Round 25 (Seizure)

CAUTION: THESE NOTES CONTAIN SPOILERS!!



Case Introduction



You are working a shift at EM Clerkship General when you are called to the waiting room by the charge nurse for a seizing patient.



Initial Vitals



* Temp 99.0F* HR 97* RR 16* BP 120/80* O2 90%



Critical Actions



* Perform airway maneuvers to clear obstruction* Administer IV Benzodiazepines * Administer Hypertonic Saline* Diagnose Anterior Shoulder Dislocation* Perform & Describe Shoulder Reduction Procedure



Further Reading



EMDOCs – Anterior Shoulder



ALiEM – Park Method for Anterior Shoulder Dislocation



EMCrit – Hyponatremia