Pediatric EM Morsels

MAY 10, 2024

Add the risk assessment for sudden cardiac death into your workflow Have you ever fainted or had a seizure without warning, during exercise or in response to a loud noise? The role of point-of-care ultrasound in the diagnosis of pericardial effusion: a single academic center retrospective study. Needleman; Pediatric Chest Pain.

EKG/ECG 271

EKG/ECG Pediatrics Ultrasounds Seizures 271

Don't Forget the Bubbles

JUNE 30, 2023

As in CRASH-2, TXA did not show a significant increase in thrombotic events or seizures. There was a small increased risk of seizures in the TXA group – 0.3% (7 children) of the 1900 children in the TXA group vs none of the 1900 children in the non-TXA group. But that’s not where it ends. The evidence is a mixed bag.

Head Injuries 145

Head Injuries Seizures Pediatrics Outcomes 145

ALiEM

DECEMBER 4, 2023

A 49-year-old male presented to the emergency department of an academic hospital with the chief concern of penile pain. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved. Open Med (Wars).

Academics 60

Academics Seizures Hospitals Emergency Department 60

PulmCCM

DECEMBER 10, 2023

Over the years, dozens of copycat studies (which are relatively easy for academics to churn out) created a steady, low-quality drumbeat of negativity toward Zosyn. If broadly true, that would signify a number needed to harm of about 33 to induce delirium or coma with cefepime, relative to Zosyn.

Seizures 52

Seizures Sepsis Academics Administration 52

EMDocs

SEPTEMBER 25, 2023

Contraindicated seizures or porphyria. ” Academic Emergency Medicine 20.1 Minimal histamine release. Cons: Short duration of action. Pain upon injection. Adrenal suppression, limiting its use in long procedures or critically ill patients. Propofol: Mechanism of Action: GABA A Pros: Rapid onset and offset of action. 2013): 71-78.

Emergency Department 91

Emergency Department Soft Tissue Injuries Airway Management Operations 91

Taming the SRU

MARCH 31, 2023

Charon, Academic Med 2012) embracing fear in emergency medicine WITH dr. arlene chung What is fear? Narratives trigger changes of many kinds in both the teller and the listener, yielding meanings that are reciprocally produced by each teller-listener dyad.”

Allergic Reactions 40

Allergic Reactions Seizures Anaphylaxis Leadership 40

Dr. Smith's ECG Blog

APRIL 8, 2015

First: Are you sure it was syncope, and not SEIZURE? Conversely , frequently syncope has a short episode of tonic-clonic activity that mimics seizure. Academic Emergency Medicine., Academic Emergency Medicine, 2003 Volume 10, Number 5 539-540. Thiruganasambandamoorthy, V., Sivilotti, M., Mukarram, M., Baumann, B.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

ACEP Now

MARCH 10, 2025

On April 17, 2024, the ACEP Board of Directors approved a clinical policy developed by the ACEP Clinical Policies Committee on the management of adult patients presenting to the emergency department with seizures. Patients presenting with seizure account for about 1% of all emergency department patients.

Seizures 52

Seizures Emergency Department Academics 52

EMDocs

NOVEMBER 13, 2023

Major radiological outcomes of CTA head and neck performed for dizziness in a major academic Emergency Department. CTA head/neck is absolutely indicated if suspicion is high for this condition. 46 All of these states are some gradation of consciousness impairment. Tenenbaum, M. Bhadelia, R. Sotman, T. Neuroradiol J 2023, 36 (3), 259-266.

Stroke 105

Stroke Radiology Radiology Emergency Department 105

EMDocs

FEBRUARY 3, 2025

These complications affect both the central and peripheral nervous systems and encompass a wide range of conditions, including transient ischemic attacks (TIA), stroke, headaches, mood disorders, seizures, psychosis, neuropathy, and cognitive dysfunction (1,6,7). BMJ Case Rep CP. 2023;16(8). doi:10.1136/bcr-2023-256680. PMID: 37542945.

Stroke 69

Stroke EMS Seizures Outcomes 69

Don't Forget the Bubbles

AUGUST 13, 2023

Most febrile seizures are generalized tonic clonic seizures, lasting for a few minutes (less than 10 mins) and are conventionally classified as being simple (70%) and complex (30%). Simple febrile seizures are generalized (i.e. Any febrile seizure lasting for > 30 mins is considered febrile status epilepticus.

Seizures 97

Seizures Pediatrics Dehydration Radiology 97

Taming the SRU

FEBRUARY 3, 2025

These can lead to a wide spectrum of emergent complications including but not limited to cardiac dysrhythmias, seizures, and acute renal failure. This can often become significant enough to precipitate dysrhythmias, seizures, and tetany (20). Academic Press; 2014:39-64. in females and 2.5-7.0 in males) phosphate > 4.5

Fluid Resuscitation 56

Fluid Resuscitation Seizures Dehydration Emergency Department 56

Taming the SRU

JUNE 6, 2023

HAJDU Mild TBI’s & Concussions in the Emergency Department TBI’s are relatively common >3 million TBI’s in the US annually 2.5 million presentation to ED’s throughout the US Usually occur due to falls Also commonly occur due to sports, MVC’s, etc.

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

PulmCCM

OCTOBER 23, 2023

Over the years, dozens of copycat studies (which are relatively easy for academics to churn out) created a steady, low-quality drumbeat of negativity toward Zosyn. If broadly true, that would signify a number needed to harm of about 33 to induce delirium or coma with cefepime, relative to Zosyn.

Hospitals 98

Hospitals COPD Emergency Department CDC 98

Don't Forget the Bubbles

FEBRUARY 24, 2025

Infants usually present in a non-specific manner, following an apnoea, cough, cyanosis, or seizure so a high index of suspicion is required in this age group. Embracing plain language over academic formality doesn’t diminish the profession’s rigour; instead, it reinforces our fundamental purpose.

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59