EMDocs

JANUARY 17, 2024

When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. When emergency medical services (EMS) arrived, she was in asystole with an empty, recently full, bottle of benzonatate 100 mg capsules. Benzodiazepines are first-line therapy for seizures.

Poisoning 92

Poisoning Seizures Pediatrics EMS 92

Taming the SRU

MARCH 30, 2024

Emergency Critical Care Center (EC3) at the University of Michigan: Dedicated critical care unit within the emergency department that was created to improve access to timely, high-quality critical care after identifying a gap in emergency care delivery for patients Reduced risk-adjusted 30 day mortality among all ED patients, lower ICU admission rates (..)

Hyperthermia / Hypothermia 95

Hyperthermia / Hypothermia Leadership Emergency Department Seizures 95

ACEP Now

OCTOBER 3, 2023

Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented. The guidelines also address issues related to EMS provider skill level, transportation modality, and destination for the patient.

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation Pediatrics 98

EMDocs

NOVEMBER 1, 2023

Authors: Katey DG Osborne, MD (EM Attending Physician; Tacoma, WA), Rachel Bridwell, MD (EM Attending Physician; Tacoma, WA) // Reviewed by: Alex Koyfman, MD (@EMHighAK, EM Attending Physician, UTSW / Parkland Memorial Hospital) and Brit Long, MD (@long_brit, EM Attending Physician, San Antonio, TX) Welcome to emDOCs revamp!

Operations 95

Operations Radiology Radiology Fluid Resuscitation 95

Cook County EM Blog

MAY 29, 2023

As resuscitation measures are underway, you obtain collateral from EMS and parents. Upon EMS arrival, the patient was in cardiac arrest. EMS shows you the prescription bottle with a handful of capsules remaining. Seizures should be treated with benzodiazepines. Early consultation with the poison center is prudent.

Seizures 52

Seizures Poisoning Resuscitation Administration 52

Emergency Medicine Cases

JULY 31, 2018

In anticipation of EM Cases Episode 113 Diagnosis an Workup of Pulmonary Embolism with Dr. Kerstin DeWit and Dr. Eddy Lang, we have Dr. Peter Reardon telling us his Best Case Ever (Coding in the Scanner) of a young woman who presents with a seizure followed by hemodynamic instability, who codes while in the CT scanner.

Documentation/Coding 52

Documentation/Coding Seizures EMS Resuscitation 52

EMDocs

JULY 30, 2024

Shortly after this, he began vomiting, and developed a tonic clonic seizure. There was no prodromal illness, recent trauma, polyuria or polydipsia, family history of seizure disorder or diabetes. Treat the DKA as you would with any other patient; insulin, appropriate fluid resuscitation, and electrolyte repletion.

Poisoning 75

Poisoning Seizures Fluid Resuscitation Pediatrics 75

The Skeptics' Guide to EM

DECEMBER 16, 2017

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. The paramedics report another seizure on route to the hospital. He then has another seizure in the department.

Hyperthermia / Hypothermia 40

Hyperthermia / Hypothermia Seizures Stroke Hospitals 40

EMDocs

JANUARY 29, 2024

Authors: Sameer Desai, MD (EM Attending Physician, University of Kentucky); Omar Abbas Ahmed Malik, MBBS (Patients’ Aid Foundation, Jinnah Postgraduate Medical Center) // Reviewed by: Jessica Pelletier, DO (EM Education Fellow, Washington University School of Medicine in St.

Stroke 101

Stroke Outcomes EMS Seizures 101

Emergency Medicine Cases

AUGUST 13, 2019

The post EM Quick Hits 7 Approach to Status Epilepticus, Codeine Interactions, Anticoagulation in Malignancy, Atrial Fibrillation Rate vs Rhythm Control, Peripheral Vasopressors, Motivational Interviewing appeared first on Emergency Medicine Cases.

EMS 52

EMS Seizures Resuscitation 52

Broome Docs

OCTOBER 31, 2022

PMID: 34904190 Not surprisingly, this paper has been covered by basically everyone who talks about research, so if you want to hear some other opinions, check out the SGEM , REBEL EM , or St. Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis. Lancet Neurol. 2022 Sep;21(9):781-791. doi: 10.1016/S1474-4422(22)00235-6.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Seizures Emergency Department 52

EMDocs

SEPTEMBER 25, 2023

Contraindicated seizures or porphyria. Personal take: While discussing this approach with many EM physicians whom we respect, one recurring critique was “We fought so hard to get the right to use paralytics in the ED, why would you want to go backwards.” Resuscitation 2013; 84(11): 1500 – 4. Minimal histamine release.

Emergency Department 93

Emergency Department Soft Tissue Injuries Airway Management Operations 93

Taming the SRU

FEBRUARY 23, 2024

Clinical pathologic case presentation - r1 diagnostics/therapeutics: Lumbar punctures - AIRWAY GROUND ROUNDS- r4 capstone - r3 taming the sru - ultrasound grand rounds Clinical pathologic case presentation WITH Drs.

Pediatrics 75

Pediatrics Ultrasounds Fractures Wellness 75

Taming the SRU

MAY 30, 2023

Smith Quick Facts regarding In-Flight Emergencies: 2.75 billion passengers annually 1 medical emergency per 604 flights Most common complaints: Syncope/presyncope: 37.4% Respiratory symptoms: 12.1% Nausea and vomiting: 9.5% Diversion occurs 7.3% of in-flight emergencies Deaths occurred 0.3% Smith Quick Facts regarding In-Flight Emergencies: 2.75

OB/GYN 52

OB/GYN Ultrasounds Pediatrics Resuscitation 52

Taming the SRU

MARCH 31, 2023

of emergency medicine residents report 1 or more dimensions of burnout (Lin Annals Emerg Med 2019) Moral Injury with COVID “We pushed aside our fear and frustration to focus on saving the patients in front of us; we kept our eyes open, and our feelings closed.

Allergic Reactions 40

Allergic Reactions Seizures Anaphylaxis Leadership 40

Emergency Medicine Cases

MAY 28, 2024

Please consider a donation to EM Cases to ensure ongoing Free Open Access here: [link] The post Ep 195 ED Management of Spontaneous Subarachnoid Hemorrhage appeared first on Emergency Medicine Cases. What are the simplest and best prognostic tools available for spontaneous subarachnoid hemorrhage to help counsel families and patients?

EMS 52

EMS Outcomes Seizures Resuscitation 52

Taming the SRU

FEBRUARY 22, 2023

EMS Grand Rounds with Dr. Connelly - R4 Case Follow up with Dr. Broadstock - R1 Clinical Knowledge: Vitamin Deficiencies WITH Dr. de Castro - Lecture R3 Small Groups Tox,Tasks,Rashes WITH Dr. Fabiano, Dr. Kein, and Dr. Martella4 - Palliative Medicine Consultation WITH Dr. Kiser EMS Grand Rounds WITH Dr. ConnelLy What I learned in my time with Sydney (..)

Hospice 40

Hospice EKG/ECG Resuscitation Seizures 40

EMDocs

DECEMBER 16, 2023

We’ll keep it short, while you keep that EM brain sharp. A 34-year-old male is brought via EMS after collapsing during an outdoor adventure race. EMS reports the patient was conscious but altered, with slurred speech and confusion. As you attempt to examine the patient, he has a generalized, tonic-clonic seizure.

Hyperthermia / Hypothermia 96

Hyperthermia / Hypothermia EMS Stroke Seizures 96

EMDocs

OCTOBER 5, 2024

We’ll keep it short, while you keep that EM brain sharp. Management 9-12 Patients such receive standard resuscitation care including: Antipyretics such as Tylenol (650-1000 mg PO), Ibuprofen (600 mg PO), or Toradol (15mg IV). IV fluid resuscitation as needed. Instead, non-susceptibility to Ceftriaxone is often used as a proxy.

EMS 98

EMS Infectious Diseases Sepsis Hospitals 98

Critical Care Now

JUNE 21, 2022

Reading Time: 3 minutes Mohamed Hagahmed, MD, EMT-P Mohamed is an Emergency Medicine Physician and EMS director. His main areas of interest are Critical Care, Ultrasound, Prehospital Resuscitation, and Medical Education. His coach and fellow players witnessed a seizure-like activity immediately after collapsing.

Seizures 52

Seizures EKG/ECG CPR Shock 52

Emergency Medicine Cases

DECEMBER 17, 2019

There’s a reason it’s the very first domino to fall in the dreaded sequence “seizure, coma, death”. Sure, most seizures self-abort or love an IV dose of lorazepam, but ask anyone who’s been down the propofol route, and they’re not likely to have forgotten the time they stared down a patient who just.would.not.stop.

Seizures 52

Seizures Resuscitation EMS 52

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. Millions are poisoned, and hundreds of thousands die each year worldwide. 7 May lead to respiratory failure.

Poisoning 98

Poisoning Airway Management Seizures PPE 98

Dr. Smith's ECG Blog

JANUARY 21, 2023

Evelyn Dell, with edits from Jesse McLaren EMS brought a John Doe, in his 30s, who was found in an urban forest near a homeless encampment on a cool fall day. EMS reported an initial GCS of 8 with pupils equal and reactive. The patient had a witnessed generalized tonic-clonic seizure leading to GCS 4. Is this takotsubo?

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Seizures Fractures 52

EMDocs

JULY 19, 2023

Further, organic mercury readily crosses the placenta where it acts as a teratogen leading to a wide range of birth defects including developmental delay, blindness, seizures, and limb malformation. 8 As always, remember to correct electrolyte abnormalities and provide fluid resuscitation as indicated.

Poisoning 94

Poisoning Fluid Resuscitation Administration Seizures 94

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9, HAJDU Mild TBI’s & Concussions in the Emergency Department TBI’s are relatively common >3 million TBI’s in the US annually 2.5

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

Pediatric EM Morsels

MARCH 7, 2025

Military Application of Tranexamic Acid in TraumaEmergency Resuscitation (MATTERs) Study. 2022.01.069 The post TXA (Tranexamic Acid) in Pediatrics appeared first on Pediatric EM Morsels. of IV form TXA [O’Neill 2020] Inexpensive ! 2011 Mar26;377(9771):1096-101, 1101.e1-2. 2012 Feb;147(2):113-9. Am J Emerg Med. 2022;55:103-110.

Pediatrics 231

Pediatrics Blood Transfusions Anaphylaxis Military 231

Dr. Smith's ECG Blog

FEBRUARY 20, 2025

Resuscitated with chest compressions, epinephrine. Resuscitation was begun with chest compressions, etc., Moreover, when someone has immediate resuscitation of an arrest witnessed by paramedics, they rarely have a GCS of 3 (deep coma). Not a shockable rhythm. A 12-lead was recorded, showing "STEMI," but is unavailable.

EKG/ECG 89

EKG/ECG Resuscitation EMS Seizures 89

EMDocs

MARCH 11, 2024

Authors: Gaston Omba, MD (EM Resident Physician, Makerere University); Jessica Pelletier, DO (EM Education Fellow, Washington University in St. Rehydration therapy for patients with cholera should include volume resuscitation and electrolyte repletion. Among children, hypoglycemia is common and can lead to seizures.

Dehydration 111

Dehydration CDC Rapid Diagnostic Testing Fluid Resuscitation 111

ACEP Now

OCTOBER 29, 2024

EMS found the patient pulseless and apneic, with an initial rhythm showing ventricular fibrillation (see figure 1). Figure 1: The EMS rhythm strip. 3-6 Additional features include first-degree atrioventricular block, atrial arrhythmias, nocturnal agonal breathing, and seizures. Click to enlarge.) Figures 4: A.

Pediatrics 52

Pediatrics EKG/ECG Documentation/Coding Hospitals 52

EMDocs

JANUARY 6, 2025

She presents with a seven-day history of fever, fatigue, and myalgias associated with decreased oral intake and an episode of seizure-like activity three hours prior to arrival. Additionally, there is no family history of seizure disorders. A review of systems is notable for nausea and vomiting but no diarrhea.

Infectious Diseases 75

Infectious Diseases CDC PPE Rapid Diagnostic Testing 75