Remove Fluid Resuscitation Remove Hyperthermia / Hypothermia Remove Resuscitation Remove Seizures
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Grand Rounds Recap 8.9.23

Taming the SRU

to 1 mcg/kg/hour procedural sedation loading dose: 0.5-1 1 mcg/kg over 10 minutes followed by continuous infusion: 0.2 to 1 mcg/kg/hour procedural sedation loading dose: 0.5-1 1 mcg/kg over 10 minutes followed by continuous infusion: 0.2 to 1 mcg/kg/hour procedural sedation loading dose: 0.5-1

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Brain Trauma Guidelines for Emergency Medicine

ACEP Now

Confounders to the GCS such as seizure and post-ictal phase, ingestions and drug overdose, as well as medications administered in the prehospital setting that impact GCS score should be documented. Hypotensive patients should be treated with blood products and/or isotonic fluids in the prehospital setting.

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First10EM Journal Club: October 2022

Broome Docs

Safety and efficacy of prophylactic levetiracetam for prevention of epileptic seizures in the acute phase of intracerebral haemorrhage (PEACH): a randomised, double-blind, placebo-controlled, phase 3 trial. PMID: 30206143 Less is more when it comes to intravenous fluids de-Madaria E, Buxbaum JL, Maisonneuve P, et al. Lancet Neurol.

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EM@3AM: Hyperthermia

EMDocs

As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. A 12-lead EKG shows sinus tachycardia but is otherwise normal. What is your diagnosis, and what are your next steps in evaluation and management? 1 Fever is usually < 40C. 1 Fever is usually < 40C. Temps greater than 41.5C Temps greater than 41.5C