09.16.2019 - By Zack Olson, MD and Michael Estephan, MD
CAUTION: THESE NOTES CONTAIN SPOILERS!!!
Case Introduction
EMS brings in a postictal 34 year old female after she has a seizure. She is complaining of a headache…
Initial Vitals
* Temp 98.9* HR 110* RR 10* BP 175/115* O2 95%
Critical Actions
* Articulate Full Neurologic Exam* Early Blood Glucose* Identification of Pregnancy* Administer Magnesium* Treat the Patient’s Blood Pressure
Final Diagnosis
Eclampsia
Tips and Tricks
All women of childbearing age should receive a pregnancy test early in the case
Additional Reading
* Approach to Eclampsia (EM Clerkship)* American College of OB-GYN Eclampsia Guidelines (ACOG)