Remove 2021 Remove Hyperthermia / Hypothermia Remove Seizures
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Leading Change | IN Midazolam Seizure | Hypothermia Infant Sepsis | VICTAS RCT | GHB Dx

JournalFeed

It’s the JournalFeed Podcast for the week of Apr 19-23, 2021. We cover leadership through change, IN midazolam for pediatric seizure, hypothermia and young infant sepsis risk, VICTAS RCT, and clinically diagnosing GHB intoxication.

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Congenital Syphilis

Pediatric EM Morsels

We have previously discussed hypothermia presentations , GBS infections , and HSV infections. 2019, there were 1,875 and this trend has continued to increase (2,157 case in 2020; 2,855 cases in 2021). 2021 Feb 5;14(2):e240532. Fortunately, we have addressed many neonatal issues in the PedEMMorsels. 2022 Dec 27;14(12):e33009.

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ToxCard: Anticholinergic Plant Toxicity

EMDocs

3-6 Clinical Presentation: Symptoms include altered mental status, tachycardia, hyperthermia, urinary retention, mydriasis, blurred vision, dry skin, hallucinations. Anticholinergic toxicity has overlap with other toxicological causes of hyperthermia which are reviewed here: Hyperthermia in the Toxicological Setting.

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

Other considerations in significant TBI would be the temporary use of anti-epileptic drugs as prophylaxis to prevent early post-traumatic seizures to aid neuroprotection; the most commonly used would be levetiracetam. Disability – Altered mentation, seizure, stroke symptoms, severe headache, neurological deficit, visual symptoms.

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2086 The value of emergency care data set (ECDS) presentation codes for predicting mortality and inpatient admission

Emergency Medicine Journal

Method and Design We conducted an observational retrospective cohort study on patients who visited ED in 2021. Drowsy (11.97%), Hypothermia (13.04%) and Cyanosis (10%) were also high risk categories. SEIZURE (FIT) 715 16 250 35 2.24[1.4 SEIZURE (FIT) 715 16 250 35 2.24[1.4 0[0 , 12] HYPOTHERMIA 23 3 11 47.8

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ToxCard: Second Generation Antipsychotic Overdose

EMDocs

of exposures reported to poison control centers in 2021 were related to antipsychotics or sedative-hypnotics with the majority of those exposures occurring in patients 20 years of age or older. 1 Seizures may occur due to lowered seizure threshold. 6 Seizures have been observed and are dose-dependent. Front Psychiatry.

Poisoning 102
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Super Refractory Status Epilepticus

Don't Forget the Bubbles

Four-year-old Fern is a previously healthy girl who presents with a febrile illness and seizures. Seizure activity did not respond to either first or second-line treatments, so she needed rapid sequence induction and transfer to PICU for ongoing anaesthesia and management. What causes Super Refractory Status Epilepticus?

Seizures 111