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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 278
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Sickle Cell Disease Module

Don't Forget the Bubbles

Be careful if the patient has received a recent blood transfusion since it may be misinterpreted as sickle cell trait instead of sickle cell disease. In these cases, repeat the Hb electrophoresis three months after the last blood transfusion. Do not use pethidine since it can cause seizures and CNS hyperexcitability.

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emDOCs Podcast – Episode 100: Acute Chest Syndrome Part 1

EMDocs

Based on light absorption from blood flow at the sensor site (using HbA, not HbS) Underestimates alveolar hypoxemia. Infectious: bacterial or viral pneumonia ( M. pneumoniae, C. All patients with ACS should receive antibiotics, as 25% have an infection as the trigger for ACS. Everyone needs atypical coverage.

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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. If AFE occurs during labor, immediate delivery is recommended.

EMS 97
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emDOCs Podcast – Episode 101: Acute Chest Syndrome Part 2

EMDocs

Based on light absorption from blood flow at the sensor site (using HbA, not HbS). Blood transfusion Reduces the overall proportion of HbS. Infectious: bacterial or viral pneumonia ( M. pneumoniae, C. Use lung protective ventilation Tidal volume 6 ml/kg Peak airway and plateau pressures < 30 cmH 2 O.

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emDOCs Podcast – Episode 84: Capnography

EMDocs

In cardiac arrest, EtCO 2 is dependent on compressions AND the underlying cause.

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Journal Club - Tranexamic Acid in Trauma

Downeast Emergency Medicine

We know that if administered too rapidly, it can lead to hypotension and other adverse effects including seizures, headaches, backache, abdominal pain, nausea, vomiting, diarrhea, fatigue, pulmonary embolism, deep vein thrombosis, anaphylaxis, impaired color vision, and other visual disturbances.[1] Lastly, the use of TXA is not without risk.