EMDocs

DECEMBER 18, 2024

A 36-year-old male presents to the emergency department after being found down at home by his spouse. This series provides evidence-based updates to previous posts so you can stay current with what you need to know. Per the mans wife, the patient is a heavy drinker often consuming two to three pints of vodka daily.

Seizures 73

Seizures Emergency Department Hyperthermia / Hypothermia EMS 73

Pediatric EM Morsels

AUGUST 9, 2024

Neonates presenting to the Emergency Department often cause a lot of uncertainty. Let’s review how Congenital Syphilis may present to our Emergency Departments: Congenital Syphilis : Basics Occurs when the spirochete Treponema pallidum is transmitted from mother to fetus. Is this scalp swelling normal?

Hyperthermia / Hypothermia 152

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 152

EB Medicine

MARCH 7, 2022

Episode 67 – Managing Postpartum Complications in the Emergency Department – An Interview with Dr. Nicole Yuzuk, Dr. Joseph Bove, and Dr. Riddhi Desai EMplify – March 2022 Interview with the Authors: Nicole Yuzuk, DO, Joseph Bove, DO, and Riddhi Desai, DO Episode Outline: 1.Why Why is this an important topic in EM?

Emergency Department 52

Emergency Department Seizures EMS EKG/ECG 52

PEMBlog

SEPTEMBER 13, 2023

Team members and families eagerly await your intervention to halt the seizure and understand its underlying cause. The lack of utility of laboratory testing in children with an unprovoked generalized seizure, or a simple febrile seizure is supported by several observational studies.

Seizures 52

Seizures Pediatrics Point-of-Care Testing Wellness 52

Taming the SRU

DECEMBER 17, 2024

Fluid management in the Emergency Department (ED) is crucial in the adequate resuscitation of the acutely ill and decompensating patient. sodium chloride therapy does not reduce length of stay of alcoholintoxicated patients in the emergency department: A randomised controlled trial. Emerg Med Australas 2013;25(6):52734.

Dehydration 82

Dehydration Fluid Resuscitation Administration Resuscitation 82

Taming the SRU

MARCH 30, 2024

Visiting lecturer: structural leadership - taming the sru - r4 sim and oral boards “Innovation Meets the Bedside: The Evolution of New Models of Emergency Care Delivery” WITH dr. ben bassin “What problem are you trying to solve?”

Hyperthermia / Hypothermia 93

Hyperthermia / Hypothermia Leadership Emergency Department Seizures 93

EMDocs

MAY 25, 2023

Design: Multi-centered, double-blinded, randomized trial PICO: Population: Inclusion Criteria: Age 2 years and older Must have been treated with a specified minimum dose of certain benzodiazepines for generalized convulsive seizures: Intravenous or rectal diazepam 0.3 mg/kg or 10 mg Intravenous lorazepam 0.1

Seizures 64

Seizures Administration Anaphylaxis Outcomes 64

PEMBlog

JULY 8, 2024

If you could remember the rockin’ drug sequence to for anti epileptics in the Emergency Department that would be totally awesome! Lyrics [Chorus] Benzo, Benzo, second line Seizures stop in record time! Wait, there’s a hair metal song with lyrics to that effect?

Seizures 52

Seizures Emergency Department 52

EMDocs

SEPTEMBER 19, 2023

Episode 86: Tricky Cases Part 2 Case 3: 56-year-old female with history of seizures, actively seizing, EMS called. On ED arrival GCS is 3, there are rapid eye movements to the right but no other apparent seizure activity. Check glucose, obtain imaging, stop the seizure. They administer two doses of 10 mg midazolam IM.

Seizures 73

Seizures Documentation/Coding EKG/ECG Emergency Department 73

The Skeptics' Guide to EM

MAY 25, 2024

Guidelines for Reasonable and Appropriate Care in the Emergency Department (GRACE-4): Alcohol use disorder and cannabinoid hyperemesis syndrome management in the emergency department. Reference: Borgundvaag et al. When we combine SGEMHOP with an SGEM Xtra I hope we get some…AMAZING knowledge translation for GRACE4.

Emergency Department 76

Emergency Department Best Practices Seizures Research 76

Taming the SRU

FEBRUARY 5, 2024

The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3). WHO - Who Needs an LP in the ED? Patients with concern for infection (i.e., As may be seen in the table below, there are several themes as well a range of stringency.

Infectious Diseases 96

Infectious Diseases Seizures Ultrasounds Sepsis 96

JournalFeed

OCTOBER 12, 2024

Tuesday Spoon Feed : ACEP released a clinical policy that addresses the choice of a second-line agent for adults with refractory seizures after adequate dosing of benzodiazepines. Friday Spoon Feed : Cavernous sinus thrombosis (CST) is a rare but serious thrombophlebitic disease that can be easy to miss in the emergency department setting.

Seizures 52

Seizures Emergency Department Wellness 52

Don't Forget the Bubbles

AUGUST 12, 2024

What neuroprotective measures can we undertake in the emergency department? Neuroprotective measures are undertaken in the emergency department and PICU to optimise intracerebral conditions, minimise secondary brain injury, and create optimal tissue healing conditions. Do we need seizure prophylaxis?

Seizures 75

Seizures Pediatrics Emergency Department Ambulance Services 75

EB Medicine

JUNE 1, 2021

EMplify - June 2021 Announcements: The Clinical Decision Making in the Emergency Department conference is June 23-27 live and virtual. Cardiac Differentiating syncope from seizure Features that point to seizure Urinary incontinence Number of jerks Age? Etiology: figure 1 is fantastic. What do paramedics see? Any trauma?

Seizures 52

Seizures Emergency Department EKG/ECG Hospitals 52

EMDocs

NOVEMBER 19, 2024

1 Seizures may occur due to lowered seizure threshold. 6 Seizures have been observed and are dose-dependent. 1 Benzodiazepines are preferred as the first line of treatment for agitation or seizures. His roommate found an empty pill bottle on the floor next to him. 8 Hypersalivation can occur.

Poisoning 91

Poisoning Hyperthermia / Hypothermia EKG/ECG Seizures 91

ALiEM

JUNE 1, 2023

Are you using phenobarbital instead of benzodiazepines as the first-line monotherapy for patients in alcohol withdrawal in the Emergency Department (ED)? The Journal of Emergency Medicine. Management of Alcohol Withdrawal in the Emergency Department: Current Perspectives. Open Access Emerg Med. 2012.07.056.

Administration 98

Administration Emergency Department Seizures Hospitals 98

Taming the SRU

FEBRUARY 5, 2024

Traumatic brain injury (TBI) accounts for millions of Emergency Department visits annually. While moderate and severe TBI is often managed on an inpatient basis, patients presenting with mild TBI, or concussion, are often managed solely by Emergency physicians. Acetaminophen, NSAIDs, and antiemetics are all reasonable choices.

Head Injuries 59

Head Injuries Emergency Department Seizures Pediatrics 59

Dr. Smith's ECG Blog

OCTOBER 25, 2023

A man in his 60s with a history of severe alcohol use disorder and epidural abscess on long-term ciprofloxacin presented to the emergency department after an episode of syncope while standing in line at a grocery store. Written by Sean Trostel MD, peer reviewed by Meyers, Smith, Grauer, etc. He did not have chest pain.

EKG/ECG 118

EKG/ECG Seizures Hospitals Stroke 118

EMDocs

JUNE 7, 2023

Used for treatment of acutely symptomatic anxiety, muscle fasciculations, and seizures. Case Follow-up: The patient required benzodiazepine administration for seizure management and subsequent intubation for airway protection. Parenteral organophosphorus poisoning in a rural emergency department: a case report.

Poisoning 84

Poisoning Airway Management Seizures PPE 84

The Skeptics' Guide to EM

NOVEMBER 18, 2017

Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. Guest Skeptic: Jesse Spurr works as a Nurse Educator in the Emergency Department at Redcliffe Hospital in Australia. Case: You are working night shift in the emergency department.

Sepsis 52

Sepsis Emergency Department Seizures Pediatrics 52

Taming the SRU

SEPTEMBER 24, 2023

Statistically, 1/10 patients who present to the emergency department have hepatitis C, with an estimated 2.5-3.5 Patients with a history of seizures, supratentorial structural brain pathologies, post-arrest, or unexplained altered mental status should prompt suspicion for NCSE. and Kathleen Hildreth, Pharm.

Seizures 52

Seizures EKG/ECG Emergency Department Shock 52

EMDocs

FEBRUARY 15, 2024

8 However, it is not considered first line in treatment of anticholinergic toxicity and is not available in all emergency departments. Physostigmine does not reverse seizures or dysrhythmias. Physostigmine does not reverse seizures or dysrhythmias. 9 Physostigmine dosing: 0.5-2 mg; for children, can use 0.02

Hyperthermia / Hypothermia 91

Hyperthermia / Hypothermia Poisoning Seizures COPD 91

The Skeptics' Guide to EM

APRIL 10, 2021

He is a GP by training but works in Emergency Department, Anaesthesia, Internal Medicine and Paediatrics. He has a wonderful #FOAMed blog and podcast called Broomedocs and also work […] The post SGEM#326: The SALSA Study: Hypertonic Saline to Treat Hyponatremia first appeared on The Skeptics Guide to Emergency Medicine.

Seizures 52

Seizures Emergency Department 52

EMDocs

DECEMBER 6, 2024

Characterized by hypovolemia, vasodilation, reduced cardiac output, hyperventilation, elevated temperature, seizure, coma, and cardiovascular collapse. Consider intubation for patients with airway compromise, respiratory failure, altered mental status, or seizure. 5 Seizure: IV benzodiazepine first line, barbiturates as second line.

Poisoning 77

Poisoning Fluid Resuscitation Seizures Resuscitation 77

EMDocs

JANUARY 17, 2024

She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). Benzodiazepines are first-line therapy for seizures. She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). 11) A bolus dose at 1.5

Poisoning 68

Poisoning Seizures Pediatrics EMS 68

EMergucate

MAY 22, 2023

An alcoholic man presented to the emergency department after suffering from a seizure. His venous blood gases showed the following: … Continue reading →

Seizures 40

Seizures Emergency Department 40

EMDocs

AUGUST 22, 2023

Capnography in the Emergency Department: A Review of Uses, Waveforms, and Limitations. J Emerg Med. Capnography for the nonintubated patient in the emergency setting. Ann Emerg Med. Predictive value of capnography for suspected diabetic ketoacidosis in the emergency department. West J Emerg Med.

Emergency Department 69

Emergency Department Blood Transfusions Resuscitation Sepsis 69

Taming the SRU

MARCH 14, 2023

Case 1 Fussy 1 month old A 1-month-old (ex-34 week premature) infant comes to your emergency department for fussiness. Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity. More on this below as we work through a few cases….

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

EMergucate

JULY 11, 2022

53 years old type I diabetic lady was brought to the emergency department with tiredness, Blood gases were taken in ED. While awaiting the results of these gases the patient had a seizure. The bloo…

Seizures 40

Seizures Emergency Department 40

EMDocs

JUNE 14, 2023

Used for treatment of acutely symptomatic anxiety, muscle fasciculations, and seizures. Parenteral organophosphorus poisoning in a rural emergency department: a case report. He has been having difficulty walking and is having trouble manipulating tools he uses for work with his hands. link] Updated September 14, 2020.

PPE 71

PPE Poisoning Seizures Emergency Department 71

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

She is interested in social determinants of health in the emergency department and health policy. Dr. Ian Holley is also a PGY-3 resident in Emergency Medicine at Washington University School of Medicine in St. He is interested in ultrasound and international emergency medicine.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

PEMBlog

MARCH 27, 2024

This episode will help you better prepare for and manage children with inborn errors of metabolism in the Emergency Department. Transcript Note: This transcript was partially completed with the use of the Descript AI Welcome to PEM Currents, the Pediatric Emergency Medicine Podcast. But now I’m going to pass the mic.

Pediatrics 59

Pediatrics Seizures Emergency Department Sepsis 59

The Skeptics' Guide to EM

DECEMBER 16, 2017

He is also a Faculty member of the Emergency Medicine and Acute Care Series 1986 to present. Case: Johnny is a 22-year-old male patient who presents to the emergency department via EMS with a seizure. It was a witnessed clonic-tonic seizure that stopped but he did not wake up.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Seizures Hospitals Stroke 40

Taming the SRU

JANUARY 12, 2024

r4 case follow up - r1 clinical knowledge: interstitial lung disease - halo - pediatric simulation - pediatric small groups r4 case follow up WITH dr. yates Psychiatric emergency department visits are on the rise in the United States, with roughly 15-19% of all ED visits associated with mental health diagnoses Roughly twenty percent of patients presenting (..)

Fluid Resuscitation 59

Fluid Resuscitation Pediatrics Sepsis Shock 59

EMDocs

JUNE 9, 2023

If pharmacologic or physical restraints are used, it is very helpful to notify the receiving emergency department prior to arrival so they can be prepared. NASEMSO: Clinical care and restraint of agitated or combative patients by emergency medical service practitioners.

EMS 78

EMS Documentation/Coding Pediatrics Psychiatric 78

Taming the SRU

MAY 1, 2023

A retrospective evaluation of phenobarbital versus benzodiazepines for the treatment of alcohol withdrawal in a regional Canadian emergency department Link: [link] Bottom Line: This study in a small regional ED showed a QI project rolling out a Phenobarbital or Diazepam for Alchohol withdrawal syndrome. and NPV(50%).

Poisoning 52

Poisoning Hyperthermia / Hypothermia Emergency Department Seizures 52

PEMBlog

SEPTEMBER 6, 2023

In fact, some Emergency Departments note that as many as one tenth of their patient volume is mental health. Medical clearance’ of patients with acute mental health needs in the emergency department: a literature review and practice recommendations. Ann Emerg Med. Ann Emerg Med. Health Aff (Millwood).

Psychiatric 52

Psychiatric Pediatrics Emergency Department EKG/ECG 52