38 min

Round 9 (Seizure) EM Clerkship

    • Médecine

CAUTION: THESE NOTES CONTAIN SPOILERS!!!







Case Introduction







The nurse brings back a young adult male from the lobby who is having a seizure…







Initial Vitals







* Temp 98.8* HR 90* RR 10* BP 120/80* O2 92%







Critical Actions







* Verbalize ABCs on a Critical Patient* Obtain Immediate Blood Glucose Level* Give Benzodiazepine* Initiate Workup of New-Onset Seizures* Give Pyridoxine (Vitamin B6)







Final Diagnosis







Isoniazid Toxicity







Tips and Tricks







When the patient is unable to provide history, attempt to obtain the information from external sources







Additional Reading







* Isoniazid toxicity overview (Life in the Fast Lane)* Basic approach to seizures (EM Clerkship)* Basic approach to status epilepticus (EM Clerkship)* Ketamine for refractory status epilepticus (PubMed)







Corrections







Ketamine not Keppra as potential induction agent for status epilepticus (32:40)

CAUTION: THESE NOTES CONTAIN SPOILERS!!!







Case Introduction







The nurse brings back a young adult male from the lobby who is having a seizure…







Initial Vitals







* Temp 98.8* HR 90* RR 10* BP 120/80* O2 92%







Critical Actions







* Verbalize ABCs on a Critical Patient* Obtain Immediate Blood Glucose Level* Give Benzodiazepine* Initiate Workup of New-Onset Seizures* Give Pyridoxine (Vitamin B6)







Final Diagnosis







Isoniazid Toxicity







Tips and Tricks







When the patient is unable to provide history, attempt to obtain the information from external sources







Additional Reading







* Isoniazid toxicity overview (Life in the Fast Lane)* Basic approach to seizures (EM Clerkship)* Basic approach to status epilepticus (EM Clerkship)* Ketamine for refractory status epilepticus (PubMed)







Corrections







Ketamine not Keppra as potential induction agent for status epilepticus (32:40)

38 min

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