Audience The target audiences for this team-based learning are emergency medicine and emergency medicine-pediatric resident physicians. Introduction/Background Pediatric seizure is a common presenting complaint in the emergency department. It is said that over 470,000 children have a diagnosed seizure disorder 1 and 2%–5% of children aged 6 months to five years will have a febrile seizure at some point during childhood. 2 While there are many published educational materials related to pediatric seizure, they are simulation-based, and/or isolated to management of one underlying diagnosis. 3 , 4 , 5 , 6 Therefore, this team-based learning uses four cases to provide an understanding of the possible causes of seizure in children, as well as the management, workup, and disposition for emergency medicine residents in training. Educational Objectives By the end of this TBL session, learners should be able to: Define features of simple versus complex febrile seizure Discuss which patients with seizure may require further diagnostic workup Summarize a discharge discussion for a patient with simple febrile seizures Identify a differential diagnosis for pediatric patients presenting with seizure Define features of status epilepticus Review an algorithm for the pharmacologic management of status epilepticus Indicate medication dosing and routes of various benzodiazepine treatments Obtain a thorough history in an infant patient with seizures to recognize hyponatremia due to improperly prepared formula Choose the appropriate treatment for a patient with a hyponatremic seizure Describe the anatomy of a ventriculoperitoneal (VP) shunt Relate a differential diagnosis of VP shunt malfunction Compare and contrast the neuroimaging options for a patient with a VP shunt Educational Methods This team-based learning is a classic TBL because it contains learner responsible content (LRC), an individual readiness assessment test (iRAT), a multiple-choice group RAT (gRAT) with immediate feedback assessment technique (IF/AT), and a group application exercise (GAE). Research Methods We received formative feedback through conversations with learners afterwards, who stated they enjoyed the activity and felt it was highly useful for their learning; in addition, instructors discussed after the session and made changes accordingly. Results We collected verbal feedback from instructors and learners after the session. Learners and instructors felt that it was very successful with limited modifications, in p...

Audience:The target audiences for this team-based learning are emergency medicine and emergency medicine-pediatric resident physicians.Introduction/Background: Pediatric seizure is a common presenting complaint in the emergency department. It is said that over 470,000 children have a diagnosed seizure disorder 1 and 2%-5% of children aged 6 months to five years will have a febrile seizure at some point during childhood. 2 While there are many published educational materials related to pediatric seizure, they are simulation-based, and/or isolated to management of one underlying diagnosis. 3,4,5,6 Therefore, this team-based learning uses four cases to provide an understanding of the possible causes of seizure in children, as well as the management, workup, and disposition for emergency medicine residents in training. Educational Objectives:By the end of this TBL session, learners should be able to:1. Define features of simple versus complex febrile seizure 2. Discuss which patients with seizure may require further diagnostic workup 3. Summarize a discharge discussion for a patient with simple febrile seizures 4. Identify a differential diagnosis for pediatric patients presenting with seizure 5. Define features of status epilepticus 6. Review an algorithm for the pharmacologic management of status epilepticus 7. Indicate medication dosing and routes of various benzodiazepine treatments TBL 2 8. Obtain a thorough history in an infant patient with seizures to recognize hyponatremia due to improperly prepared formula 9. Choose the appropriate treatment for a patient with a hyponatremic seizure 10. Describe the anatomy of a ventriculoperitoneal (VP) shunt 11. Relate a differential diagnosis of VP shunt malfunction 12. Compare and contrast the neuroimaging options for a patient with a VP shunt Educational Methods: This team-based learning is a classic TBL because it contains learner responsible content (LRC), an individual readiness assessment test (iRAT), a multiple-choice group RAT (gRAT) with immediate feedback assessment technique (IF/AT), and a group application exercise (GAE).Research Methods: We received formative feedback through conversations with learners afterwards, who stated they enjoyed the activity and felt it was highly useful for their learning; in addition, instructors discussed after the session and made changes accordingly. Results:We collected verbal feedback from instructors and learners after the session. Learners and instructors felt that it was very successful with limited modifications, in particular, the need for more time to complete the activity. Therefore, we suggest a 90 minute rather than 60-minute timeframe to adequately cover all material.Discussion: Pediatric seizure is a common complaint in the emergency department. It can be a difficult subject for the emergency medicine resident to master based on the variety of presentations. Indeed, the cause, management, and disposition may vary greatly; the etiology may range from benign to lifethreatening, sometimes requiring minimal and at oth...

This case report discusses a case of superior mesenteric artery (SMA) syndrome in a previously healthy 16-year-old male without significant weight loss or usual risk factors. This patient presented to the emergency department with 4 days of bilious vomiting and epigastric pain that started after ingestion of a large meal and intense exercise. During his illness he was seen at 3 different healthcare facilities before receiving a diagnosis at the fourth visit. SMA syndrome was initially suspected based on the location of obstruction on CT but was not confirmed until upper endoscopy was performed. In puberty, males have an increase in lean body mass with concurrent loss of adipose. With these changes, the angle between the aorta and the superior mesenteric artery can narrow with decrease in mesenteric fat.