ACEP Now
JULY 7, 2024
35-year-old man presents by EMS with seizures. According to family at the scene, he has a history of seizures but has not been taking his medication recently. On arrival, he is obtunded, foaming at the mouth, and exhibiting generalized tonic-clonic seizure activity. Clinical Question » How should status epilepticus be diagnosed?
Mount Sinai EM
OCTOBER 5, 2023
dental extraction, tonsillectomy, general anesthesia (the case I saw had happened during endoscopy) Seizure Spontaneou s ex. Causes: Lateral dislocation Anterior dislocation Often due to trauma – direct blow Can break condylar neck w/ dislocation Lateral dislocations often w/ fracture Check for loose or missing teeth! Iatrogenic : ex.
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EMDocs
MARCH 2, 2024
Seizure as Early Presentation of a Pneumocephalus after Cochlear Implant: A Case Report. J The most common causes include trauma and cranial surgeries, but there are other etiological factors, and in rare cases, it can also be spontaneous. [1-3] 2022 Mar;18(2):253-255. Palacios-García JM, Vazquez-Becerra E, Ropero-Romero F. J Int Adv Otol. 2020
EMDocs
NOVEMBER 1, 2023
1 , 2 The most common non-iatrogenic cause is spontaneously due to increased intraesophageal pressure, Boerhaave syndrome, from forceful retching, coughing, straining, seizures, or even childbirth (15% of cases). upper endoscopy, transesophageal echo, etc.). upper endoscopy, transesophageal echo, etc.).
Dr. Smith's ECG Blog
JUNE 26, 2023
Most occurrences are associated with events such as sepsis, shock, recent infarction, post-operative state, electrolyte disturbance — or "sick patient". Seizure activity was witnessed at the scene — and head CT scan showed a small bleed. PEARL # 5: Accelerated junctional rhythms are not common in adults.
Dr. Smith's ECG Blog
MARCH 19, 2019
Think of : i ) Drugs ( many drugs prolong the QT interval — and combinations of drugs may result in marked prolongation ) ; ii ) “ Lytes ” ( ie, Think of low K+ — low Mg++ — and / or — low Ca++ ) ; and , iii ) a CNS Catastrophe ( ie, stroke, bleed, coma, seizure, trauma, brain tumor ).
Dr. Smith's ECG Blog
MARCH 2, 2019
Often more than one entity is operative as is likely in this case. That said, the fact that the rate was slightly faster in the Baseline ECG (ie, ECG #2 ) means that this factor was not operative in this case. Clinical correlation helps to sort this out. As per Dr. Smith the QTc was clearly prolonged in ECG #1.
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