Remove 2023 Remove Seizures Remove Sepsis
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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%. 2023 Mar;65:76-83. Mortality rate is 10-30%. Am J Emerg Med.

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But Can You Just PO?

Taming the SRU

There is substantial evidence that IV fluids can be beneficial in patients with sepsis complicated by hypotension and labor. Updated 2023 Oct 22]. Patients receiving maintenance fluids are hemodynamically stable, but they are unable to orally meet their daily fluid and electrolyte requirements. References Castera MR, Borhade MB.

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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. 2023 Dec 13;52(2):126-135. doi: 10.1515/jpm-2023-0365. J Matern Fetal Neonatal Med.

EMS 111
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Sickle Cell Disease and Stroke

Pediatric EM Morsels

Unfortunately, it can cause so many other complications – Sepsis , acute chest syndrome , and hepatopathy. If Sickle Cell Disease only ever caused Vaso-Occlusive crises, it would be considered one of the most challenging conditions for patients and families to deal with.

Stroke 130
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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). Accessed September 30, 2023. Accessed September 30, 2023. Accessed October 1, 2023. aid=1104586430 Bono MJ.

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An Intriguing Rhythm: Who Belongs to Whom?

Dr. Smith's ECG Blog

== 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. Most occurrences are associated with events such as sepsis, shock, recent infarction, post-operative state, electrolyte disturbance — or "sick patient". How would YOU interpret this tracing?

EKG/ECG 97
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Assessing the floppy baby

Mind The Bleep

Were there any risk factors for sepsis? Increased work of breathing with grunting and tachypnoea could be due to sepsis, hypoglycaemia or acidosis due to an inborn error of metabolism. Severe jaundice causing kernicterus may also cause central hypotonia and seizures. Birth History How long was the labour?

Sepsis 52