Round 25 (Seizure)

EM Clerkship - A podcast by Zack Olson, MD and Michael Estephan, MD

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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