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REBEL Core Cast 105.0 – Methylxanthine Toxicity

RebelEM

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.

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A first seizure episode

Emergency Medicine Journal

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.

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ToxCard: Anticholinergic Plant Toxicity

EMDocs

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.

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REBEL Core Cast 90.0 – Methemoglobinemia

RebelEM

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

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Grand Rounds Recap 3.8.23

Taming the SRU

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

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Friday Reflection 24: I Would Rather Go Back in Time

Sensible Medicine

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.

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The Latest in Critical Care, 10/23/23 (Issue #17)

PulmCCM

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.