EMDocs

AUGUST 22, 2023

Capnography has several novel uses in other disease states commonly seen in the ED such as trauma, DKA, sepsis and obstructive lung disease. In cardiac arrest, EtCO 2 is dependent on compressions AND the underlying cause. ETCO 2 correlates with blood pressure, lactate, and base excess in critically ill patients.

Emergency Department 67

Emergency Department Blood Transfusions Resuscitation Sepsis 67

PEMBlog

MARCH 27, 2024

They include neurologic dysfunction, which is one of the most common that includes things like developmental delay, regression, AKA loss of developmental milestones, hypotonia, encephalopathy, or seizures. So they’re lethargic, they might vomit, they’re hypotonic, hypothermic, they might have fever or seizures.

Pediatrics 59

Pediatrics Seizures Emergency Department Sepsis 59

The Skeptics' Guide to EM

NOVEMBER 18, 2017

Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. Fever in the Emergency Department Predicts Survival of Patients With Severe Sepsis and Septic Shock Admitted to the ICU. Following the triage sepsis pathway, recently amended to use qSOFA.

Sepsis 52

Sepsis Emergency Department Seizures Pediatrics 52

Taming the SRU

SEPTEMBER 1, 2023

to divert the plane).

Sepsis 84

Sepsis Administration Documentation/Coding Fractures 84

EMDocs

NOVEMBER 1, 2023

1 , 2 The most common non-iatrogenic cause is spontaneously due to increased intraesophageal pressure, Boerhaave syndrome, from forceful retching, coughing, straining, seizures, or even childbirth (15% of cases). upper endoscopy, transesophageal echo, etc.). upper endoscopy, transesophageal echo, etc.).

Operations 66

Operations Radiology Radiology Fluid Resuscitation 66

PulmCCM

OCTOBER 23, 2023

Cefepime crosses the blood-brain barrier, and dozens of case reports have associated the drug with seizures, encephalopathy, delirium, and coma, with a possibly increased incidence of neurologic adverse effects among patients with renal failure or sepsis.

Hospitals 98

Hospitals Emergency Department COPD CDC 98

Pediatric Emergency Playbook

MAY 1, 2016

meningoencephalitis, overwhelming alternate source of sepsis) T – Toxins (e.g. sludge phenomenon, secondary sepsis, hypoglycemia from supply-demand mismatch) S – Seizure (e.g. meningoencephalitis, overwhelming alternate source of sepsis) T – Toxins (e.g. V – Vascular (e.g. V – Vascular (e.g. Should you get a CT before LP?

Seizures 40

Seizures Sepsis Stroke Pediatrics 40

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Definition of status epilepticus:Continuous seizure activity of 5 minutes or greater – OR – Recurrent activity without recovery between intervals. This definition includes clinically apparent seizures as well as those seen only on EEG.) During a seizure, GABA receptors in the neuron’s membrane are internalized and destroyed.

Pediatrics 40

Pediatrics Seizures Stroke Radiology 40

Taming the SRU

MAY 1, 2023

Exertional Hyperthermia Patients with heat stroke will present with Temp > 104, AMS, or seizures. EMS was bagging him on arrival Primary notable for Compromised Airway Protection, bilateral Breath sounds, strong pulses,GCS 3 CT images of Head, Chest, Abdomen, Pelvis, and Spine No acute findings pH of 6.75

Poisoning 52

Poisoning Hyperthermia / Hypothermia Emergency Department Seizures 52

Taming the SRU

APRIL 13, 2023

stent, percutaneous nephrostomy) by urology or IR Hypokalemia evaluate for EKG changes assess for underlying cause and factors that may influence ability to replete (i.e. Vaishnav Hyperthermia: abnormally high body temperature due to thermoregulatory failure Severe hyperthermia: temp greater than 40.5C

Hyperthermia / Hypothermia 52

Hyperthermia / Hypothermia Poisoning EKG/ECG Seizures 52

Emergency Medicine Ireland

DECEMBER 14, 2020

In terms of reasons to sedate someone in the ICU the following would seem a reasonable selection of reasons * as treatment for disease process (eg seizures, alcohol withdrawal) * to facilitate tolerance of ICU therapies (eg ventilation) * to reduce O2 consumption (eg brain injury or sepsis) * use as palliation In terms of assessing sedation I think (..)

Seizures 40

Seizures Sepsis 40

Dr. Smith's ECG Blog

JUNE 26, 2023

Most occurrences are associated with events such as sepsis, shock, recent infarction, post-operative state, electrolyte disturbance — or "sick patient". Seizure activity was witnessed at the scene — and head CT scan showed a small bleed. PEARL # 5: Accelerated junctional rhythms are not common in adults.

EKG/ECG 75

EKG/ECG Seizures Sepsis Operations 75

Dr. Smith's ECG Blog

MARCH 30, 2014

They were worried that the syncope was seizure and that she had brain mets. Then they were worried about sepsis as an etiology of hypotension. Then she had some RUQ tenderness which led to a long process of evaluation for an abdominal source of sepsis, which turned up negative. Previous ECG. The lactate was elevated and pH low.

EKG/ECG 52

EKG/ECG Outcomes Shock Sepsis 52

Mind The Bleep

DECEMBER 31, 2023

These require swabs, antibiotics, potentially a sepsis screen and bleeping your registrar / consultant for further advice. encephalopathy, pericarditis, seizures) *common dialysable toxins include lithium, aspirin, theophylline along with many others. Peritoneal dialysis has a risk of infection (PD peritonitis or exit site infection).

Fluid Resuscitation 52

Fluid Resuscitation Hospitals Sepsis EKG/ECG 52

Mind The Bleep

SEPTEMBER 12, 2023

Were there any risk factors for sepsis? Increased work of breathing with grunting and tachypnoea could be due to sepsis, hypoglycaemia or acidosis due to an inborn error of metabolism. Severe jaundice causing kernicterus may also cause central hypotonia and seizures. Birth History How long was the labour?

Sepsis 52

Sepsis Seizures Poisoning Wellness 52

EMDocs

AUGUST 17, 2023

The study was performed when Surviving Sepsis Campaign Guidelines were used, so it was more common to see large volume fluid administration in the setting of sepsis. vs 48.4% (OR 3.4, 5.53) Takeaways: Positive trial => there was a statistically significant rate of shock control attained with the treatment arm. vs 48.4% (OR 3.4,

Sepsis 66

Sepsis Shock Resuscitation Fluid Resuscitation 66

Taming the SRU

JUNE 6, 2023

HAJDU Mild TBI’s & Concussions in the Emergency Department TBI’s are relatively common >3 million TBI’s in the US annually 2.5 million presentation to ED’s throughout the US Usually occur due to falls Also commonly occur due to sports, MVC’s, etc.

Documentation/Coding 59

Documentation/Coding Seizures Wellness Psychiatric 59

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Perhaps diGeorge syndrome with hypocalcemia and seizures? Inborn Errors of Metabolism - there are over 200 inborn errors of metabolism, but only four common metabolic pathways that cause a child to be critically ill. Before you decide on sepsis, ask yourself, could this be a cardiac problem?*

Seizures 40

Seizures Sepsis Pediatrics Shock 40

Don't Forget the Bubbles

MAY 15, 2023

Signs and symptoms in this group are often non-specific and can include irritability, hypotonia, lethargy, jitteriness, temperature instability, poor feeding, vomiting, apnoea and seizures. What’s all this fuss about ketones? All of the cases so far have featured ketotic hypoglycaemia.

Wellness 103

Wellness Seizures Hospitals Dehydration 103

Pediatric Emergency Playbook

APRIL 1, 2016

Lactate A sick child with sepsis syndrome? In the adult literature, we know that a lactate level above 4 mmol/L in patients with severe sepsis was associated with the need for critical care. The acute recognition and treatment of sepsis is first and foremost, clinical. The short answer – yes.

Pediatrics 52

Pediatrics Sepsis Shock Outcomes 52

Don't Forget the Bubbles

JULY 5, 2023

Vaccination: PCV13 (pneumococcal vaccination), meningococcal vaccines, and Hib conjugated vaccines are important to prevent life-threatening sepsis. Sickle cell patients also qualify to receive the annual influenza vaccine, since influenza virus infection predisposes to bacterial pneumonia and sepsis caused by S. Pneumococcal sepsis B.

Blood Transfusions 126

Blood Transfusions Stroke Dehydration Sepsis 126

Pediatric Emergency Playbook

MAY 1, 2017

Check the bilirubin in any neonate you are working up for sepsis. Acute bilirubin encephalopathy may progress to an abnormal neurologic exam, seizures, apnea, or coma. The dehydration and neurologic dysfnction from the hyperbilirubinemia may even cause fever. Kernicterus is the final, permanent result of bilirubin encephalpathy.

Dehydration 52

Dehydration Pediatrics Wellness Seizures 52