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Gelastic Seizures: No Laughing Matter

Pediatric EM Morsels

We encounter seizures commonly in the Emergency Department. From the simple febrile seizure to the complex seizure, we know how to stabilize and how to evaluate. Being comfortable evaluating and managing pediatric seizures also requires a lot of humility. Vitamin B6 Deficiency ).

Seizures 258
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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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Choosing Wisely – Investigations for seizures that have returned to baseline

Don't Forget the Bubbles

Do not order laboratory testing or a CT scan of the head for a patient with an unprovoked, generalized seizure or a simple febrile seizure who has returned to baseline mental status. The parents of 18-month-old Susie brought her to the Emergency Department after she had a seizure at home.

Seizures 131
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The Current Status of Continuous-Seizure Management

ACEP Now

35-year-old man presents by EMS with seizures. According to family at the scene, he has a history of seizures but has not been taking his medication recently. On arrival, he is obtunded, foaming at the mouth, and exhibiting generalized tonic-clonic seizure activity. Clinical Question » How should status epilepticus be diagnosed?

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Best Evidence Topic report: Is a CT head required for patients who present to the emergency department with a first seizure?

Emergency Medicine Journal

A short systematic review was undertaken to assess whether adult patients presenting to the ED with a first seizure require a CT head scan to rule out emergent intracranial pathology. We believe that this NNS is sufficiently low to justify the routine use of neuroimaging for these patients in emergency care.

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You don’t need labs or CT scans in children who have recovered after a simple febrile or first time seizure

PEMBlog

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.

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Medical Music Mondays: Seize the Moment

PEMBlog

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?