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. Accept that the patient knows more about his symptoms, and may very well know more about his disease, than you do. 1 This never works out well.

Psychiatric 67

Psychiatric Radiology Radiology Documentation/Coding 67

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

Taming the SRU

MARCH 14, 2023

He appears well and is triaged to an ESI 4. 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. The seizure abated with rectal diazepam given by the squad. His abdomen is soft.

Seizures 52

Seizures Emergency Department Pediatrics Critical Access 52

The Skeptics' Guide to EM

SEPTEMBER 14, 2019

Case: It’s a busy night in the emergency department, your next patient is a well appearing 70-year-old man, presenting after a mechanical fall from standing with loss of consciousness. He is not on anticoagulation and there is no history of seizures. The CCHR is the most researched CDR in mTBI [3] and ha.

Head Injuries 52

Head Injuries Emergency Department Seizures EMS 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

EMDocs

JANUARY 29, 2024

However, other sources suggest that the optimal blood pressure target is not well established and may vary depending on the individual patient’s characteristics and the type of hemorrhagic transformation [7]. These targets can be achieved by using short-acting, titratable intravenous medications such as beta-blockers or nicardipine [1].

Stroke 101

Stroke Outcomes EMS Seizures 101

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. Or, well, the ringer called me.

Pediatrics 59

Pediatrics Seizures Emergency Department Sepsis 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

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

APRIL 2, 2024

1 In severe cases altered mental status, seizures, coma, or even death have been observed. Francis Hospital and Medical Center, as well as an assistant professor at University of Connecticut School of Medicine and Quinnipiac University School of Medicine. Studies indicate that THS is primarily caused by the toxin hypoglycin A.

Poisoning 40

Poisoning Administration Urgent Care Documentation/Coding 40

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

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

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

Don't Forget the Bubbles

JULY 26, 2023

A cardiac family history should of course be sought, but think a little outside the box as well. Some families have unexplained deaths during sporting events, an unusual number of car accidents, seizures in someone without a formal diagnosis of epilepsy. On arrival at hospital the child was well with normal observations.

EKG/ECG 98

EKG/ECG Hospitals Shock Documentation/Coding 98

Advanced Emergency Nursing from AENJ

JANUARY 26, 2015

All went well. 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. Emergency, 129, 80-1.

OB/GYN 40

OB/GYN Ultrasounds Emergency Department Resuscitation 40

Pediatric Emergency Playbook

APRIL 1, 2016

Brain natriuretic peptide (BNP) In adults, we typically think of a BNP Luckily, we have data in children with congenital heart disease as well. This has been studied in children as well, and an elevated lactate in children – typically above 4 – was a predictor of prolonged ICU course and mortality in septic patients. Pediatr Emer Care.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

ACEP Now

APRIL 2, 2024

They are found in large numbers in the mouth, throat, and stomach, as well as throughout the body. 8 Seizures and thunderclap headache from reversible cerebral vasoconstriction syndrome have been reported. These receptors are activated by capsaicinoids, noxious heat (greater than 109.4 to recall the product.

Burns 40

Burns Poisoning Seizures Stroke 40

Taming the SRU

FEBRUARY 22, 2023

Team Environment Own the Resuscitative Real Estate Set up how you want the resuscitation to go Organize your space in the way that will wrok best for you and the patient Patient Special circumstances Peds Pregnant Mechanical circulatory support Update Partner Priorities Clear and well defined Lesson 2 Lead with kindness Being liked is a powerful tool (..)

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. The reason this doesn’t work well when there is an air leak is because the expired tidal volume detected by the flow sensor is inaccurate. This means that SIMV does not work as well as AC with VG.

Wellness 52

Wellness Seizures Documentation/Coding Operations 52

ALiEM

MARCH 5, 2024

Cases of toxicity have been reported following ingestion of supplements as well as ingestion of willow bark tea [4,5]. With severe toxicity, patients can have altered mental status, seizures, hyperthermia, and pulmonary edema. Phytotherapy Research. Tinnitus, nausea, vomiting, and abdominal pain are common. 2001;57(5):387-391.

Hyperthermia / Hypothermia 114

Hyperthermia / Hypothermia Anaphylaxis Poisoning Administration 114

Dr. Smith's ECG Blog

APRIL 8, 2015

First: Are you sure it was syncope, and not SEIZURE? Conversely , frequently syncope has a short episode of tonic-clonic activity that mimics seizure. Finally, much of this correlates well with The new Canadian Syncope Arrhythmia Risk Score , just published in 2016, results of which are given below in the Annotated Bibliography.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

PEMBlog

JULY 10, 2024

At any stage, patients can develop neurosyphilis, that can present with vision changes, neuropathies, seizures, or altered mental status. The RPR or Rapid Plasma Reagent, which has now largely replaced the earlier VDRL or Venereal Disease Research. Patients with neurologic complaints should undergo CSF testing as well.

Pediatrics 52

Pediatrics CDC Seizures Emergency Department 52

PulmCCM

OCTOBER 23, 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.

Hospitals 98

Hospitals COPD Emergency Department CDC 98

EMDocs

NOVEMBER 4, 2024

Headache red-flag characteristics include neurological symptoms, thunderclap nature, syncope, trauma, immunocompromised, coagulopathy, fever, rash, seizure, nuchal rigidity, altered mental status, pregnancy, temporal tenderness, jaw claudication, and cancer history. This post focuses on pain management for benign headaches. Annu Rev Neurosci.

Emergency Department 105

Emergency Department Fractures Burns EMS 105

Don't Forget the Bubbles

FEBRUARY 24, 2025

They were a well-grown, term infant born in good condition. Infants usually present in a non-specific manner, following an apnoea, cough, cyanosis, or seizure so a high index of suspicion is required in this age group. The other investigations are unremarkable, including a normal CT head. Sounding familiar?

Pediatrics 59

Pediatrics Outcomes Blood Transfusions Sepsis 59

PEMBlog

MAY 9, 2024

Febrile Seizures are among the most common neurological problema in young children, occurring in 1 out of 50 children between the ages of 6 months and 5 years of age. Febrile Seizure. Common variants associated with general and MMR vaccine-related febrile seizures. Updated 2024 Jan 19]. In: StatPearls [Internet]. Ann Emerg Med.

Seizures 59

Seizures Pediatrics Wellness Emergency Department 59

Pediatric Education

SEPTEMBER 1, 2024

Smallpox is an ancient disease and an especially well-known cause of severe morbidity and mortality and therefore was used as a curse or epiphet. 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. 2020;12(2):138.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Sepsis 40

Don't Forget the Bubbles

DECEMBER 9, 2024

It is well-recognised that the environment in the PICU can negatively affect children and their parents/caregivers, increasing the probability of delirium. About PICSTAR PICSTAR is a trainee-led research network open to all doctors, nurses and allied health trainees within Paediatric Intensive Care.

Pediatrics 59

Pediatrics Sepsis Hospitals Administration 59

EMDocs

NOVEMBER 2, 2024

A broad workup is initiated for altered mental status, including an STD panel, which shows a reactive Venereal Disease Research Laboratory (VDRL) and a negative CT head. However, nontreponemal tests may be nonreactive in very early or late syphilis, as well as in immunocompromised individuals (particularly HIV infected).

EMS 115

EMS Infectious Diseases CDC Research 115