Remove 2023 Remove Fluid Resuscitation Remove Seizures
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EM@3AM: Amniotic Fluid Embolism

EMDocs

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. Amniotic fluid embolism: a reappraisal. 2023 Dec 13;52(2):126-135. 2015 May;28(7):793-8.

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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]. Updated 2023 Jul 17]. Updated 2023 Jul 17]. Chemical Burns. In: StatPearls [Internet].

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Popular Antiobesity Medications Bring New Challenges to Emergency Physicians

ACEP Now

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. Management of symptoms is the same for all of these, relying upon fluid resuscitation, antiemetics, and electrolyte repletion.

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Haemolytic Uraemic Syndrome

Don't Forget the Bubbles

She receives fluid resuscitation, and you organise some tests to find out why she is so tired. A similar process can also occur in the CNS (causing seizures ), the liver and the pancreas. Due to fluid losses and kidney damage, the patient may have little to no urine output. 2021 [cited 2023 Nov 30]. Rch.org.au.

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Brain Trauma Guidelines for Emergency Medicine

ACEP Now

In April 2023, the third edition of the Brain Trauma Foundation’s evidence-based guidelines for the prehospital management of traumatic brain injury (TBI) was published in Prehospital Emergency Care. Hypotensive patients should be treated with blood products and/or isotonic fluids in the prehospital setting. References Lulla A, et al.

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emDOCs Revamp: Esophageal Perforation

EMDocs

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). 4 Fluid resuscitation and vasopressor use as appropriate. Accessed September 30, 2023. aid=1104586430 Bono MJ.

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EM@3AM: Hyperthermia

EMDocs

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. The patient is agitated, not oriented, and becoming combative with ED staff. 1 Fever is usually < 40C. Autonomic Dysfunction.