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ToxCard: Local Anesthetic Systemic Toxicity

EMDocs

She reportedly received a landmark guided peripheral nerve block with bupivacaine and shortly thereafter developed generalized seizures. 1,5] CNS symptoms include: Seizure, coma, altered mental status. [1] 3] If performing a nerve block with ultrasound guidance, always know where the tip of your needle is. [5] mL/kg/min. [2]

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AHA/NCS Statement on Critical Care Management of Post ROSC Patients

EMDocs

The neurologic section was divided into (1) brain oxygenation, perfusion, edema, and intracranial pressure (ICP); (2) seizures and the ictal-interictal continuum (IIC); and (3) sedation and analgesia. EEG Monitoring and Seizures Statements Takeaway: If possible, obtain an EEG to evaluate for seizure activity.

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The Undifferentiated Sick Infant

Pediatric Emergency Playbook

Was there any prenatal care or ultrasound done? Perhaps diGeorge syndrome with hypocalcemia and seizures? Inborn Errors of Metabolism - there are over 200 inborn errors of metabolism, but only four common metabolic pathways that cause a child to be critically ill. Look for clitoromegaly in girls, or hyperpigmented scrotum in boys.

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Preparing for your First Renal SHO On-Call

Mind The Bleep

Again, ask your registrar or consultant if you are unsure about fluid resuscitation/balance/maintenance in renal patients. encephalopathy, pericarditis, seizures) *common dialysable toxins include lithium, aspirin, theophylline along with many others. Always run renal drug dosing by a pharmacist if you are unsure.

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emDOCs Podcast – Episode 100: Acute Chest Syndrome Part 1

EMDocs

Ultrasound Sensitivity 88-100%, specificity 68-94% Positive likelihood ratio of 14.6 (95% Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. Infectious: bacterial or viral pneumonia ( M. pneumoniae, C. Look for B lines, consolidation, pleural effusion. times maintenance.

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emDOCs Podcast – Episode 101: Acute Chest Syndrome Part 2

EMDocs

Ultrasound Sensitivity 88-100%, specificity 68-94% LR+ of 14.6 (95% Fluid management Goal is euvolemia Dehydration – needs IV fluid resuscitation. Infectious: bacterial or viral pneumonia ( M. pneumoniae, C. Based on light absorption from blood flow at the sensor site (using HbA, not HbS). times maintenance.

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Grand Rounds Recap 2.7.24

Taming the SRU

Clinical pathologic case presentation - r1 diagnostics/therapeutics: Lumbar punctures - AIRWAY GROUND ROUNDS- r4 capstone - r3 taming the sru - ultrasound grand rounds Clinical pathologic case presentation WITH Drs. If assessing for SAH, xanthochromia may not appear until 12 hours after onset, though may appear after 2-4 hours.