PEMBlog

SEPTEMBER 15, 2023

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.

Seizures 52

Seizures Pediatrics 52

Emergency Medicine Journal

AUGUST 21, 2024

A short systematic review was undertaken to assess whether adult patients presenting to the ED with a first seizure require a CT head scan to rule out emergent intracranial pathology. MEDLINE, EMBASE, Cochrane and Google Scholar databases were searched. Seven relevant papers were identified.

Seizures 52

Seizures Emergency Department 52

Emergency Medicine Journal

SEPTEMBER 27, 2023

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.

Seizures 40

Seizures COPD 40

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!

Psychiatric 265

Psychiatric Seizures Outcomes Pediatrics 265

Emergency Medicine Education

JULY 26, 2023

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

Seizures 40

Seizures 40

PEMBlog

SEPTEMBER 13, 2023

Team members and families eagerly await your intervention to halt the seizure and understand its underlying cause. The lack of utility of laboratory testing in children with an unprovoked generalized seizure, or a simple febrile seizure is supported by several observational studies.

Seizures 52

Seizures Pediatrics Point-of-Care Testing Wellness 52

Emergency Medicine Cases

NOVEMBER 19, 2019

What is the essential list of immediate life threats with specific antidotes that we must know for the ED patient with a seizure? What are the key elements for distinguishing a true seizure from syncope? From Psychogenic Non-Epileptic Seizure (PNES)? Which patients who present with seizure require a CT head in the ED?

Seizures 52

Seizures Stroke EMS 52

Science Based Medicine

MAY 8, 2024

Remember back in 1997, the Pokemon seizure episode? Hundreds of children reported symptoms, including seizures, after watching a specific episode of the Pokemon cartoon that includes a sequence of flashing alternating red and blue lights.

Seizures 125

Seizures 125

Don't Forget the Bubbles

JANUARY 29, 2024

A UK-based study found that 4% of admissions to a tertiary paediatric intensive care unit (PICU) over a 10-year period were due to refractory status epilepticus (RSE) – seizures which fail to terminate despite appropriate first and second-line treatments. Despite this, the CFAM still showed ongoing electrical seizure activity.

Seizures 122

Seizures Pediatrics Research Wellness 122

Emergency Medicine Cases

JUNE 19, 2018

What management recommendations would you make to the rural ED physician, the transport team and in your ED with regards to treatment of seizures, safe correction of hyponatremia, airway management, search for underlying cause and prevention of Osmotic Demyelenation Syndrome?

Seizures 52

Seizures Ambulance Services Airway Management EMS 52

JournalFeed

DECEMBER 11, 2021

We cover patient-centered diagnostic excellence, alteplase before endovascular stroke treatment, steroids for pediatric retropharyngeal abscess, LP for febrile seizure, and the new AHA chest pain guideline. It’s the JournalFeed Podcast for the week of December 6-10, 2021.

Seizures 52

Seizures Stroke Pediatrics 52

JournalFeed

APRIL 24, 2021

We cover leadership through change, IN midazolam for pediatric seizure, hypothermia and young infant sepsis risk, VICTAS RCT, and clinically diagnosing GHB intoxication. It’s the JournalFeed Podcast for the week of Apr 19-23, 2021.

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Seizures Sepsis Leadership 52

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.

Seizures 103

Seizures EKG/ECG EMS Documentation/Coding 103

The Skeptics' Guide to EM

DECEMBER 15, 2018

Acetaminophen and febrile seizure recurrences during the same fever episode. He specialises in Paediatric Emergency Medicine and is a passionate […] The post SGEM#239: Febrile Seizure Recurrence – With or Without You Acetaminophen? Acetaminophen and febrile seizure recurrences during the same fever episode. Pediatrics.

Seizures 52

Seizures Pediatrics Emergency Department Outcomes 52

PEMBlog

JULY 8, 2024

Lyrics [Chorus] Benzo, Benzo, second line Seizures stop in record time! Verse] Seizures longer than five minutes straight Need medication to help them abate Lorazepam’s great if you have an I V I M drugs are fine too you’ll see [Chorus] Benzo, Benzo, second line Seizures stop in record time!

Seizures 52

Seizures Emergency Department 52

JournalFeed

AUGUST 7, 2021

We cover GRACE-1, communicating stats better, managing seizures after initial control, POCUS for intussusception, and reading STEMI on ECG with a paced rhythm. It’s the JournalFeed Podcast for the week of August 2-6, 2021.

Seizures 40

Seizures EKG/ECG 40

EMergucate

AUGUST 21, 2024

Febrile convulsions This quick hits covers febrile seizures, what to do about them and what their prognosis is.

Seizures 52

Seizures 52

Northwestern EM Blog

JULY 22, 2024

PRES can quickly devolve from a throbbing, atypical headache to seizures and brain hemorrhage, so intervening as soon as possible with aggressive BP reduction is the goal. Seizure management follows generally conventional practices. Adjunctive magnesium infusions are indicated for pregnant and postpartum cases.

Seizures 97

Seizures Documentation/Coding Hospitals 97

EMDocs

MAY 9, 2024

The triage nurse records the event as a “seizure” lasting 7 minutes. His MDM says nothing about the patient’s seizure but does state that “there is an ongoing community outbreak of gastroenteritis… and 6 patients currently in the ED with similar sx.” Plaintiff : You never acknowledged the alleged “7 minute” seizure.

Seizures 82

Seizures Dehydration Documentation/Coding Infectious Diseases 82

PulmCCM

JANUARY 29, 2024

EEG Advised, to Rule Out Nonconvulsive Seizures Nonconvulsive seizures are occasionally present in comatose patients after cardiac arrest, undetectable without testing. Seizure prophylaxis was advised against, as there is no evidence for its efficacy.

Seizures 115

Seizures CPR Documentation/Coding Hyperthermia / Hypothermia 115

RebelEM

JULY 26, 2023

Adenosine antagonism may lead to seizures and/or supraventricular tachycardia that is unresponsive to pushes of adenosine. Hemodialysis should also be considered in cases of refractory shock, dysrhythmias, or seizures. Eldridge 1989) Thus adenosine antagonism may lead seizures and/or status epilepticus. Exp Neurol. Read more

Seizures 98

Seizures COPD Shock EMS 98

EMDocs

JANUARY 8, 2024

Avoid routine seizure prophylaxis in adult survivors of cardiac arrest (Level 3: no benefit), but treat seizures if they occur (Level 1: strong). Seizure and other epileptiform activity We recommend treatment of clinically apparent seizures in adult survivors of cardiac arrest. o C recommended (Level 1: strong).

Seizures 82

Seizures Shock CPR Hyperthermia / Hypothermia 82

Emergency Medicine News

JULY 31, 2024

An abstract is unavailable.

Seizures 40

Seizures 40

EMDocs

MAY 25, 2023

Design: Multi-centered, double-blinded, randomized trial PICO: Population: Inclusion Criteria: Age 2 years and older Must have been treated with a specified minimum dose of certain benzodiazepines for generalized convulsive seizures: Intravenous or rectal diazepam 0.3 Editor Note: The key to status epilepticus is to stop the seizure.

Seizures 63

Seizures Administration Anaphylaxis Outcomes 63

EMDocs

JANUARY 11, 2024

The neurologic section was divided into (1) brain oxygenation, perfusion, edema, and intracranial pressure (ICP); (2) seizures and the ictal-interictal continuum (IIC); and (3) sedation and analgesia. EEG Monitoring and Seizures Statements Takeaway: If possible, obtain an EEG to evaluate for seizure activity.

Seizures 75

Seizures Shock Infectious Diseases CPR 75

Ken Grauer, MD

MAY 31, 2024

Doing so will commonly show one or more electrode leads to be loose — OR — the patient to be shaking, trembling, shivering, having a seizure, scratching or other obvious cause of the bizarre deflections seen. PEARL # 2: The simple step of going to the bedside to LOOK at the patient will often be revealing.

Shock 408

Shock EKG/ECG Seizures 408

Taming the SRU

AUGUST 25, 2023

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 to 1 mcg/kg/hour procedural sedation loading dose: 0.5-1

Seizures 70

Seizures Fractures EKG/ECG Resuscitation 70

Emergency Medicine News

MAY 16, 2024

An abstract is unavailable.

Seizures 40

Seizures 40

Dr. Smith's ECG Blog

OCTOBER 7, 2019

This is by one of our outstanding 3rd year residents , Aaron Robinson, with some edits and comments by Smith EMS responded to a reported seizure in a 42 year old male. He reports no personal or familial history of seizures. The physicians quickly recognized that this was not a seizure and likely cardiac in nature.

Seizures 52

Seizures EKG/ECG Shock EMS 52

EMDocs

SEPTEMBER 19, 2023

Episode 86: Tricky Cases Part 2 Case 3: 56-year-old female with history of seizures, actively seizing, EMS called. On ED arrival GCS is 3, there are rapid eye movements to the right but no other apparent seizure activity. Check glucose, obtain imaging, stop the seizure. They administer two doses of 10 mg midazolam IM.

Seizures 72

Seizures Documentation/Coding EKG/ECG Emergency Department 72

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%

Seizures 131

Seizures Pediatrics Emergency Department Radiology 131

Emergency Medicine Cases

SEPTEMBER 12, 2023

The post ECG Cases 45 ECG in Weakness and Neurological Symptoms appeared first on Emergency Medicine Cases.

EKG/ECG 115

EKG/ECG Seizures Stroke EMS 115

Emergency Medicine Ireland

APRIL 29, 2024

They have a seizure on arrival and a Na comes back at 105. In this scenario they are seizing because of the low Na and rapid increase of the Na is needed to stop the seizure. A seizure seems fairly easy to define but “coma” is a little bit more vague. They have a seizure on arrival and a Na comes back at 105.

Seizures 75

Seizures Sepsis Stroke Administration 75

Mind The Bleep

OCTOBER 20, 2023

They can cause a wide array of symptoms, such as seizures, weakness and dizziness, and typically there are clinical features that actively support the diagnosis of FND. Symptoms of FND -Functional seizures (also can be termed dissociative) -Motor symptoms (e.g. Some have high specificity (positive Hoover’s sign) but low sensitivity.

Seizures 52

Seizures Psychiatric 52

RebelEM

JULY 10, 2024

Red flags in patients with headaches that may suggest a brain tumor include signs of increased intracranial pressure, focal neurological signs, seizures or ataxia. Avoid sedation and lying supine and steroids in patients with mediastinal masses. Post Peer Reviewed By: Salim R.

Seizures 55

Seizures Administration EMS Wellness 55

Pediatric EM Morsels

AUGUST 23, 2024

Diagnosis requires a history of blunt trauma followed clinical signs and/or symptoms: Clinical Signs: GCS of 13-15 (on presentation to the ED, or within 30 minutes of the injury) AND at least ONE of the following: Loss of consciousness Amnesia Alteration in mental status: Reduced/Inappropriate responsiveness or Slowness to respond to questions/instructions (..)

Seizures 243

Seizures Pediatrics Academics Emergency Department 243

EMergucate

SEPTEMBER 14, 2022

A 64 year old male presents to ED after multiple seizure episodes that day. It was reported that the patient would have 20 seconds of seizure activity and then make a full recovering. The patient h…

Seizures 52

Seizures EKG/ECG 52