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.

EKG/ECG 97

EKG/ECG Seizures Sepsis Operations 97

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.” His abdomen is soft.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

Mind The Bleep

OCTOBER 17, 2024

Scottish Mountain Rescue (SMR) is an umbrella organisation, with teams the final decider of how they operate. Seizures, chest pain, intoxication, and deliberate self-harm were also reported. Other treatments are available for nausea, respiratory depression, cardiac pain, seizures, hypoglycaemia, and asthma.

Soft Tissue Injuries 52

Soft Tissue Injuries Seizures Ambulance Services Teamwork 52

EMDocs

SEPTEMBER 25, 2023

Contraindicated seizures or porphyria. Improved Visualization: Video laryngoscopes allow for the use of standard or hyperangulated geometry, essentially allowing the operator to “look around the corner” on an anterior airway. Minimal histamine release. Cons: Short duration of action. Pain upon injection. Can be titrated easily.

Emergency Department 84

Emergency Department Soft Tissue Injuries Airway Management Operations 84

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 ).

EKG/ECG 52

EKG/ECG Seizures Stroke Operations 52

Don't Forget the Bubbles

JULY 26, 2023

Some families have unexplained deaths during sporting events, an unusual number of car accidents, seizures in someone without a formal diagnosis of epilepsy. The Fontan circulation was an operation initially developed around 50 years ago to treat tricuspid atresia. What rhythm possibilities does this case suggest?

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

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.

EKG/ECG 52

EKG/ECG Operations Seizures Stroke 52

Advanced Emergency Nursing from AENJ

NOVEMBER 24, 2016

Meanwhile, the patient has just returned from a scan and had a seizure in front of you because his brain is speckled with contrast; post-ictus, he's apneic despite airway measures, and now one must give mouth-to-mouth because there's no bag at the bedside … see what I mean? Disposable BVMs (one at every bedside).

Emergency Nursing 40

Emergency Nursing Seizures CPR Wellness 40

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

" [Coroners Society] King Richard I (the Lionheart) needed vast sums of money for the Third Crusade, operation of the kingdom, and for his ransom fro m Duke Leopold of Austria. This includes subdural hematomas, comas, paraplegia, quadriplegia, fractures and seizure disorders, regardless of the time interval between the injury and death.

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Pediatric Emergency Playbook

JUNE 1, 2017

The child with seizure disorder and chest pain: anti-epileptics Some anti-epileptic agents, such as carbamazepine, promote a poor lipid profile, leading to atherosclerosis and early MI. Fontan Operation and the Single Ventricle. References Congenital AboulHosn JA et al. Congenit Heart Dis. 2007; 2:2-11. Aliku TO et al. Suryawanshi SP.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Taming the SRU

MAY 30, 2023

hours earlier and went to OR 3.5

OB/GYN 52

OB/GYN Ultrasounds Pediatrics Resuscitation 52

Mind The Bleep

FEBRUARY 7, 2024

meningitis), intractable seizures, low GCS, increased risk of aspiration or airway obstruction such as pathological obstruction (e.g. One of the few exceptions would be if the patient is paralysed, e.g. for an operation. hypoxic ischaemic encephalopathy), metabolic disorders, or muscular problems. laryngeal oedema.)

Wellness 52

Wellness Seizures Documentation/Coding Operations 52

EB Medicine

AUGUST 1, 2018

Jeff: Medicinally, cannabinoids are currently used in the treatment of chronic pain syndromes, complications of multiple sclerosis and paraplegia, weight loss due to appetite suppression in HIV/aids, chemotherapy-induced nausea and vomiting, seizures, and many other neuropsychiatric disorders. Counsel them on drug abuse also.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

Taming the SRU

SEPTEMBER 1, 2023

to divert the plane).

Sepsis 95

Sepsis Fractures Documentation/Coding Administration 95

Dr. Smith's ECG Blog

APRIL 8, 2015

First: Are you sure it was syncope, and not SEIZURE? Conversely , frequently syncope has a short episode of tonic-clonic activity that mimics seizure. Risk-score performance was measured by comparing the proportions of patients with arrhythmias at various levels of the score and receiver operating characteristic (ROC) curves.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

NOVEMBER 4, 2024

Headache red-flag characteristics include neurological symptoms, thunderclap nature, syncope, trauma, immunocompromised, coagulopathy, fever, rash, seizure, nuchal rigidity, altered mental status, pregnancy, temporal tenderness, jaw claudication, and cancer history. This post focuses on pain management for benign headaches.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

EMDocs

NOVEMBER 13, 2023

26 With regards to penetrating neck injuries, particularly those in which the platysma is violated, CTA of the neck has allowed a shift away from mandatory operative exploration of Zone 2 neck wounds (those in the mid-neck). 32 Table 2 : Memphis Criteria. CTA head/neck is absolutely indicated if suspicion is high for this condition.

Stroke 103

Stroke Radiology Radiology Emergency Department 103

Pediatric EM Morsels

MARCH 7, 2025

of IV form TXA [O’Neill 2020] Inexpensive ! of IV form TXA [O’Neill 2020] Inexpensive !

Pediatrics 231

Pediatrics Blood Transfusions Anaphylaxis Military 231

Don't Forget the Bubbles

JULY 5, 2023

Afro-Caribbean patients should be screened for sickle cell before anaesthesia for possible pre-operative transfusion. Do not use pethidine since it can cause seizures and CNS hyperexcitability. In these cases, repeat the Hb electrophoresis three months after the last blood transfusion. What could be the differential diagnosis?

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

Don't Forget the Bubbles

JULY 10, 2023

Seizures may also occur, as may paralysis. Orthopaedic operations and supportive measures such as braces or corrective shoes may be needed in the long term as many patients develop skeletal deformities and asymmetric growth. Paralytic polio is not only more common in older patients but also more severe. Encephalitis is rare.

Seizures 75

Seizures Operations Pediatrics Hospitals 75

Pediatric Education

SEPTEMBER 1, 2024

Complications include death, scarring, skin superinfection, sepsis, encephalitis, meningitis, febrile seizures, and premature birth. J Spec Oper Med. The lesions are 7-10 mm in diameter, round, firm, deep-seated and well circumscribed… ” Lesions tend to appear more on the forearms and face than rest of the body.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Sepsis 40

Don't Forget the Bubbles

DECEMBER 9, 2024

These include CNS irritability (agitation, seizures, irritability), GI disturbance (nausea, vomiting, diarrhoea), and autonomic symptoms (increased heart rate, high blood pressure, sweating and fever). Published 2021 Jun 8. doi:10.1055/s-0041-1730918 Osborn D.A. Jeffery, H.E.

Pediatrics 59

Pediatrics Sepsis Hospitals Administration 59