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
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Algorithm Identify ... : HR > 180bpm ECG ... Monitors, Pads AP Stable ... supraventricular #tachycardia ... #Management #Algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... Control rate (e.g ... Control rate (e.g ... #Treatment #management ... #cardiology #algorithm
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... nodal agents (e.g ... irregular protocol #Stable ... #Treatment #management ... #cardiology #algorithm
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... Pulse oximetry • Electrocardiogram ... StatusEpilepticus #Management ... #Algorithm #Neurology ... pharmacology #dosing #seizure
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Management of Convulsive ... infusion of 2 mcg ... maximum of 24 mcg ... #Management #neurology ... pediatrics #peds #algorithm
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... exertion/training - Seizures ... Herpes, Coxsackie, etc ... - Fever - Tachycardia ... per day until stable
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... heparinized tube) • ECG ... Elimination (see Table ... Monitor for tachycardia ... Treatment #potassium #nephrology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
• Unexplained tachycardia ... if necessary, secure ... alternate vasopressor (e.g ... as patient is stable ... Checklist #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