Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Definition of status epilepticus:Continuous seizure activity of 5 minutes or greater – OR – Recurrent activity without recovery between intervals. This definition includes clinically apparent seizures as well as those seen only on EEG.) During a seizure, GABA receptors in the neuron’s membrane are internalized and destroyed.

Pediatrics 40

Pediatrics Seizures Stroke Radiology 40

Pediatric Education

FEBRUARY 18, 2024

There was no reported respiratory distress or problems handling secretions and no obvious seizure activity. Seizures, cerebrovascular problems and central nervous system tumor swirl in professionals’ heads as they take in the history, physical examination and start to evaluate and manage the problem. How are seizures classified?

Seizures 40

Seizures Pediatrics Psychiatric Radiology 40

EMergucate

JUNE 20, 2014

MACS Rule for early rule out/in of ACS! The exciting new Manchester Acute Coronary Syndrome Rule (MACS) is explained by … Continue reading →

Seizures 40

Seizures Radiology Radiology 40

Sensible Medicine

SEPTEMBER 13, 2024

It is when you diagnose amyloidosis as the cause of a peripheral neuropathy, or find that the cause of a patient’s anxiety is hyponatremia, caused by SIADH, caused by a radiologically undetectable lung cancer. ” This suggested partial, complex seizures with a post-ictal period.

Psychiatric 68

Psychiatric Radiology Radiology Documentation/Coding 68

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. Viral myocarditis Presenting with Seizure and Electrocardiographic Findings of Acute Myocardial Infarction in a 14-Month-Old Child. Suryawanshi SP.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

Taming the SRU

MAY 30, 2023

Frederick 1st trimester pregnancy accounts for 10% of all ED visits from women of reproductive age 28% present on weekends 37% present after hours Despite the fact that a lot of these patients present after hours, radiology is rarely available 24/7 TVUS diagnoses nearly 50% of early pregnancies after an inconclusive transabdominal US ED-performed TVUS (..)

OB/GYN 52

OB/GYN Ultrasounds Pediatrics Resuscitation 52

EMDocs

JULY 3, 2023

4 Common symptoms of SAH on presentation include vomiting, neck stiffness, altered mental status or decreased level of consciousness, hemiparesis, and seizure-like activity. 18 Seizure Seizure is common in the setting of acute SAH, especially spontaneous SAH, due to cerebral and meningeal irritation.

Seizures 98

Seizures Stroke Outcomes EMS 98

EB Medicine

FEBRUARY 1, 2019

Let’s talk radiology. Seizures are very common as well. That’s quite a list. For a visual reference, see Table 3 in the print issue. Nachi: And patients with neurologic deficits or severe sudden-onset headaches, should be transported immediately to the nearest available stroke center. I think that about wraps up lab work.

Emergency Department 40

Emergency Department Stroke Ultrasounds Outcomes 40

Don't Forget the Bubbles

AUGUST 13, 2023

Most febrile seizures are generalized tonic clonic seizures, lasting for a few minutes (less than 10 mins) and are conventionally classified as being simple (70%) and complex (30%). Simple febrile seizures are generalized (i.e. Any febrile seizure lasting for > 30 mins is considered febrile status epilepticus.

Seizures 97

Seizures Pediatrics Dehydration Radiology 97

EMDocs

NOVEMBER 13, 2023

The American College of Radiology (ACR) recommends a premedication schedule 12 hours before a contrasted CT with steroids and diphenhydramine in patients who are at high risk for hypersensitivity reaction but recognizes that this is not feasible in the acute setting. 60) Radiology, A. Ducruet, A. DOI: [link]. (47) 47) Smith, A.

Stroke 103

Stroke Radiology Radiology Emergency Department 103

Taming the SRU

JUNE 6, 2023

HAJDU Mild TBI’s & Concussions in the Emergency Department TBI’s are relatively common >3 million TBI’s in the US annually 2.5 million presentation to ED’s throughout the US Usually occur due to falls Also commonly occur due to sports, MVC’s, etc.

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64

Don't Forget the Bubbles

OCTOBER 9, 2023

Both studies found external specialities , particularly cardiology and radiology, were more hostile than their own teams. A 13-year-old girl came to the ED with an unprecedented, prolonged seizure. When she arrived in the department, the seizure had stopped. A head CT scan was arranged.

Seizures 116

Seizures Incident Reporting Research Emergency Department 116