14 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
- Management Seizure ... 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
Epilepticus Continuous seizure ... 10 min OR >= 2 seizures ... 4 mg IV (10 mg IM ... then 0.5-10 mg/kg ... Epilepticus #Management #Neurology
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
- Syncope - Seizure ... cardiac arrest/death ... **Get baseline EKG ... in new syncope/seizures ... QT prolonging meds
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Stabilization Phase (Seizure ... Epilepticus (Seizure ... OR • IM Midazolam ... #Management #neurology ... #pediatrics #peds
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Lorazepam 0.1 mg/kg ... Midazolam 10 mg IM ... is available or seizure ... Convulsive #management #neurology ... #seizures #ACEP
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
IM or IV at 150 ... acid 20-40 mg/kg ... IV at 1-5 mg/kg ... Management #Algorithm #Neurology ... pharmacology #dosing #seizure
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hypertonic Saline: seizure ... in water @ 3cc/kg ... MH/CCF/CWRU EM ... rate #management #nephrology
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 • first seizure occurred
Anti-Epileptic Drugs (AEDs ... on a first time seizure ... 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
• Headache • Seizures ... may precede the neurologic ... • EEG: With persistent ... : Treat with AEDs ... diagnosis #management #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