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emDOCs Podcast – Episode 115: Adult Meningitis

EMDocs

Neurologic deficits, seizures, cognitive issues, hearing loss. Bacterial Meningitis Mimics: Other flu-like illnesses: COVID, influenza, toxic shock syndrome, myocarditis, endocarditis, spinal epidural abscess, pneumonia. Toxicity: Carbon monoxide poisoning Time Course: Typically, a rapidly progressing disease process.

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Imported Malaria

Pediatric EM Morsels

ovale to cover the hypnozoite that can stay dormant in the liver and cause a secondary infection in the future Severe Malaria IV artesunate is currently the accepted first line treatment Previously IV quinine was first line, however it was associated with higher incidence of hypoglycemia, cardiac dysrhythmias, seizures, and comas.

Seizures 281
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AHA/NCS Statement on Critical Care Management of Post ROSC Patients

EMDocs

Systems included neurological, cardiac, pulmonary, hematology, infectious disease, gastrointestinal, endocrine, fluids management, and general critical care. EEG Monitoring and Seizures Statements Takeaway: If possible, obtain an EEG to evaluate for seizure activity. Treat seizures if present.

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EM@3AM: ESBL-Producing Organisms and Their Management

EMDocs

Pressors where indicated for septic shock (typically Norepinephrine starting at 0.05 Imipenem confers highest risk of seizures ESBL-E are often hospital acquired infections and can prolong hospital stay or lead to worse outcomes. Consider Infectious Disease consultation prior to any potential discharges.

EMS 93
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Leucodepletion in Bordetella Pertussis

Don't Forget the Bubbles

Infants usually present in a non-specific manner, following an apnoea, cough, cyanosis, or seizure so a high index of suspicion is required in this age group. The Pediatric Infectious Disease Journal 37(3):p 202-205, March 2018. Impact of rapid leukodepletion on the outcome of severe clinical pertussis in young infants.

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Malaria

Mind The Bleep

References TravelHealthPro [link] BMJ Best Practice [link] UK national guidelines: [link] Written by: Dr Hermaleigh Townsley – IMT2 Infectious Diseases Reviewed by: Dr Hugh Adler ID/MM – SpR

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ED care of refugee populations from sub-Saharan Africa

EMDocs

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. 10 This burden of infectious disease is markedly higher than for the general population.