Taming the SRU

SEPTEMBER 24, 2023

Patients with a history of seizures, supratentorial structural brain pathologies, post-arrest, or unexplained altered mental status should prompt suspicion for NCSE. However, Ceribell is a useful technology to help detect seizure activity and affect disposition. Two main theories behind the development of PRES. (1)

Seizures 52

Seizures EKG/ECG Emergency Department Shock 52

EMDocs

JUNE 22, 2024

Eclampsia (B) is characterized by the onset of seizures in a woman with preeclampsia (hypertension and proteinuria), but it typically does not present with the sudden onset of respiratory distress and profound hypotension described here. 2023 Dec 13;52(2):126-135. doi: 10.1515/jpm-2023-0365. J Matern Fetal Neonatal Med.

EMS 96

EMS Resuscitation Blood Transfusions Seizures 96

EMDocs

JANUARY 11, 2024

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association (AHA) and Neurocritical Care Society (NCS) released their 2023 Scientific Statement on the critical care management of post ROSC patients. Treat seizures if present.

Seizures 75

Seizures Shock Infectious Diseases CPR 75

ACEP Now

FEBRUARY 11, 2024

Patient C, a 27-year-old female with a history of epilepsy, taking valproate and endorsing adherence, is then brought in by ambulance for a witnessed seizure. This is her first seizure in six years. This patient had her first seizure in years despite adherence to her valproate for management of her epilepsy. Diabetes Care.

Seizures 52

Seizures Fluid Resuscitation Poisoning EKG/ECG 52

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

JUNE 26, 2023

== MY Comment , by K EN G RAUER, MD ( 6/26 /2023 ): == The tracing in Figure-1 was sent to me — without the benefit of any history. Figure-1: The initial ECG in today's case. ( To improve visualization — I've digitized the original ECG using PMcardio ). Why do we not see the accelerated junctional in ECG #2 ?

EKG/ECG 82

EKG/ECG Seizures Sepsis Operations 82

Dr. Smith's ECG Blog

JANUARY 21, 2023

The patient had a witnessed generalized tonic-clonic seizure leading to GCS 4. In the resuscitation room, the patient had another seizure that stopped after IV Lorazepam. ECG met STEMI criteria and was labeled STEMI by computer interpretation. ECG met STEMI criteria and was labeled STEMI by computer interpretation.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Seizures Fractures 52

Taming the SRU

NOVEMBER 18, 2024

He is a graduate from the UC EM residency, class of 2023. Updated July 10, 2023. Broadstock is an Assistant Professor of Emergency Medicine at the University of Cincinnati and an Assistant Editor of TamingtheSRU. Cite As: Reed, C. Broadstock, A. Diagnostics: Intractable Hiccups. TamingtheSRU. 11/19/2024 References Chang FY, Lu CL.

Stroke 54

Stroke Administration Dehydration COPD 54

Taming the SRU

JUNE 3, 2024

Knowing the capabilities of your system BEFORE disaster strikes is crucial top 10 air care cases of 2023-2024 with drs. If you or your patient do not have a watch capable of providing you with an ECG, consider asking those on board to allow you to borrow theirs. Get a blood gas when possible to help guide your ventilation.

Shock 91

Shock Seizures Airway Management Stroke 91

Mind The Bleep

OCTOBER 29, 2024

Circulation Assess heart rate, blood pressure, peripheral and central CRT, pulses and 3 lead ECG. These systemic effects can include central nervous system (agitation, seizures , and coma), as well as cardiac ( hypotension and dysrhythmias) [10, 11]. Updated 2023 Jul 17]. Updated 2023 Jul 17]. Chemical Burns.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

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). Accessed September 30, 2023. Accessed September 30, 2023. Accessed October 1, 2023. aid=1104586430 Bono MJ.

Operations 67

Operations Radiology Radiology Fluid Resuscitation 67

PEMBlog

SEPTEMBER 6, 2023

Life threatening non-psychiatric causes of acute psychosis include hypoglycemia, cerebral hypoxia, drug toxicity, CNS abnormalities (such as brain tumor, meningoencephalitis, injury, seizures, or stroke), metabolic conditions, electrolyte disturbances, hepatic failure, uremia, or thyrotoxicosis. Hosp Pediatr (2023) 13 (1): 66–71

Psychiatric 52

Psychiatric Pediatrics Emergency Department EKG/ECG 52

PEMBlog

MARCH 27, 2024

Updated 2023 Jul 17]. They include neurologic dysfunction, which is one of the most common that includes things like developmental delay, regression, AKA loss of developmental milestones, hypotonia, encephalopathy, or seizures. So for instance, if they’re having cardiac issues, think about getting an EKG or an echocardiogram.

Pediatrics 59

Pediatrics Seizures Emergency Department Sepsis 59

Taming the SRU

NOVEMBER 13, 2024

haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., haffner and wright The number of psychiatric emergencies across the U.S., mg/kg (of 0.1 mg/kg (of 0.1 2x maintenance rate

Psychiatric 88

Psychiatric Seizures Emergency Department Pediatrics 88

EMDocs

SEPTEMBER 25, 2023

Contraindicated seizures or porphyria. August 12, 2023) Facilitated Intubation: Time to Re-examine an Old Technique With Its Associated Risks Mitigated by New Technology. 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

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. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Clinical decision making in seizures and status epilepticus. 1 Fever is usually < 40C. Temps greater than 41.5C

Hyperthermia / Hypothermia 68

Hyperthermia / Hypothermia EMS Stroke Seizures 68

EMDocs

NOVEMBER 4, 2024

Pain can be associated with a friction rub on cardiac auscultation, a pericardial effusion on a bedside echocardiogram, or diffuse ST elevations on an EKG. 2023 Nov;82(5):615-623. Epub 2023 May 13. Up to two-thirds of rib fractures are missed on initial chest radiographs. Migraines: Migraines cause approximately 1.2 2023.04.011.

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Emergency Department Fractures Burns EMS 98