PEMBlog

MARCH 4, 2025

Garcia T, Florin TA, Leonard J, Shah SS, Ruddy RM, Wallihan R, Desai AP, Alter S, El-Assal O, Marzec S, Keaton M, Yun KW, Leber AL, Mejias A, Cohen DM, Ramilo O, Ambroggio L; Childrens Hospitals Initiative for Research in Pneumonia (CHIRP). Clinical Features and Management Strategies in Children With Mycoplasma Pneumoniae. Pediatr Emerg Care.

Pediatrics 94

Pediatrics Military CDC Hospitals 94

Pediatric EM Morsels

AUGUST 9, 2024

Pemphigus syphiliticus Hepatomegaly Most common May have abnormal LFTs and evidence of Hepatitis. Jaundice Lymphadenopathy Generalized Epitrochlear lymphadenopathy is suggestive of congenital syphilis. Can identify T. pallidum before antibodies against it can be detected.

Hyperthermia / Hypothermia 154

Hyperthermia / Hypothermia Emergency Department Seizures Pediatrics 154

The Skeptics' Guide to EM

MAY 25, 2024

He has been involved in ED-based clinical research examining ways to improve care for patients with alcohol use disorder in the ED for over two decades. He has had prior hospital admissions for the management of alcohol withdrawal, including seizures and one prior episode of delirium tremens. This is an SGEM HOP but with a twist.

Emergency Department 95

Emergency Department Best Practices Seizures Research 95

Taming the SRU

MARCH 30, 2024

Emergency Critical Care Center (EC3) at the University of Michigan: Dedicated critical care unit within the emergency department that was created to improve access to timely, high-quality critical care after identifying a gap in emergency care delivery for patients Reduced risk-adjusted 30 day mortality among all ED patients, lower ICU admission rates (..)

Hyperthermia / Hypothermia 95

Hyperthermia / Hypothermia Emergency Department Leadership Seizures 95

Medagadget

MAY 23, 2023

Researchers at Ecole Polytechnique Fédérale de Lausanne (EPFL) in Switzerland have developed a soft robotic electrode, that can be advanced through a small hole in the skull and then opened into a series of spiral arms, to provide electrocorticography measurements from a relatively large area of the brain surface.

Research 71

Research Seizures Wellness 71

Taming the SRU

OCTOBER 5, 2023

morbidity and mortality - quality improvement - research grand rounds - r1 clinical knowledge: pres/rcvs - r4 case follow-up: compartment syndrome Morbidity and Mortality WITH dr. finney Takotsubo Cardiomyopathy with COVID-19 Increasing incidence of Takotsubo Cardiomyopathy with the COVID-19 pandemic Morbidity and mortality is similar to that of ACS (..)

Stroke 91

Stroke EKG/ECG Seizures CPR 91

EMDocs

FEBRUARY 15, 2024

Physostigmine does not reverse seizures or dysrhythmias. 7 Administer this antidote slowly via intravenous route over several minutes (5-10 minutes), as rapid administration is associated with seizures and bradycardia. Physostigmine does not reverse seizures or dysrhythmias. BMC Research Notes. J R Coll Physicians Edinb.

Hyperthermia / Hypothermia 108

Hyperthermia / Hypothermia Poisoning Seizures COPD 108

Don't Forget the Bubbles

AUGUST 12, 2024

Do we need seizure prophylaxis? Children and young people have lower seizure thresholds than adults. Following TBI, seizures are common and may be missed in children and young people who are sedated and paralysed. Either levetiracetam or phenytoin can be used for seizure prophylaxis.

Seizures 75

Seizures Pediatrics Emergency Department Ambulance Services 75

EMDocs

JULY 30, 2024

Shortly after this, he began vomiting, and developed a tonic clonic seizure. There was no prodromal illness, recent trauma, polyuria or polydipsia, family history of seizure disorder or diabetes. In these cases, PNU ingestion would most likely originate from exposure to an old household rodenticide or exposure to a “research chemical”.

Poisoning 71

Poisoning Seizures Fluid Resuscitation Pediatrics 71

Don't Forget the Bubbles

NOVEMBER 29, 2024

Neurological Effects : Headache, dizziness, seizures, or coma due to cerebral oedema. Interestingly, fomepizole wasn’t originally developed as an antidote—it was a research tool to study alcohol metabolism before its life-saving properties were discovered. Permanent blindness is a significant risk without treatment.

Poisoning 64

Poisoning Forensics Seizures Outcomes 64

The Skeptics' Guide to EM

NOVEMBER 18, 2017

Alternating therapy may be beneficial for comfort, but more research is required to address this specific question. Will treating with antipyretics prevent a febrile seizure? Will treating the fever make the child sicker, longer? Probably not. Antipyretics should be used to improve comfort during an illness.

Sepsis 52

Sepsis Emergency Department Seizures Pediatrics 52

Mind The Bleep

DECEMBER 10, 2023

music); they may display features of ASD that are not currently used in diagnostic criteria e.g. perfectionism; and there may be a gender bias inherent in diagnostic instruments (due to research focussing on the male phenotype). Hearing and vision assessments should also be carried out in order to address any sensory difficulties.

Seizures 52

Seizures Burns Best Practices Academics 52

SheMD

JULY 6, 2023

Reach for research: Not everyone loves research, but the LIC curriculum might be a great way to meet your future PI! Picture this: you discover your neurology preceptor is studying seizure disorders in children, and you happen to be interested in pediatrics.

Ultrasounds 52

Ultrasounds Research Seizures Pediatrics 52

PulmCCM

DECEMBER 10, 2023

Answering this research question has been made more difficult by pip-tazo’s possible status as a pseudo-nephrotoxin (elevating creatinine levels in the blood without harming the kidneys) and frequent co-administration with vancomycin, a known nephrotoxin.

Seizures 52

Seizures Sepsis Academics Administration 52

Taming the SRU

MARCH 14, 2023

VP Shunt - Courtesy of Cancer Research UK via wikimedia - CC-4.0 - [link] Case courtesy of Paul Simkin, Radiopaedia.org, rID: 30453 Case courtesy of Dr Ruslan Asadov, Radiopaedia.org, rID: 8401. Case 2 19 year old seizure A 19-year-old male is brought into your emergency department via EMS for witnessed seizure-like activity.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

He is not on anticoagulation and there is no history of seizures. The CCHR is the most researched CDR in mTBI [3] and ha. He is neurologically intact with a Glasgow Coma Scale (GCS) of 15 one hour after the fall. There are no other external signs of trauma on your exam.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 52

Don't Forget the Bubbles

MARCH 18, 2024

A similar process can also occur in the CNS (causing seizures ), the liver and the pancreas. Depending on the progression of the illness, children may present with pallor, oedema, lethargy, seizures, hypertension or abnormal liver function tests. Red blood cells break down in the capillaries, leading to anaemia. What is atypical HUS?

Dehydration 59

Dehydration Infectious Diseases Seizures Pediatrics 59

Taming the SRU

MAY 1, 2023

Exertional Hyperthermia Patients with heat stroke will present with Temp > 104, AMS, or seizures. EMS was bagging him on arrival Primary notable for Compromised Airway Protection, bilateral Breath sounds, strong pulses,GCS 3 CT images of Head, Chest, Abdomen, Pelvis, and Spine No acute findings pH of 6.75

Poisoning 52

Poisoning Hyperthermia / Hypothermia Seizures Emergency Department 52

PEMBlog

MARCH 27, 2024

She aims to become a physician-scientist in pediatrics and medical genetics, engaging in bench-to-bedside research that utilizes multi-omics-based approaches to provide a molecular diagnosis and support personalized care for individuals with suspected rare genetic diseases and their families. So think infection, exercise, or change in diet.

Pediatrics 59

Pediatrics Seizures Emergency Department Sepsis 59

Sensible Medicine

SEPTEMBER 13, 2024

” This suggested partial, complex seizures with a post-ictal period. These days, the attention is likely to be more than idle pondering but actual research. For the last couple of weeks, I’ve been noticing a foul odor right before the episodes. Certainly not a diagnosis to celebrate, but a solid one nonetheless.

Psychiatric 69

Psychiatric Radiology Radiology Documentation/Coding 69

Broome Docs

OCTOBER 31, 2022

PMID: 34904190 Not surprisingly, this paper has been covered by basically everyone who talks about research, so if you want to hear some other opinions, check out the SGEM , REBEL EM , or St. Intensive Care Med. 2022 Jan;48(1):78-91. doi: 10.1007/s00134-021-06577-x. Epub 2021 Dec 14. Lancet Neurol. 2022 Sep;21(9):781-791.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Fluid Resuscitation Seizures Emergency Department 52

Dr. Smith's ECG Blog

FEBRUARY 8, 2015

Both of these also cause seizures. Here is the history : Male in 40's who had seizures and was unconscious. Second , if the patient is hemodynamically stable, without pulmonary edema, it may be wise to try some fluids and and benzodiazepines and/or propofol for this post-seizure patient with likely high catecholamine levels.

Seizures 52

Seizures Administration Outcomes Hospitals 52

ACEP Now

OCTOBER 3, 2023

These guidelines present the best available evidence to support clinical decision making in the prehospital setting when TBI care may have the most significant impact on outcomes; they also establish a research agenda for future investigations. The GCS must be obtained through interaction with the patient (i.e.,

Fluid Resuscitation 98

Fluid Resuscitation Documentation/Coding Resuscitation EMS 98

Downeast Emergency Medicine

APRIL 26, 2021

We know that if administered too rapidly, it can lead to hypotension and other adverse effects including seizures, headaches, backache, abdominal pain, nausea, vomiting, diarrhea, fatigue, pulmonary embolism, deep vein thrombosis, anaphylaxis, impaired color vision, and other visual disturbances.[1] Lastly, the use of TXA is not without risk.

Head Injuries 52

Head Injuries Administration Outcomes Seizures 52

EMDocs

JANUARY 29, 2024

Finally, anticipating and addressing known complications such as seizures, increased intracranial pressure, or cerebral edema with appropriate measures, including antiepileptic drugs or osmotic agents, is essential for improving patient outcomes.

Stroke 91

Stroke Outcomes EMS Seizures 91

ACEP Now

DECEMBER 10, 2023

5 Symptoms of milkweed poisoning may include abdominal discomfort, nausea, vomiting, diarrhea, weakness, lethargy, and confusion, progressing to seizures, heart rhythm changes, and bradycardia. Dr. Hack is chief of the division of medical toxicology and vice chair for research at East Carolina University in Greenville, North Carolina.

Poisoning 52

Poisoning Seizures Documentation/Coding Emergency Department 52

ACEP Now

APRIL 2, 2024

1 In severe cases altered mental status, seizures, coma, or even death have been observed. THS is generally characterized by the acute onset of profuse vomiting within six to 48 hours of ingestion of the unripe ackee, with subsequent hypoglycemia. Studies indicate that THS is primarily caused by the toxin hypoglycin A.

Poisoning 40

Poisoning Administration Documentation/Coding Urgent Care 40

ACEP Now

AUGUST 9, 2024

More severe systemic reactions like delirium, seizures, limb paralysis, blood pressure changes, respiratory distress, dysrhythmia, myocardial ischemia, and syncope are rare. Dr. Hack is chief of the division of medical toxicology and vice chair for research at East Carolina University in Greenville, N.C.

Poisoning 52

Poisoning Burns Seizures Fractures 52

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

HELLP Syndrome [pdf] Sara Paul MD Intrauterine Fetal Demise [ppt] Irene Hwang, MD Obesity in Pregnancy [pdf] Rafael Garabis, MD Seizures in Pregnancy [ppt] Sherifia Heron , MD Substance Abuse in Pregnancy [ppt] Sophia Y. Journal of clinical and diagnostic research: JCDR, 8(10), FC05. Episiotomy [ppt] Alice Teich, MD. Sherwani, R.,

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

ACEP Now

APRIL 2, 2024

8 Seizures and thunderclap headache from reversible cerebral vasoconstriction syndrome have been reported. Dr. Hack is chief of the division of medical toxicology and vice chair for research at East Carolina University in Greenville, North Carolina. Capsaicin pepper exposures send about 300-350 people to the hospital annually.

Burns 40

Burns Poisoning Seizures Stroke 40

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 majority of the inherited rhythm disorders are autosomal dominant but their diagnosis relies on an electrically active heart.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Pediatric Emergency Playbook

APRIL 1, 2016

S – seizure or shock – most commonly septic, but can be any type: cardiogenic, bstructive, hypovolemic, distributive. for the Pediatric Emergency Care Applied Research Network. Difficult to interpret lactates when a patient is on an epinephrine drip. Pediatr Emer Care. 2013; 29:715-719. Topjian AA, Clark AE, Casper TC et al.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

Taming the SRU

FEBRUARY 22, 2023

HIV related renal disease HIV Associated Nephropathy (HIVAN) Form of FSGS Renal recovery can occur with ART Can occur prior to HIV seroconversion HIV Immune Complex Kidney Disease Less common than HIVAN Develops later in disease course Better prognosis Dermatologic Manigfestations of HIV HIV Associated Facial molluscum in an adult Proximal subungual (..)

Hospice 40

Hospice EKG/ECG Resuscitation Seizures 40

Mind The Bleep

FEBRUARY 7, 2024

meningitis), intractable seizures, low GCS, increased risk of aspiration or airway obstruction such as pathological obstruction (e.g. severe Pierre Robin), or electively for surgery or procedures Inadequate ventilation leads to a failure to maintain PaC02< 60 mmHg (8kPa) and occurs due to severe lung disease, neurological problems (e.g.

Wellness 52

Wellness Seizures Documentation/Coding Operations 52

ALiEM

MARCH 5, 2024

With severe toxicity, patients can have altered mental status, seizures, hyperthermia, and pulmonary edema. Phytotherapy Research. Salicylate has a direct effect on the respiratory center of the medulla causing tachypnea. Tinnitus, nausea, vomiting, and abdominal pain are common. European Journal of Clinical Pharmacology.

Hyperthermia / Hypothermia 114

Hyperthermia / Hypothermia Anaphylaxis Poisoning Administration 114

EMDocs

DECEMBER 16, 2023

As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. BMC research notes , 8 , 758. Clinical decision making in seizures and status epilepticus. The patient is agitated, not oriented, and becoming combative with ED staff. A 12-lead EKG shows sinus tachycardia but is otherwise normal. Hakariya, T.,

Hyperthermia / Hypothermia 87

Hyperthermia / Hypothermia EMS Stroke Seizures 87

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.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40