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Super Refractory Status Epilepticus

Don't Forget the Bubbles

Going beyond the algorithm, what can we do when a child is still fitting despite appropriate treatment? Four-year-old Fern is a previously healthy girl who presents with a febrile illness and seizures. Whilst in PICU, amplitude-integrated EEG monitoring is commenced and reveals ongoing seizure activity. What is the problem with SRSE?

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When Can You Discharge Traumatic Intracranial Hemorrhage from the Emergency Department?

ACEP Now

In their multi-center validation study of 2033 patients, they found that patients who were classified as BIG 1 and BIG 2 (around 30 percent of all patients) had zero TBI-related post-discharge ED visits or 30-day readmissions. Should you do it or should you look for another transferring facility? Evidence Click to enlarge.