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Gelastic Seizures: No Laughing Matter

Pediatric EM Morsels

We encounter seizures commonly in the Emergency Department. From the simple febrile seizure to the complex seizure, we know how to stabilize and how to evaluate. Being comfortable evaluating and managing pediatric seizures also requires a lot of humility. Vitamin B6 Deficiency ). Can even become status gelasticus.

Seizures 258
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Anti-NMDA Receptor Encephalitis in Children and Adolescents

Pediatric EM Morsels

It is even more challenging when the initial symptoms seem to align with what we perceive as psychiatric concerns. Often initially misdiagnosed as a psychiatric illness. Treat the seizures , but…. Keep in mind that seizure management can be difficult and the patient may not respond to AEDs. Serum AND CSF antibody titers!

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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 278
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emDOCs Revamp: Alcohol Withdrawal

EMDocs

fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold

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Announcing a new 5 part comprehensive education series featuring the Pediatric Emergency Medicine Choosing Wisely recommendations

PEMBlog

Do not obtain screening laboratory tests in the medical clearance process of pediatric patients who require inpatient psychiatric admission unless clinically indicated. Do not obtain abdominal radiographs for suspected constipation Do not obtain comprehensive viral panel testing for patients who have suspected respiratory viral illnesses.

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ToxCard: Second Generation Antipsychotic Overdose

EMDocs

1,6 Agitation, delirium, psychosis, and hallucinations can occur and may be incorrectly attributed to concurrent psychiatric illness. 1 Seizures may occur due to lowered seizure threshold. 6 Seizures have been observed and are dose-dependent. 1,2,6 Neurologic effects: Sedation is a primary concern with overdose.

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You don’t need labs to medically clear a psych patient

PEMBlog

However, the vast majority of pediatric patients with psychiatric complaints do not present with undifferentiated acute psychosis; rather, they are seen for behavioral concerns or suicidal ideation. Decades ago, psychiatric complaints in the pediatric ED were infrequent.