Alison Jaworski, MD
You’re working a shift in the Emergency Department and your patient needs an LP. You grab an informed consent form and head into the room to discuss the procedure with the patient... Of course you know you have to discuss risks and benefits and get the patient to sign the form, but what does "informed consent" actually mean?
A boy, otherwise healthy, is rushed into the emergency room by his mom because she thinks he had a seizure. His mom states he was sitting on the ground playing a game on his iPad when he suddenly started having jerking movements of his entire body that eventually after around 2 minutes. He has never had a seizure before. He is up to date on vaccines and had an unremarkable birth history.
On exam, the child is not actively seizing at this time, he just seems slightly drowsy and confused. It is noted that he is febrile to 38.2 C, otherwise vitals are stable. The rest of the exam is .
What should you be thinking about? What are your next steps?