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)