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Seizure

UnFiNiShEd CaSe CoMe BaCk LaTeR

“BRADY” DOWN FOR THE REST

History: A man in his 30s is transported by medics to the ED for a witnessed seizure at home. He denies any injury, chest pain, palpitations, headache or other complaints. He had a second seizure lasting about 30 seconds en route. That only lasted 10 seconds.

Exam: Vital signs are normal Exam is otherwise normal.

An EKG is done

PLACE SCREEN SHOT HERE

PLACE HIGH DPI IMAGE IN BRADY-CARDIA WORD DOC

What is the most likely primary diagnosis?

  • A) Hyperkalemia
  • B) Pulmonary Embolism
  • C) Hypocalcemia
  • D) Brugada

“BRADY” DOWN FOR THE EKG ANALYSIS & 1-MINUTE CONSULT

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QUIZ ANSWER< EKG ANALYSIS, CASE OUTCOME, 1-MINUTE CONSULT & CASE LESSONS: 

1) Quiz Answer: The answer is ) Brugada

2) EKG analysis:   (check out more great EKG’s from Dr. Stephen W. Smith of Dr. Smith’s ECG Blog):

3) Case Conclusion:  troponin-i was  (99% URL <0.030: troponin-i immunoassay, Abbott laboratories)

4) 1-Minute Consult from the Emergency Medicine 1-Minute Consult Pocketbook & Smartphone app on the topic for this case: See highlighted areas of sample page below.

PLACE PAGE HERE

5) Case Lessons: 

  1. Always
  2. Never

6) OMI Manifesto: If you haven’t yet read the OMI manifesto, you should.  It’s long but everyone should know at least the basics of why current STEMI criteria miss about 1/3 of occlusion MI’s that would benefit from emergent reperfusion and how you can pick up those patients and get them the care they need. CLICK HERE

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