Taming the SRU

MARCH 17, 2023

mepivacaine (1-3 h) 1% lidocaine +/- epi (2-3h) 0.25% bupivacaine (2-3 h) 0.25-0.5% mg/kg IV Versed: 0.2 mg/kg IM, 0.2 mg/kg IN (may repeat to max of 0.4 mg/kg IN), 0.2

Seizures 40

Seizures Fractures Burns Pediatrics 40

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

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

He is not on anticoagulation and there is no history of seizures. The CCHR only applies to those patients with minor head injury and is not applicable to non-traumatic cases, GCS less than 13, age less than 16 years, coumadin or bleeding disorder or obvious open skull fractures. There are no other external signs of trauma on your exam.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

Taming the SRU

MARCH 14, 2023

Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity. The seizure abated with rectal diazepam given by the squad. You notice a med-alert bracelet with the patient’s name and the word “SEIZURES.”

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Taming the SRU

FEBRUARY 5, 2024

Pay close attention to the head and cervical spine for evidence of injuries that necessitate imaging, such as midline spinal tenderness and/or signs of basilar skull fracture (Table 3). Admission should also be strongly considered in patients with a depressed GCS, post-traumatic seizure(s), or intractable symptoms [2].

Head Injuries 59

Head Injuries Emergency Department Seizures Pediatrics 59

Mind The Bleep

OCTOBER 17, 2024

A more detailed but voluntary reporting of medical care indicated (note only a quarter of rescues had this information gathered) that 32% were suspected lower limb fractures (the casualty can no longer mobilise hence the callout), and soft tissue injuries making up the rest of lower limb issues. What medical care can teams provide?

Soft Tissue Injuries 52

Soft Tissue Injuries Seizures Ambulance Services Teamwork 52

Advanced Emergency Nursing from AENJ

MAY 14, 2017

." Some epileptic seizures will be heralded by a loud inspiratory "cri du epilepsie" as the diaphragm contracts in spasm and by the strong negative pressure against a partially closed larynx (in the form of a Müller maneuver or "reverse Valsalva maneuver") similar to that made by a partially-obstructing laryngospasm.

Dislocations 40

Dislocations Emergency Nursing Seizures Fractures 40

ACEP Now

AUGUST 9, 2024

7 Depending on velocity of contact, this action can fracture the spike and leave foreign body fragments of the spine within the tissue. More severe systemic reactions like delirium, seizures, limb paralysis, blood pressure changes, respiratory distress, dysrhythmia, myocardial ischemia, and syncope are rare.

Poisoning 52

Poisoning Burns Seizures Fractures 52

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

All deaths involving hip fractures if the attending physician believes the fracture caused or contributed to the cause of death. If the fracture is to appear anywhere on the death certificate, the certificate must be completed by the Department of Medical Examiner-Coroner and not by the attending physician. ·

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Taming the SRU

FEBRUARY 22, 2023

HIV related renal disease HIV Associated Nephropathy (HIVAN) Form of FSGS Renal recovery can occur with ART Can occur prior to HIV seroconversion HIV Immune Complex Kidney Disease Less common than HIVAN Develops later in disease course Better prognosis Dermatologic Manigfestations of HIV HIV Associated Facial molluscum in an adult Proximal subungual (..)

Hospice 40

Hospice EKG/ECG Resuscitation Seizures 40

EMDocs

JULY 3, 2023

3 Common associated injuries may include skull fractures, intracerebral contusion, cervical spine injuries, and vascular injuries of the head and neck. 4 Common symptoms of SAH on presentation include vomiting, neck stiffness, altered mental status or decreased level of consciousness, hemiparesis, and seizure-like activity.

Seizures 98

Seizures Stroke Outcomes EMS 98

ACEP Now

MARCH 11, 2025

Musculoskeletal complications include osteopenia with increased risk for long bone fractures. Gastrointestinal complications include gastric perforation because of acute gastric dilatation impeding venous return leading to necrosis, esophageal rupture, pancreatitis, and superior mesenteric artery syndrome.

Emergency Department 52

Emergency Department Psychiatric Dehydration Pediatrics 52

Taming the SRU

SEPTEMBER 1, 2023

These were adult trauma patients with compromised vitals, clinical suspicion for life-threatening injuries, and/or presence of a severe injury Negative study for this primary outcome, but potentially an under-powered study Also, study involved mortality of all trauma patients, lumping together patients with polytrauma and those with TBI’s Secondary (..)

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

Dr. Smith's ECG Blog

JANUARY 21, 2023

The patient had a witnessed generalized tonic-clonic seizure leading to GCS 4. In the resuscitation room, the patient had another seizure that stopped after IV Lorazepam. CT head showed traumatic SAH and small SDH with a traumatic occipital fracture. Seizure activity was witnessed in the ED. Is this takotsubo?

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia EKG/ECG Seizures Fractures 52

EMDocs

NOVEMBER 4, 2024

Costochondritis, rib fractures, and pericarditis are common causes of chest pain that can be treated with multimodal regimens. 7 Rib and Sternal Fractures: Rib fractures are often caused by blunt chest trauma. Up to two-thirds of rib fractures are missed on initial chest radiographs. Most cases abate by one year.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

EMDocs

NOVEMBER 13, 2023

23 Blunt carotid injury is more likely in patients with at least one of the following: Glasgow Coma Scale (GCS) ≤ 6, fracture of petrous bone, presence of diffuse axonal brain injury, and LeFort II/III fractures. 23 BCVI should be suspected with any high-energy trauma or any fractures of the maxilla or mandible. 24) Kelts, G.;

Stroke 103

Stroke Radiology Radiology Emergency Department 103

Taming the SRU

AUGUST 25, 2023

doxycycline Consider a splint/cast window to allow direct monitoring mainly used for fracture blisters and/or open wounds yet takes away from the strength of the splint/cast Case #3 43yo with FOOSH injury and closed wrist deformity, yet no x-ray machine is available to you Least likely injuries to need an x-ray in a resource-limiting setting?

Seizures 75

Seizures Fractures EKG/ECG Resuscitation 75

Taming the SRU

JUNE 6, 2023

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