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Grand Rounds Recap 6.21.23

Taming the SRU

While these programs differ, many have shown improvement in perceived wellness among residents.

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Autism Spectrum Disorder

Mind The Bleep

Some individuals may require further medical investigations to exclude co-morbidities, for example an EEG to look into seizure disorders, or genetic testing to look for chromosomal and genetic anomalies. Hearing and vision assessments should also be carried out in order to address any sensory difficulties.

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Targeted Temperature Management in Paediatric Traumatic Brain Injury

Don't Forget the Bubbles

Therapeutic hypothermia is thought to decrease the brain’s metabolic demand, reduce inflammation and cell death, and reduce the risk of seizures. In contrast, Kochanek reviewed each meta-analysis, as well as the RCT and secondary analyses, separately to assess overall results and potential moderators of effect. doi:10.1097/PCC.0000000000001735

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Imported Malaria

Pediatric EM Morsels

ovale to cover the hypnozoite that can stay dormant in the liver and cause a secondary infection in the future Severe Malaria IV artesunate is currently the accepted first line treatment Previously IV quinine was first line, however it was associated with higher incidence of hypoglycemia, cardiac dysrhythmias, seizures, and comas.

Seizures 281
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An overview of hypopituitarism

Don't Forget the Bubbles

It can present with jitteriness, poor feeding, prolonged jaundice, seizures, bluish skin discolouration (cyanosis), lethargy, or even acute collapse. Depending on the size and location, children may develop neurological symptoms, such as seizures, developmental delays, or visual disturbances due to compression of the optic pathways.

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Brain Trauma Guidelines for Emergency Medicine

ACEP Now

Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented. The GCS must be obtained through interaction with the patient (i.e.,

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Episode 19 - Cannabinoids: Emerging Evidence in Use and Abuse

EB Medicine

Nachi: We’re going to be talking about the pathophysiology of cannabinoids, clinical findings in abuse, best practice management, differences between natural and synthetic cannabinoids, and treatment for cannabinoid hyperemesis syndrome. The rhabdo is believed to be due, in part, to associated seizures, muscle tremors, and agitation.