen’s Emergency Medicine: Concepts and Clinical Practice (2 Volumes). Philadelphia: Elsevier Saunders; 2014:805-807.

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. 10) A systematic review of severe benzonatate poisonings published in 2021 demonstrated survival in greater than 60% of patients. (10) Benzodiazepines are first-line therapy for seizures.

Poisoning 89

Poisoning Seizures Pediatrics EMS 89

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. 2021 Aug;59(8):698-704. Clin Toxicol (Phila).

Hyperthermia / Hypothermia 111

Hyperthermia / Hypothermia Poisoning Seizures COPD 111

Pediatric EM Morsels

AUGUST 18, 2023

Ross 2021) Predisposing risk factors including older age , trauma to tendons or joints , and a family history of MAEs. Myth # 2: Neurologic affects Nervous system adverse events mostly include central concerns (ex, seizures, headaches, dizziness, lightheadedness, sleep disorders, hallucinations) and peripheral neuropathy. Binz 2015).

Pediatrics 130

Pediatrics Infectious Diseases Seizures Hospitals 130

EMDocs

AUGUST 3, 2023

Massive acetylcysteine overdose associated with cerebral edema and seizures. Anderson, B. Klein-Schwartz, W., & King, J. In vitro analysis of N-Acetylcysteine (NAC) interference with the International Normalized Ratio (INR). Clinical Toxicology , 60 (4), 489–492. link] Heard K, Schaeffer TH. Clin Toxicol (Phila). 2011 Jun;49(5):423-5.

Poisoning 98

Poisoning Seizures Administration Pediatrics 98

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.” ” The American Journal of Emergency Medicine 49 (2021): 48-51.

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

EMDocs

JANUARY 29, 2024

Authors: Sameer Desai, MD (EM Attending Physician, University of Kentucky); Omar Abbas Ahmed Malik, MBBS (Patients’ Aid Foundation, Jinnah Postgraduate Medical Center) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine in St. 1992 Mar 14;339(8794):653-5. PMID: 1347345. Dodd, et al.

Stroke 99

Stroke Outcomes EMS Seizures 99

Broome Docs

OCTOBER 31, 2022

Epub 2021 Dec 14. PMID: 34904190 Not surprisingly, this paper has been covered by basically everyone who talks about research, so if you want to hear some other opinions, check out the SGEM , REBEL EM , or St. 2022 Jul 26:emermed-2021-211540. doi: 10.1136/emermed-2021-211540. Intensive Care Med. 2022 Jan;48(1):78-91.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Seizures Emergency Department 52

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. Pediatr Emerg Care.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Taming the SRU

FEBRUARY 22, 2023

Paske et al.

Hospice 40

Hospice EKG/ECG Resuscitation Seizures 40

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 94

Hyperthermia / Hypothermia EMS Stroke Seizures 94

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

Pediatric EM Morsels

OCTOBER 6, 2023

The most common countries of acquisition were Bangladesh, India, Nepal, and Pakistan (Forster 2021) For travelers, the peak incidence occurs at age 10 and those who are visiting to their country of birth. Rauniyar 2021) Up to 10% of patients may present with constipation as opposed to diarrhea. Shah 2021).

Pediatrics 164

Pediatrics CDC Seizures Documentation/Coding 164

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. RadioGraphics 2021, 41 (3), E81-E89. Aging Dis 2021, 12 (4), 1000-1009. AJNR Am J Neuroradiol 2021, 42 (4), 743-748. Heilbrun, M. DOI: 10.1148/rg.2021200107.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

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. 2021 Apr;28(4):444-454. Epub 2021 Jan 2.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Pediatric EM Morsels

MARCH 7, 2025

2022.01.069 The post TXA (Tranexamic Acid) in Pediatrics appeared first on Pediatric EM Morsels. It is excreted by urine so careful dosing is required if used in kidney disease. of IV form TXA [O’Neill 2020] Inexpensive ! of IV form TXA [O’Neill 2020] Inexpensive ! Am J Emerg Med. 2022;55:103-110. doi:10.1016/j.ajem.2022.01.069

Pediatrics 231

Pediatrics Blood Transfusions Anaphylaxis Military 231

Dr. Smith's ECG Blog

FEBRUARY 20, 2025

PEA is uncommon as an initial rhythm witnessed by EMS on the scene when the cause is an acute ischemic event. In my experience CNS catastrophes ( not only SAH or other CNS bleeds but brain tumor trauma seizures coma from other cause ) may cause some of the most bizarre-appearing ECGs.

EKG/ECG 89

EKG/ECG Resuscitation EMS Seizures 89

EMDocs

FEBRUARY 3, 2025

Collins, MD (EM Resident Physician, San Antonio, Texas); Michael J. These complications affect both the central and peripheral nervous systems and encompass a wide range of conditions, including transient ischemic attacks (TIA), stroke, headaches, mood disorders, seizures, psychosis, neuropathy, and cognitive dysfunction (1,6,7).

Stroke 70

Stroke EMS Seizures Outcomes 70

EMDocs

MARCH 11, 2024

Authors: Gaston Omba, MD (EM Resident Physician, Makerere University); Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Published online October 20, 2021. Among children, hypoglycemia is common and can lead to seizures. Source: Centers for Disease Control and Prevention (U.S.).

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111

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., 27,4 (2021): 1018-1039. Neurosyphilis.”

EMS 115

EMS Infectious Diseases CDC Research 115

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. 2021-0784 Long B, MacDonald A, Liang SY, et al. Leptospirosis Fact Sheet for Clinicians.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75