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Seizure in a 30 something

Dr. Smith's ECG Blog

Her husband called EMS when the patient experienced new onset seizures accompanied by micturition. However, cardiac syncope is always a differential diagnosis when someone presents with first time seizures. There are a number of things to look for in an ECG that can hint at arrhythmia as the cause of an apparent seizure.

Seizures 114
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emDOCs Revamp: Alcohol Withdrawal

EMDocs

This series provides evidence-based updates to previous posts so you can stay current with what you need to know. fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold

Seizures 104
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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. Investigators found that 99.3%

Seizures 131
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Imported Malaria

Pediatric EM Morsels

This allowed US hospitals to stock the drug to ensure quick treatment of suspected severe cases, rather than having to ship it from the CDC under the prior expanded-access protocol (Thomas 2023). More specifically they have seen this trend continue to rise in the era of post-COVID travel (Choy 2022). vivax and P. malariae , and P.

Seizures 281
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ToxCard: Second Generation Antipsychotic Overdose

EMDocs

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. He was extubated on hospital day 2 and was able to be discharged to psychiatry on hospital day 5.

Poisoning 108
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Unpacking the PEACH Trial: What is Levetiracetam’s Role in Spontaneous Intracerebral Hemorrhage?

RebelEM

Levetiracetam is frequently used to prevent seizures in patients with conditions such as ICH, traumatic brain injury (TBI), supratentorial neurosurgery, and subarachnoid hemorrhage (SAH). About 30% of patients experience early seizures within seven days following the onset of a stroke ( Peter-Derex 2022 ). Article : Peter-Derex et al.

Seizures 123
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emDOCs Podcast – Episode 115: Adult Meningitis

EMDocs

Neurologic deficits, seizures, cognitive issues, hearing loss. Give acyclovir If there is concern for HSV encephalitis (focal neurologic deficits, seizures, markedly depressed mental status, or immunocompromise) The mortality rate for HSV encephalitis is up to 70%. HSV meningitis needs hospital admission. What about steroids?