Seizures Related Topics 
Pediatric EM Morsels
MARCH 15, 2024
We encounter seizures commonly in the Emergency Department. From the simple febrile seizure to the complex seizure, we know how to stabilize and how to evaluate. Being comfortable evaluating and managing pediatric seizures also requires a lot of humility. Vitamin B6 Deficiency ). Can even become status gelasticus.
PEMBlog
AUGUST 9, 2024
Recently, I had the opportunity to present a morning report to the residents and medical students at Cincinnati Children’s, focusing on the topic of febrile seizures. The session was highly engaging, with a lot of interest from the audience, as febrile seizures are a common but often frightening experience for families.
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Dr. Smith's ECG Blog
SEPTEMBER 2, 2024
Her husband called EMS when the patient experienced new onset seizures accompanied by micturition. However, cardiac syncope is always a differential diagnosis when someone presents with first time seizures. There are a number of things to look for in an ECG that can hint at arrhythmia as the cause of an apparent seizure.
Don't Forget the Bubbles
SEPTEMBER 13, 2023
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%
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.
Dr. Smith's ECG Blog
MARCH 1, 2024
This 60 yo male had an apparent tonic clonic seizure. He had no history of seizures. But syncope or seizure alone, without chest pain, is not enough to call it Wellens syndrome. He was unconscious for 8 minutes and slowly awoke in the ambulance, complaining of nausea only. There was tongue biting. Lightheadedness continued.
Pediatric EM Morsels
JULY 26, 2024
Treat the seizures , but…. Keep in mind that seizure management can be difficult and the patient may not respond to AEDs. May see non-specific white and gray matter changes. Pelvic and abdominal imaging to assess for tumor (see below) Anti-NMDA Receptor Encephalitis: Treatment Remember your ABCs! Serum AND CSF antibody titers!
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