Taming the SRU

FEBRUARY 5, 2024

1) However, it wasn’t until the 1890s that purposeful, successful, and safe attempts to access this fluid were documented (2). 2018) Epidemiology of lumbar punctures in hospitalized patients in the United States. As may be seen in the table below, there are several themes as well a range of stringency. PLOS ONE 13(12): e0208622.

Infectious Diseases 97

Infectious Diseases Seizures Ultrasounds Sepsis 97

Pediatric Emergency Playbook

APRIL 1, 2016

S – seizure or shock – most commonly septic, but can be any type: cardiogenic, bstructive, hypovolemic, distributive. for the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents. Difficult to interpret lactates when a patient is on an epinephrine drip. Am J Cardiol. 2012;110:284 –289.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

Dr. Smith's ECG Blog

SEPTEMBER 2, 2024

Her husband called EMS when the patient experienced new onset seizures accompanied by micturition. However, cardiac syncope is always a differential diagnosis when someone presents with first time seizures. There are a number of things to look for in an ECG that can hint at arrhythmia as the cause of an apparent seizure.

Seizures 113

Seizures EKG/ECG EMS Stroke 113

EMDocs

MAY 9, 2024

The triage nurse records the event as a “seizure” lasting 7 minutes. Exam documents that he is alert and oriented but “tired appearing” and “not appearing post-ictal.” ” Sixteen hours later the patient returns comatose after a grand mal seizure at home. VS are normal with a temp of 97.3. GCS is now 3.

Seizures 105

Seizures Dehydration Documentation/Coding Infectious Diseases 105

PulmCCM

JANUARY 29, 2024

Read the document for all the details (it’s not long). A randomized trial showed improvement in ROSC with 20 IU vasopressin + 40 mg methylprednisolone after the first dose of epinephrine for in-hospital arrests, without any survival or neurologic benefit seen. PulmCCM is not affiliated with the American Heart Association.

Seizures 115

Seizures CPR Documentation/Coding Hyperthermia / Hypothermia 115

ACEP Now

OCTOBER 3, 2023

This document is an update of guidelines first published in 2000, and then updated in 2007. 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.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

Sensible Medicine

JUNE 30, 2023

Patients present with troublesome symptoms that they “just want checked out before the weekend” and I’m left either worrying about them all weekend or admitting them to the hospital where I know little will happen for the next two days. She did not require hospitalization. It was not exertional.

Hospitals 98

Hospitals Hospice Resuscitation COPD 98

Don't Forget the Bubbles

JULY 26, 2023

Some families have unexplained deaths during sporting events, an unusual number of car accidents, seizures in someone without a formal diagnosis of epilepsy. This has been trialled (out of hospital) in known children with SVT. On arrival at hospital the child was well with normal observations.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Downeast Emergency Medicine

APRIL 26, 2021

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.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

ACEP Now

APRIL 2, 2024

1 In severe cases altered mental status, seizures, coma, or even death have been observed. 4 The association between ackee ingestion and the illness was initially recognized in 1875 and officially documented in 1904. Similarly, death is more prevalent in children with Toxic Hypoglycemic Syndrome compared to adults.

Poisoning 40

Poisoning Administration Documentation/Coding Urgent Care 40

EB Medicine

AUGUST 1, 2018

Nachi: Sometimes… Jeff: This month’s issue was authored by Mollie Williams, who is the EM residency program director at the Brooklyn Hospital Center. In fact, cannabis use has been documented for medical use dating as far back as 600 BC in West and Central Asia. Jeff: On that note, we should also touch on cannabis withdrawal.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

These include, but are not limited to the following: · Persons dying within 24 hours of admission to the hospital, or not medically attended by a physician within 24-hours of the time of death, unless the attending physician has established a natural cause of death. ·

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

EMDocs

JULY 3, 2023

4 Common symptoms of SAH on presentation include vomiting, neck stiffness, altered mental status or decreased level of consciousness, hemiparesis, and seizure-like activity. This neurological evaluation should include assessment and documentation of the GCS, the presence of any neurologic deficits, and an NIHSS.

Seizures 98

Seizures Stroke Outcomes EMS 98

Dr. Smith's ECG Blog

APRIL 8, 2015

First: Are you sure it was syncope, and not SEIZURE? Conversely , frequently syncope has a short episode of tonic-clonic activity that mimics seizure. Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful. Del Rosso A, et al.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Taming the SRU

SEPTEMBER 1, 2023

Lane & Mcdonough Definition of an immediate whole body CT (iWBCT) scan Shortly after patient arrival.

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

Taming the SRU

FEBRUARY 3, 2025

These can lead to a wide spectrum of emergent complications including but not limited to cardiac dysrhythmias, seizures, and acute renal failure. This can often become significant enough to precipitate dysrhythmias, seizures, and tetany (20). original document created by author of post. in females and 2.5-7.0

Fluid Resuscitation 56

Fluid Resuscitation Seizures Dehydration Emergency Department 56

Taming the SRU

JUNE 6, 2023

million presentation to ED’s throughout the US Usually occur due to falls Also commonly occur due to sports, MVC’s, etc.

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

Don't Forget the Bubbles

DECEMBER 9, 2024

These include CNS irritability (agitation, seizures, irritability), GI disturbance (nausea, vomiting, diarrhoea), and autonomic symptoms (increased heart rate, high blood pressure, sweating and fever). Georges hospital , London in pictorial format: What is the role of Alpha2-agonists in sedation, and how to wean them? doi:10.1164/rccm.202204-0795SO

Pediatrics 59

Pediatrics Sepsis Hospitals Administration 59

ACEP Now

OCTOBER 29, 2024

He underwent placement of a dual chamber, implantable, cardioverter-defibrillator (ICD) placement on hospital day 5. 3-6 Additional features include first-degree atrioventricular block, atrial arrhythmias, nocturnal agonal breathing, and seizures. Dr. Lacey is a pediatric cardiologist at Children’s National Hospital, Washington D.C.

Pediatrics 52

Pediatrics EKG/ECG Documentation/Coding Hospitals 52

Don't Forget the Bubbles

JULY 5, 2023

GPs and local hospitals should provide easy access to medication and vaccinations to ensure good compliance. At home, he has had 24 hours of alternating paracetamol and ibuprofen, but the pain was so unbearable that his parents came to hospital in the middle of the night. What medications would you give to control pain in hospital?

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

EMDocs

JANUARY 6, 2025

She presents with a seven-day history of fever, fatigue, and myalgias associated with decreased oral intake and an episode of seizure-like activity three hours prior to arrival. Additionally, there is no family history of seizure disorders. A review of systems is notable for nausea and vomiting but no diarrhea.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75