11 results
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... rely upon rapid seizure ... cause aspiration, hyperkalemia ... rhabdomyolysis, hyperthermia ... #Algorithm #PulmCrit
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... Lorazepam 0.1 mg/kg ... Anti-epileptic #3 ... #management #treatment ... #algorithm #peds
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment ... Algorithm for Convulsive ... 02, suction 3. ... is available or seizure ... Ketamine: 0.5-3
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment ... Algorithm for Convulsive ... , 02, suction 3. ... epilepticus: - Propofol ... Ketamine: 0.5-3
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
exertion/training, Seizures ... , Malignant hyperthermia ... Drugs (Statins), ... obstruction 3. ... Dialysis for severe hyperkalemia
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Exertional: - Hyperthermia ... exertion/training - Seizures ... - Malignant hyperthermia ... Toxins - Drugs - Statins ... obstruction 3.
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Blood transfusion, Hypercalcemia ... Risk factors 3. ... on MRA/CTA • Anterior ... epilepticus Treatment ... correction: Levels 2-3
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Treatment Protocol ... 1st line (seizures ... 100mg/min) 3) ... over 5 min (need EKG ... #Protocol #algorithm
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... for Status Epilepticus ... at 3-6 mg/kg/min ... /hr or • Propofol ... pharmacology #dosing #seizure
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Pointes - Management Algorithm ... flecainide) • Class 3 ... , sotalol) • Propofol ... Hypomagnesemia • Hypokalemia ... Hypocalcemia (rarely) Treatment