10 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... between them PEDS ... Lorazepam 0.1 mg/kg ... treatment #algorithm #peds ... #pediatrics #neurology
Status Epilepticus 
Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery
First line
Status Epilepticus ... 4 mg IV (10 mg IM ... then 0.5-10 mg/kg ... infusion #Status #Epilepticus ... #Management #Neurology
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Convulsive Status Epilepticus ... Midazolam 10 mg IM ... medications in status epilepticus ... Convulsive #Status #Epilepticus ... Algorithm #Management #Neurology
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Convulsive Status Epilepticus ... Early Status Epilepticus ... OR • IM Midazolam ... seizure #Management #neurology ... #pediatrics #peds
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Convulsive Status Epilepticus ... Midazolam 10 mg IM ... MEDICATION IN STATUS EPILEPTICUS ... anesthetics #Status #Epilepticus ... Convulsive #management #neurology
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Algorithm for Status Epilepticus ... IM or IV at 150 ... acid 20-40 mg/kg ... IV at 1-5 mg/kg ... Management #Algorithm #Neurology
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 • first seizure occurred
you start Anti-Epileptic ... Drugs (AEDs) on ... neuro-Imaging • abnormal Neurologic ... abnormalities on EEG ... start #Algorithm #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
may precede the neurologic ... • EEG: With persistent ... nonconvulsive status epilepticus ... Seizures: Treat with AEDs ... diagnosis #management #neurology
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... intranasal/buccal/IM ... over 5 min (need EKG ... #MGH #Status #Epilepticus ... Protocol #algorithm #neurology
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
- HIV, CMV, EBV ... syndrome, Sudden death ... Electrodiagnostic studies - EMG ... management #treatment #neurology