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ACEP Board Meeting Tackles Current Issues, Practice Trends

ACEP Now

And the Board approved a new clinical policy, “Critical Issues in the Management of Adult Patients Presenting to the ED with Seizures,” rescinding the 2014 clinical policy with same title.

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Major Trauma – Injuries by Assault

Don't Forget the Bubbles

Other considerations in significant TBI would be the temporary use of anti-epileptic drugs as prophylaxis to prevent early post-traumatic seizures to aid neuroprotection; the most commonly used would be levetiracetam. Disability – Altered mentation, seizure, stroke symptoms, severe headache, neurological deficit, visual symptoms.

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The PREMIER Wessex Conference – Day 1

St. Emlyn

St.Emlyn's - Emergency Medicine #FOAMed A summary of the talks from Day 1 of the PREMIER conference The post The PREMIER Wessex Conference – Day 1 appeared first on St.Emlyn's.

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2086 The value of emergency care data set (ECDS) presentation codes for predicting mortality and inpatient admission

Emergency Medicine Journal

SEIZURE (FIT) 715 16 250 35 2.24[1.4 0[0 , 32] STATES VICTIM OF SEXUAL ASSAULT 8 0 0 0 0[0 , 32] TRAUMATIC AMPUTATION 7 0 4 57.1 0.018 , 0.12] INJURY OF HIP/LEG/KNEE/ANKLE/FOOT 7427 15 653 8.8 0.12 , 0.33] CHEST PAIN 5953 34 2077 34.9 ABDOMINAL PAIN 5629 48 2473 43.9 SHORT OF BREATH 3735 227 2446 65.5 HEAD INJURY 3493 22 382 10.9

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Choosing Wisely – Investigations for Paediatric Patients presenting with Psychiatric Symptoms

Don't Forget the Bubbles

The stepwise approach was guided by vital signs, presence of seizures or focal neurology, presence of trauma (including attempted hanging or cutting), overdoses and substance misuse, level of consciousness, medical complaints, history of alleged sexual assault/rape, and developmental delay.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

She presents with a seven-day history of fever, fatigue, and myalgias associated with decreased oral intake and an episode of seizure-like activity three hours prior to arrival. Additionally, there is no family history of seizure disorders. A review of systems is notable for nausea and vomiting but no diarrhea.