Vitals & Useful Links:

• Learn about an important etiology of seizures. See spoilers below if you want to know which one.


• Podcast: Approach to Seizures - EM Clerkship Podcast


• Clinical Reference: ACEP Clinical Guidelines on Seizures

As 2020 comes to a close, we bring you our final episode of the year, officially ending our first season of EMJC Cast. We want to say a HUGE thank you to every single listener who has tuned in, especially our fan in Papua New Guinea, as well as to all of our cohosts who have joined us so far. In this episode full of twists and turns, Kyle (MS4) leads Arman (MS4), Abby (MS4), and Nathan (MS4) through a case of a male presenting with a chief complaint of "seizure". How would you approach this case? As always, we learn a couple very important points about evaluating and treating seizures. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com.

*EPISODE SPOILERS BELOW*

CIWA Assessment for Alcohol Withdrawal

MD Calc is a great tool to use for the CIWA-Ar for Alcohol Withdrawal.

Kyle's Article on Phenobarbital vs CIWA-Ar Protocol for Treatment of Alcohol Withdrawal

Tidwell, W. P., Thomas, T. L., Pouliot, J. D., Canonico, A. E., & Webber, A. J. (2018). Treatment of alcohol withdrawal syndrome: phenobarbital vs CIWA-Ar protocol. American Journal of Critical Care, 27(6), 454-460.

Kyle's Article on Single Dose Phenobarbital in the ED

Rosenson, J., Clements, C., Simon, B., Vieaux, J., Graffman, S., Vahidnia, F., ... & Alter, H. (2013). Phenobarbital for acute alcohol withdrawal: a prospective randomized double-blind placebo-controlled study. The Journal of emergency medicine, 44(3), 592-598.

EM Cases Podcast on Alcohol Withdrawal

A great discussion of the diagnosis and management of alcohol withdrawal, including some talk about tongue tremors/fasciculations.

Toronto Star Article on Tremor Evaluation App

DISCLAIMER:

The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong - if you notice this, please email us at emjccast@gmail.com.

Intro Music: "Walk Through the Park" by Track Tribe