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EPIX EMAIL ALERT

"Can't Miss" Seizure Presentations, Part 2

 

By Dr. Stephen Colucciello

 

The Wild Man

 

A 40-year-old plaintiff’s attorney from the firm of Shady and Leach presents with a first time seizure.

 

Medics gave him several rounds of midazolam for agitation during transport and the patient arrives with the following vital signs: BP 185/110, P 135, T 101, R 25, PO 98% and blood glucose 145.

 

The patient is tremulous and will not follow commands. He is drenched in sweat, intermittently retches and scratches frantically.

 

Although there are no focal neuro deficits, the patient is hyper-reflexic and looks wildly around the room during the exam. During the physical, he tries to eat your reflex hammer.

 

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THE EPIX DIFFERENCE

Patrick Kelly"Since becoming insured with EPIX in 2008 our group has benefited from a partnership that provides us with much more than malpractice insurance. As emergency physicians with a primary focus on patient safety our group appreciates the value of EPIX's risk management program on a daily basis." Read More

Patrick Kelly, MD, FACEP
Roper Emergency Physicians
Charleston, SC
FSR for EMERGENCY PHYSICIANS INSURANCE EXCHANGE RRG (EPIX)