13 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... Dose 2 → Anti-epileptic ... #2 → Anti-epileptic ... #management #treatment ... #algorithm #peds
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Status Epilepticus ... - Propofol: 2-5 ... of 2-10 mg/kg/hr ... of 0.05-2 mg/kg ... #Epilepticus #Treatment
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Status Epilepticus ... Propofol: 2-5 mg ... of 2-10 mg/kg/hr ... of 0.05-2 mg/kg ... #Epilepticus #Treatment
Status Epilepticus 
Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery
First line
Status Epilepticus ... Midazolam 2-4 mg ... ) • Propofol ( ... hr infusion #Status ... #Epilepticus #Management
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... Treatment Protocol ... mg/kg/hr 2) Propofol ... #Status #Epilepticus ... #Treatment #Protocol
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Early Status Epilepticus ... slowly over 2-5 ... slowly over 2-5 ... over 2-3 minutes ... pediatrics #peds #algorithm
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... for Status Epilepticus ... or • Propofol ... 2 mg/kg IV at 2 ... StatusEpilepticus #Management #Algorithm
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... minutes, lasts -2 ... minutes, lasts ~2 ... #Treatment #Algorithm
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Pointes - Management Algorithm ... , sotalol) • Propofol ... Hypomagnesemia • Hypokalemia ... Hypocalcemia (rarely) Treatment ... • Adult load: 2-
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Blood transfusion, Hypercalcemia ... on MRA/CTA • Anterior ... level (mean 58 mg ... epilepticus ... Treatment: • Address