Leadership Seizures Shock 
ACEP Now
JUNE 14, 2024
And the Board approved a new clinical policy, “Critical Issues in the Management of Adult Patients Presenting to the ED with Seizures,” rescinding the 2014 clinical policy with same title.
Pediatric Emergency Playbook
APRIL 1, 2016
There are two main reasons for an elevated lactate: the stress state and the shock state. The shock state is due to tissue hypoxia, seen in septic shock. We should use lactate to detect occult shock. Children compensate so well for shock, that subtle tissue hypoxia may not be detected until later.
EMDocs
NOVEMBER 13, 2023
However, IgE-mediated or not, anaphylactic shock is possible in either case. In EDs where leadership has not taken care to recognize its potential for creating a bottleneck effect, the CTA can cause substantial delays. CTA head/neck is absolutely indicated if suspicion is high for this condition.
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