54 results
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
Management of status ... management of status ... MetroHealth_EM #status ... Seizure #Algorithm #CriticalCare ... #Neurology
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Osm < 275 mosm/kg ... Assess Volume Status ... Algorithm #Diagnosis #Nephrology
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... Lorazepam 0.1 mg/kg ... SarahFoohey #Status ... peds #pediatrics #neurology
Locked-In Syndrome on Physical Exam

56 year-old male with acute onset altered sensorium. Suffered a cardiac arrest
infarct seen on MRI ... twitter.com/dr_supradip/status ... clinical #video #neurology
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The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
of generalized status ... The duration of status ... #Management #Neurology ... #CriticalCare # ... Status #Epilepticus
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency 
Clinical Diagnosis - Caine Criteria (2 out of 4):
Altered mental status ... abnormalities (eg ... diagnosis #criteria #neurology
Status Epilepticus 
Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery
First line
Status Epilepticus ... fosphenytoin 20 mg/kg ... then 0.5-10 mg/kg ... hr infusion #Status ... Epilepticus #Management #Neurology
Main types of autoimmune encephalitis in the ICU. 
Anti-NMDAR anti-N-methyl-d-aspartate receptor, ADEM acute disseminated encephalomyelitis, Anti-GFAP
cerebrospinal fluid, MRI ... resonance imaging, EEG ... comparison #table #neurology
Stroke Etiologies
Hemorrhagic (IPH, SAH)
Ischemic
 - Large Vessel Atherosclerosis
 - Cardioembolic: Atrial fib, prosthetic valves, LV aneurysm,
Endocarditis, Acute MI ... Hypercoagulable states ... differential #diagnosis #neurology
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
for Convulsive Status ... Lorazepam 0.1 mg/kg ... medications in status ... #Convulsive #Status ... Algorithm #Management #Neurology