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REBEL Core Cast 109.0 – Na Channel Blocker Poisoning

RebelEM

Treatment is guided by administration of sodium-bicarbonate. If QRS >100 msec = 33% chance of seizures If QRS >160 msec = 50% of ventricular dysrhythmias Often extrapolated to other sodium channel blocking agents: diphenhydramine, loperamide, cocaine, lamotrigine, Type 1A/1C Anti-Dysrhythmics. Boehnert 1985 ). N Engl J Med.

Poisoning 100
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REBEL Core Cast 126.0 – Peds Hem Onc Emergencies

RebelEM

Take Home Points Early administration of antibiotics (within 60 min) in patients with fever and neutropenia is life saving. Red flags in patients with headaches that may suggest a brain tumor include signs of increased intracranial pressure, focal neurological signs, seizures or ataxia. Post Peer Reviewed By: Salim R.

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

Other considerations in significant TBI would be the temporary use of anti-epileptic drugs as prophylaxis to prevent early post-traumatic seizures to aid neuroprotection; the most commonly used would be levetiracetam. Disability – Altered mentation, seizure, stroke symptoms, severe headache, neurological deficit, visual symptoms.

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REBEL Core Cast 90.0 – Methemoglobinemia

RebelEM

benzocaine) Consider the diagnosis in any patient with cyanosis and hypoxia that doesn’t respond to oxygen administration Administer methylene blue to any patient with abnormal vital signs, metabolic acidosis, end organ dysfunction or, a serum level > 25% References: Price DP. Chapter 127. Read more

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REBEL Core Cast 87.0 – Hypercalcemia

RebelEM

mg/dL 10.5 – 12.0 mg/dL 10.5 – 12.0 mg/dL 10.5 – 12.0

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PEM Currents – Agitation in Children – Episode 4: Safe prehospital transport

EMDocs

Podcast: Play in new window | Download (Duration: 15:51 — 21.8MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Safe prehospital transport of the agitated child In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children.

EMS 95
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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

2][3] If earlier treatment with TXA is better, would there be benefit in its administration in the prehospital setting? Association between prehospital tranexamic acid administration and outcomes of severe traumatic brain injury. If so, could this be done safely? These questions are asked in the first paper that we reviewed.