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Gelastic Seizures: No Laughing Matter

Pediatric EM Morsels

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.

Seizures 243
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Febrile Seizures

Don't Forget the Bubbles

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.


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Medical Music Mondays: Simple Febrile Seizures


Simple febrile seizures are scary for parents – but all that is really needed is reassurance and education.

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"Seizure" in a 60 year old male

Dr. Smith's ECG Blog

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.

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Talking to families about why we don’t need tests after febrile seizures or first-time seizures


Did you know that lab tests and CT scans are not recommended for most children who fully recover after a simple febrile seizure or a first-time, unprovoked generalized seizure? This video features Dr. Archit Sahai who conducts a simulated discussion with a parent of a child following a seizure.

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A first seizure episode

Emergency Medicine Journal

Clinical introduction A middle-aged man is brought to your ED following a self-limiting generalised tonic–clonic seizure. He is a smoker, with a history of chronic obstructive pulmonary disease (COPD) and peripheral vascular disease, but no previous seizures. He is on aspirin and clopidogrel.

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First Time Seizure in the ED

Emergency Medicine Education

This is an observational study among patients presenting to 3 EDs with Seizure and they found approximately 12 % of patients had some neuroimaging findings! Link to the article