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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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%
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!
Mount Sinai EM
AUGUST 20, 2023
If seizures , treat with usual benzodiazepines. Hypoxemia, hypercarbia and acidosis worsen the toxicity. Establish 2 IV access. Patient should already be on a monitor. If hypotension , give small doses of epinephrine (1 mcg/kg bolus). Avoid phenylephrine and vasopressin. Lorazepam 2-4 mg/IV or Midazolam 10 mg/IM.
Pediatric EM Morsels
NOVEMBER 3, 2023
ovale to cover the hypnozoite that can stay dormant in the liver and cause a secondary infection in the future Severe Malaria IV artesunate is currently the accepted first line treatment Previously IV quinine was first line, however it was associated with higher incidence of hypoglycemia, cardiac dysrhythmias, seizures, and comas.
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