Mind The Bleep

OCTOBER 29, 2024

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.

Burns 52

Burns Fluid Resuscitation PPE Resuscitation 52

Don't Forget the Bubbles

FEBRUARY 5, 2025

This should include early identification of life-threatening injuries, targeted fluid resuscitation using blood products, pain management, then eventual safeguarding and psychological support. Establish IV access for potential fluid resuscitation. You feel the patient needs fluid resuscitation. Administer O2 if necessary.

Fluid Resuscitation 59

Fluid Resuscitation Domestic Violence Head Injuries Sexual Assault 59

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 97

Seizures Shock Infectious Diseases CPR 97

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). 4 Fluid resuscitation and vasopressor use as appropriate. Accessed September 30, 2023. Accessed September 30, 2023.

Operations 93

Operations Radiology Radiology Fluid Resuscitation 93

ACEP Now

OCTOBER 3, 2023

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. 1 The practice guidelines were written by a multi-disciplinary group of experts and went through an extensive peer review process.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

Don't Forget the Bubbles

AUGUST 12, 2024

After a traumatic brain injury, all children and young people should have a C-ABCDE rapid assessment for life-threatening injuries (as per ATLS guidelines) focussed on trauma resuscitation and stabilisation, followed by a secondary assessment. Do we need seizure prophylaxis? Published 2023 Feb 23. Doi:10.3389/fncel.2019.00528

Seizures 75

Seizures Pediatrics Emergency Department Ambulance Services 75

Don't Forget the Bubbles

MARCH 18, 2024

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. 2021 [cited 2023 Nov 30]. 2019 [cited 2023 Nov 30]. 2023 Aug 23 [cited 2023 Nov 30];151. What is atypical HUS?

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

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

Seizures 52

Seizures Fluid Resuscitation Poisoning EKG/ECG 52

Mind The Bleep

OCTOBER 17, 2024

Clinically, your enthusiasm for providing maximal quality care needs balanced against rescue practicalities and a hostile environment (very different to your warm, dry resuscitation bay) – the cold makes all veins disappear…and you may be the only clinician responder at the scene. What illnesses or injuries do we see?

Soft Tissue Injuries 52

Soft Tissue Injuries Seizures Ambulance Services Teamwork 52

EMDocs

JANUARY 29, 2024

Finally, anticipating and addressing known complications such as seizures, increased intracranial pressure, or cerebral edema with appropriate measures, including antiepileptic drugs or osmotic agents, is essential for improving patient outcomes. 2019 Aug;50(8):2023-2029. Accessed July 19, 2023. Epub 2022 May 17. PMID: 35579034.

Stroke 99

Stroke Outcomes EMS Seizures 99

Mind The Bleep

SEPTEMBER 12, 2023

Did the baby need resuscitating? Severe jaundice causing kernicterus may also cause central hypotonia and seizures. What were the APGAR signs? If so, were they intubated and admitted to NICU? Were they cooled? Were the cord gases poor?

Sepsis 52

Sepsis Seizures Poisoning Wellness 52

EMDocs

SEPTEMBER 25, 2023

Contraindicated seizures or porphyria. Resuscitation 2013; 84(11): 1500 – 4. August 12, 2023) Facilitated Intubation: Time to Re-examine an Old Technique With Its Associated Risks Mitigated by New Technology. Minimal histamine release. Cons: Short duration of action. Pain upon injection. Can be titrated easily. doi:10.1001/jama.2009.56

Emergency Department 92

Emergency Department Soft Tissue Injuries Airway Management Operations 92

EMDocs

DECEMBER 16, 2023

As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. Evaporative cooling is the preferred method to actively reduce body temperature in the emergency department , as it can be performed with ongoing resuscitation efforts. The patient is agitated, not oriented, and becoming combative with ED staff.

Hyperthermia / Hypothermia 94

Hyperthermia / Hypothermia EMS Stroke Seizures 94

EMDocs

OCTOBER 5, 2024

Management 9-12 Patients such receive standard resuscitation care including: Antipyretics such as Tylenol (650-1000 mg PO), Ibuprofen (600 mg PO), or Toradol (15mg IV). IV fluid resuscitation as needed. Updated 2023 Nov 12]. Instead, non-susceptibility to Ceftriaxone is often used as a proxy. J Antimicrob Chemother.

EMS 97

EMS Infectious Diseases Sepsis Hospitals 97

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. 2004 = My Comment by K EN G RAUER, MD ( 1/21 /2023 ): = I thought today's case by Drs. Seizure activity was witnessed in the ED.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Seizures Fractures 52

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., 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 89

Psychiatric Seizures Emergency Department Pediatrics 89

Pediatric EM Morsels

MARCH 7, 2025

But what is the drug really approved for, how does it actually work, and what are some of the off-label (for now) uses of TXA that add value to this medication? mg/kg [Nishijima 2016] Poorly studied in renally impaired patients. It is excreted by urine so careful dosing is required if used in kidney disease.

Pediatrics 231

Pediatrics Blood Transfusions Anaphylaxis Military 231

Dr. Smith's ECG Blog

FEBRUARY 20, 2025

Resuscitated with chest compressions, epinephrine. Resuscitation was begun with chest compressions, etc., Moreover, when someone has immediate resuscitation of an arrest witnessed by paramedics, they rarely have a GCS of 3 (deep coma). Not a shockable rhythm. A 12-lead was recorded, showing "STEMI," but is unavailable.

EKG/ECG 89

EKG/ECG Resuscitation EMS Seizures 89

EMDocs

MARCH 11, 2024

Rehydration therapy for patients with cholera should include volume resuscitation and electrolyte repletion. Patients who cannot tolerate oral intake of fluids should receive intravenous (IV) fluid resuscitation but are encouraged to start drinking ORS as soon as they are able. Published online August 7, 2023. 32 Table 3.

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111

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. 1 By the end of 2023, 117.3 She also endorses dysuria, cough, and neck rigidity.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75