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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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Febrile Seizures

Don't Forget the Bubbles

Most febrile seizures are generalized tonic clonic seizures, lasting for a few minutes (less than 10 mins) and are conventionally classified as being simple (70%) and complex (30%). Simple febrile seizures are generalized (i.e. Any febrile seizure lasting for > 30 mins is considered febrile status epilepticus.

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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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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.

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REBEL Core Cast 87.0 – Hypercalcemia

RebelEM

mg/dL 10.5 – 12.0 mg/dL 10.5 – 12.0