Round 2 (Seizure)

CAUTION: THESE NOTES CONTAIN SPOILERS!!!



Case Introduction



EMS brings in a postictal 34 year old female after she has a seizure. She is complaining of a headache…



Initial Vitals



* Temp 98.9* HR 110* RR 10* BP 175/115* O2 95%



Critical Actions



* Articulate Full Neurologic Exam* Early Blood Glucose* Identification of Pregnancy* Administer Magnesium* Treat the Patient’s Blood Pressure



Final Diagnosis



Eclampsia



Tips and Tricks



All women of childbearing age should receive a pregnancy test early in the case



Additional Reading



* Approach to Eclampsia (EM Clerkship)* American College of OB-GYN Eclampsia Guidelines (ACOG)