10 results
Diagnostic Algorithm for the Patient with Seizure in the Emergency Department
Does the history suggest a seizure?
Diagnostic Algorithm ... additional symptoms (eg ... speech abnormality, etc ... Postictal state #Algorithm ... #management #Neurology
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 • first seizure occurred
occurred during ... Remote Symptomatic Cause ... abnormalities on EEG ... Initiation #start #Algorithm ... #Neurology #SHINE
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... StatusEpilepticus #Management ... #Algorithm #Neurology ... #pharmacology # ... dosing #seizure
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... Treat underlying cause ... Control rate (e.g ... Tachycardia #Treatment #management ... #cardiology #algorithm
Medications Used in the Abortive Treatment of Ongoing Seizure Activity in the Emergency Department

INITIAL THERAPY
 -
Phenytoin - May cause ... Pentobarbital - Titrate to EEG ... Midazolam - Titrate to EEG ... #Pharmacology # ... Dosing #Table
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... Management during ... Management during ... hemodynamics (e.g ... Management during
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
Consider known drug causes ... (eg. remifentanil ... , digoxin etc) ... Checklist #Diagnosis #Management ... #Workup #Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... the determined cause ... #differential #algorithm ... #management #cardiology ... #treatment #table
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... not be subtle e.g ... E.g. 80 yo ESR cutoff ... vision changes, etc ... Symptoms #Diagnosis #Management
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Protocol 1st line (seizures ... -30 mins) - If seizures ... over 5 min (need EKG ... Treatment #Protocol #algorithm ... #neurology #management