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The Current Status of Continuous-Seizure Management

ACEP Now

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 ยป How should status epilepticus be diagnosed?

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emDOCs Revamp: Esophageal Perforation

EMDocs

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.).

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An Intriguing Rhythm: Who Belongs to Whom?

Dr. Smith's ECG Blog

Most occurrences are associated with events such as sepsis, shock, recent infarction, post-operative state, electrolyte disturbance โ€” or "sick patient". Seizure activity was witnessed at the scene โ€” and head CT scan showed a small bleed. PEARL # 5: Accelerated junctional rhythms are not common in adults.

EKG/ECG 97
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Grand Rounds Recap 8.16.23

Taming the SRU

to divert the plane).

Sepsis 95
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Sickle Cell Disease Module

Don't Forget the Bubbles

Afro-Caribbean patients should be screened for sickle cell before anaesthesia for possible pre-operative transfusion. Vaccination: PCV13 (pneumococcal vaccination), meningococcal vaccines, and Hib conjugated vaccines are important to prevent life-threatening sepsis. Pneumococcal sepsis B. Pneumococcal sepsis.

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Is this MPox?

Pediatric Education

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.

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Weaning Sedation in Paediatric Intensive Care

Don't Forget the Bubbles

Clinical recommendations for pain, sedation, withdrawal, and delirium assessment in critically ill infants and children Pediatric Acute Lung Injury and Sepsis Investigators ( PALISI ). Examples of these are linked below: European Society of Paediatric and Neonatal Intensive Care ( ESPNIC ). Am J Respir Crit Care Med. 2023;207(1):17-28.