List three common causes for seizures.
Epileptic, tumor, infection, head trauma, stroke, hypoxia, hypoglycemia, poisoning, overdose, withdrawal symptoms, fevers.
What vital sign should you ABSOLUTELY get if you have a potential stroke patient.
Blood glucose Level!
GCS required for a patient to refuse transport.
GCS 15 :)
What does AEIOUTIPS stand for?
Alcohol
Epilepsy, endocrine, electrolytes
Insulin
Opiates/other drugs
Uremia
Trauma, temperature
Infection
Poisoning, psychogenic causes
Shock, Stroke, Seizure, Syncope, Space-occupying lesion, Subarachnoid hemorrhage
Who has more quotes on the quote wall RIGHT NOW Izaak, Mitchell, Katie, or Noah?
If they are in immediate danger.
Why is it important to get a last known well time on a potential stroke patient?
Changes hospital treatment options (time=brain)
Your patient opens their eyes spontaneously, obeys commands, and says inappropriate words. What is their GCS?
GCS 13.
Demonstrate an assessment for a concussion.
:)
Who started the "12 flaming babies" bit?
Mitchell
What signs can you look for to determine if a patient has had a seizure recently?
When spotting a stroke, the acronym BEFAST is very helpful. What does BEFAST stand for?
Balance (unsteady)
Eyes (blurry)
Face (drooping)
Arm (weakness)
Speech (difficulty/slurred)
Time (important!!)
List the levels of the motor response section of the Glasgow Coma Scale.
6. Obeys commands
5. Moves to localized pain
4. flex to withdraw from pain
3. abnormal flexion
2. abnormal extension
1. no réponse
Fever, headache, sensitivity to light, nausea, vomiting, AMS, a red or purple rash, and neck stiffness would be reason to suspect what illness?
Meningitis.
"Born to _______, forced to __________."
-Garrett
"Born to probie, forced to super."
What is the requirement must be met for a seizure to be considered status epilepticus?
A seizure lasting longer than 5 minutes.
What is the most common symptom for a ruptured aneurysm?
A sudden severe headache
You have a patient with a head injury! Patient opens eyes to speech, speaks unintelligibly, and pushes your hand away when you do a trap squeeze.
GCS 10
Name 4 symptoms of severe alcohol withdrawal?
headache, anxiety/irritability, insomnia, excessive sweating, upset stomach, heart palpitations, hypertension, tachycardia, difficulty walking, tremors, confusion, hallucinations, seizures, delirium
"I used to have family there... I'm glad they all _____."
Fill in the blank AND name who said it.
"I used to have family there... I'm glad they all died." -Kevin
What drug and route do you give for an eclamptic seizure?
Magnesium sulfate IV (usually over a period of time via drip)
What is the difference between expressive and receptive aphasia?
Expressive aphasia affects someone's ability to speak and write, receptive aphasia affects their ability to understand spoken and written language.
This type of posturing would result from damage to the brainstem.
What is decerebrate posturing?
You have a patient who began experiencing flu-like symptoms recently. In the last few hours they have begun experiencing memory problems, an acute headache, and behavior and personality changes. While on scene with this patient, they begin experiencing seizures. List at least two medical emergencies that you should consider?
Encephalitis, sepsis, meningitis, stroke, intracranial abscess or tumors, subarachnoid or subdural hemorrhage.
Izaak once said "well that was a core memory" what was the context for this statement?
He pooped his pants :)