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Choosing Wisely – Investigations for seizures that have returned to baseline

Don't Forget the Bubbles

Do not order laboratory testing or a CT scan of the head for a patient with an unprovoked, generalized seizure or a simple febrile seizure who has returned to baseline mental status. The parents of 18-month-old Susie brought her to the Emergency Department after she had a seizure at home. Investigators found that 99.3%

Seizures 131
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You don’t need labs or CT scans in children who have recovered after a simple febrile or first time seizure

PEMBlog

Team members and families eagerly await your intervention to halt the seizure and understand its underlying cause. The lack of utility of laboratory testing in children with an unprovoked generalized seizure, or a simple febrile seizure is supported by several observational studies.

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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.). Discuss with GI/surgeons prior to placement.

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What Are the Classifications of Perinatal Stroke?

Pediatric Education

The past medical history showed she was a 38 week infant who had neonatal seizures that were easily controlled. She was weaned off antiepileptics after not having additional seizures several months later. Otherwise she was described as a normally developing child. How is pediatric stroke different than perinatal stroke?

Stroke 52
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Pediatric Status Epilepticus

Pediatric Emergency Playbook

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.

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What are Some Causes of Acute Onset of Loss of Speech Abilities?

Pediatric Education

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?

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FOAM Eye-Catchers 8: New ACS rule out rule, Tamiflu Scandal, ACEP Seizure Policy & more

EMergucate

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