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Chest Pain in Children: ReBaked Morsel

Pediatric EM Morsels

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
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Return to Learn / Return to Sport after Concussion

Pediatric EM Morsels

Diagnosis requires a history of blunt trauma followed clinical signs and/or symptoms: Clinical Signs: GCS of 13-15 (on presentation to the ED, or within 30 minutes of the injury) AND at least ONE of the following: Loss of consciousness Amnesia Alteration in mental status: Reduced/Inappropriate responsiveness or Slowness to respond to questions/instructions (..)

Seizures 281
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52 in 52 – #36: Randomized Trial of Three Anticonvulsant Medications for Status Epilepticus

EMDocs

Design: Multi-centered, double-blinded, randomized trial PICO: Population: Inclusion Criteria: Age 2 years and older Must have been treated with a specified minimum dose of certain benzodiazepines for generalized convulsive seizures: Intravenous or rectal diazepam 0.3 mg/kg or 10 mg Intravenous lorazepam 0.1

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SAEM Clinical Images Series: Intracranial Abnormality

ALiEM

He denied vomiting, dizziness, diplopia, loss of consciousness, or seizures. 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. Nothing made it better or worse.

Seizures 111
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TXA in head injuries

Don't Forget the Bubbles

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.

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ACMT Toxicology Visual Pearls: Mushroom Mishap

ALiEM

Acute hepatitis Disulfiram-like reaction with ethanol consumption Pneumonitis from inhalation of spores Seizures from glutamate agonist activity [Image from Canstockphoto] Reveal the Answer 2. Encyclopedia of Toxicology (Third Edition), Academic Press. What well-known adverse reaction results from ingestion of the pictured mushroom?

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SAEM Clinical Images Series: Penile Lesion with a Poor Prognosis

ALiEM

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).