Remove 2022 Remove Resuscitation Remove Seizures
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But Can You Just PO?

Taming the SRU

Fluid management in the Emergency Department (ED) is crucial in the adequate resuscitation of the acutely ill and decompensating patient. Patients present to the ED with hypovolemia secondary to a plethora of causessome requiring IV fluid resuscitation and others requiring none. 2022 Sep 11;5(5):e827. Health Sci Rep.

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emDOCs Podcast – Episode 115: Adult Meningitis

EMDocs

Neurologic deficits, seizures, cognitive issues, hearing loss. Give acyclovir If there is concern for HSV encephalitis (focal neurologic deficits, seizures, markedly depressed mental status, or immunocompromise) The mortality rate for HSV encephalitis is up to 70%. Epub 2022 Dec 28. Mortality rate is 10-30%. Am J Emerg Med.

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emDOCs Podcast – Episode 86 Tricky Cases Part 2

EMDocs

Episode 86: Tricky Cases Part 2 Case 3: 56-year-old female with history of seizures, actively seizing, EMS called. On ED arrival GCS is 3, there are rapid eye movements to the right but no other apparent seizure activity. Airway plan discussed with resuscitation team. They administer two doses of 10 mg midazolam IM.

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ToxCard: Bupropion

EMDocs

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. 3 Seizures are dose-dependent. 3 Seizures are dose-dependent.

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Chemical Burns

Mind The Bleep

Establish IV access and begin fluid resuscitation with 250ml boluses of 0.9% These systemic effects can include central nervous system (agitation, seizures , and coma), as well as cardiac ( hypotension and dysrhythmias) [10, 11]. This includes adequate pain control, fluid resuscitation, and stabilization of any systemic complications.

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First10EM Journal Club: October 2022

Broome Docs

2022 Jan;48(1):78-91. Safety and efficacy of prophylactic levetiracetam for prevention of epileptic seizures in the acute phase of intracerebral haemorrhage (PEACH): a randomised, double-blind, placebo-controlled, phase 3 trial. 2022 Sep;21(9):781-791. Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis.

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

According to the latest figures (2022), there were approximately 6,000 recorded offences where a child was a victim of violence, including physical assault, sexual abuse, and homicide. Establish IV access for potential fluid resuscitation. You feel the patient needs fluid resuscitation. Auscultate, percuss and palpate chest.