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Morning Report on Febrile Seizures

PEMBlog

Recently, I had the opportunity to present a morning report to the residents and medical students at Cincinnati Children’s, focusing on the topic of febrile seizures. The session was highly engaging, with a lot of interest from the audience, as febrile seizures are a common but often frightening experience for families.

Seizures 105
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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. Exp Neurol. Read more

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REBEL Core Cast 109.0 – Na Channel Blocker Poisoning

RebelEM

REBEL Core Cast 109.0 – Na Channel Blocker Poisoning Click here for Direct Download of the Podcast Definition and Physiology Standard definition of a wide QRS is anything > 120 msec (3 small boxes on the ECG) In the context of poisoning, a “wide QRS” is anything greater than 100 milliseconds. Boehnert 1985 ). N Engl J Med.

Poisoning 105
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REBEL Core Cast 126.0 – Peds Hem Onc Emergencies

RebelEM

Red flags in patients with headaches that may suggest a brain tumor include signs of increased intracranial pressure, focal neurological signs, seizures or ataxia. REBEL Core Cast 126.0 – Peds Hem Onc Emergencies Click here for Direct Download of the Podcast. Post Peer Reviewed By: Salim R.

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

Other considerations in significant TBI would be the temporary use of anti-epileptic drugs as prophylaxis to prevent early post-traumatic seizures to aid neuroprotection; the most commonly used would be levetiracetam. Disability – Altered mentation, seizure, stroke symptoms, severe headache, neurological deficit, visual symptoms.

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Choosing Wisely – Investigations for Paediatric Patients presenting with Psychiatric Symptoms

Don't Forget the Bubbles

The stepwise approach was guided by vital signs, presence of seizures or focal neurology, presence of trauma (including attempted hanging or cutting), overdoses and substance misuse, level of consciousness, medical complaints, history of alleged sexual assault/rape, and developmental delay.

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REBEL Core Cast 90.0 – Methemoglobinemia

RebelEM

The most common are dapsone and topical anesthetic agents (i.e. MetHb < 25% with symptoms Abnormal vital signs Metabolic acidosis End organ dysfunction (i.e.