Emergency Medicine Journal

SEPTEMBER 27, 2023

Clinical introduction A middle-aged man is brought to your ED following a self-limiting generalised tonic–clonic seizure. He is a smoker, with a history of chronic obstructive pulmonary disease (COPD) and peripheral vascular disease, but no previous seizures. He is on aspirin and clopidogrel.

Seizures 40

Seizures COPD 40

RebelEM

JULY 26, 2023

Adenosine antagonism may lead to seizures and/or supraventricular tachycardia that is unresponsive to pushes of adenosine. Hemodialysis should also be considered in cases of refractory shock, dysrhythmias, or seizures. Eldridge 1989) Thus adenosine antagonism may lead seizures and/or status epilepticus. ipratropium). Exp Neurol.

Seizures 98

Seizures COPD Shock EMS 98

Taming the SRU

MARCH 17, 2023

mepivacaine (1-3 h) 1% lidocaine +/- epi (2-3h) 0.25% bupivacaine (2-3 h) 0.25-0.5% mepivacaine (1-3 h) 1% lidocaine +/- epi (2-3h) 0.25% bupivacaine (2-3 h) 0.25-0.5% mg/kg IV Versed: 0.2 mg/kg IM, 0.2 mg/kg IN (may repeat to max of 0.4 mg/kg IN), 0.2 mg/kg IV Versed: 0.2 mg/kg IM, 0.2 mg/kg IN (may repeat to max of 0.4 mg/kg IN), 0.2

Seizures 40

Seizures Fractures Burns Pediatrics 40

EMDocs

FEBRUARY 15, 2024

Physostigmine does not reverse seizures or dysrhythmias. 7,10 Contraindications include asthma, chronic obstructive pulmonary disease (COPD), genitourinary or gastrointestinal obstruction, or if there is suspected or confirmed tricyclic antidepressant (TCA) overdose. Physostigmine does not reverse seizures or dysrhythmias.

Hyperthermia / Hypothermia 89

Hyperthermia / Hypothermia Poisoning Seizures COPD 89

RebelEM

NOVEMBER 16, 2022

MetHb < 25% with symptoms Abnormal vital signs Metabolic acidosis End organ dysfunction (i.e.

Seizures 52

Seizures Administration Airway Management COPD 52

PulmCCM

OCTOBER 23, 2023

Cefepime crosses the blood-brain barrier, and dozens of case reports have associated the drug with seizures, encephalopathy, delirium, and coma, with a possibly increased incidence of neurologic adverse effects among patients with renal failure or sepsis.

Hospitals 98

Hospitals Emergency Department COPD CDC 98

Sensible Medicine

JUNE 30, 2023

By the time she died, this management had included intravenous fluids, pain medications, antiemetics, and seizure medications. He had COPD and depended on home oxygen. I managed her evaluation and her care while she remained an outpatient. At the time, I believed that unnecessary hospitalizations were an anathema.

Hospitals 82

Hospitals Hospice Resuscitation COPD 82