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