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Morning Report on Febrile Seizures

PEMBlog

AUGUST 9, 2024

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

Seizures Emergency Department

Febrile Seizures

Don't Forget the Bubbles

AUGUST 13, 2023

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.

Seizures

Seizures Pediatrics Dehydration Radiology

REBEL Core Cast 126.0 – Peds Hem Onc Emergencies

RebelEM

JULY 10, 2024

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.

Seizures

Seizures Administration EMS Wellness

REBEL Core Cast 105.0 – Methylxanthine Toxicity

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. Exp Neurol. Read more

Seizures

Seizures COPD Shock EMS

REBEL Core Cast 109.0 – Na Channel Blocker Poisoning

RebelEM

SEPTEMBER 27, 2023

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

Poisoning Seizures Administration EKG/ECG

REBEL Core Cast 90.0 – Methemoglobinemia

RebelEM

NOVEMBER 16, 2022

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.

Seizures

Seizures Administration Airway Management COPD

REBEL Core Cast 87.0 – Hypercalcemia

RebelEM

OCTOBER 5, 2022

mg/dL 10.5 – 12.0 mg/dL 10.5 – 12.0

Dehydration

Dehydration Psychiatric Administration EKG/ECG

Journal Club - Tranexamic Acid in Trauma

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

Head Injuries Administration Outcomes Seizures

"The crowner hath sat on her and finds it Christian burial." [Hamlet]

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

This includes subdural hematomas, comas, paraplegia, quadriplegia, fractures and seizure disorders, regardless of the time interval between the injury and death. . · All deaths in which an injury or an accident is the cause or a contributing cause regardless of how distant or remote in time or place the accident or injury may have occurred.

Documentation/Coding

Documentation/Coding Forensics CDC Fractures

Choosing Wisely – Investigations for Paediatric Patients presenting with Psychiatric Symptoms

Don't Forget the Bubbles

SEPTEMBER 6, 2023

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.

Psychiatric

Psychiatric Sexual Assault Emergency Department Pediatrics

Cardiac Rhythms/ECG Module

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. Please download our Facilitator and Learner guides The post Cardiac Rhythms/ECG Module appeared first on Don't Forget the Bubbles.

EKG/ECG

EKG/ECG Hospitals Shock Documentation/Coding

PEM Currents – Agitation in Children – Episode 4: Safe prehospital transport

EMDocs

JUNE 9, 2023

Podcast: Play in new window | Download (Duration: 15:51 — 21.8MB) Subscribe: Apple Podcasts | Google Podcasts | RSS Safe prehospital transport of the agitated child In episode 1 of this series, we discussed differentiating organic vs psychiatric causes of agitation in children.

EMS

EMS Documentation/Coding Pediatrics Psychiatric

Grand Rounds Recap 4.26.23

Taming the SRU

MAY 30, 2023

The AirRx app contains information regarding common medications and equipment available, top diagnoses, medicolegal information and more, and is available to download for free. Some airlines may carry more than what is required.

OB/GYN

OB/GYN Ultrasounds Pediatrics Resuscitation

Sickle Cell Disease Module

Don't Forget the Bubbles

JULY 5, 2023

Do not use pethidine since it can cause seizures and CNS hyperexcitability. Websites [link] [link] [link] [link] Please download our Facilitator and Learner guides The post Sickle Cell Disease Module appeared first on Don't Forget the Bubbles. Alternatives to morphine are hydromorphone or fentanyl. 2019, 3 rd edition.

Blood Transfusions

Blood Transfusions Stroke Dehydration Sepsis

Emergency Care Today

Morning Report on Febrile Seizures

Febrile Seizures

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REBEL Core Cast 126.0 – Peds Hem Onc Emergencies

REBEL Core Cast 105.0 – Methylxanthine Toxicity

REBEL Core Cast 109.0 – Na Channel Blocker Poisoning

REBEL Core Cast 90.0 – Methemoglobinemia

REBEL Core Cast 87.0 – Hypercalcemia

Journal Club - Tranexamic Acid in Trauma

"The crowner hath sat on her and finds it Christian burial." [Hamlet]

Choosing Wisely – Investigations for Paediatric Patients presenting with Psychiatric Symptoms

Cardiac Rhythms/ECG Module

PEM Currents – Agitation in Children – Episode 4: Safe prehospital transport

Grand Rounds Recap 4.26.23

Sickle Cell Disease Module

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