8 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
SHINE Mnemonic: ... occurred during ... abnormalities on EEG ... Initiation #start #Algorithm ... #mnemonic
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... Pulse oximetry • Electrocardiogram ... #Algorithm #Neurology ... #pharmacology #dosing ... #seizure
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... Algorithm Drugs ... that prolong QT ... Congenital long QT ... #Algorithm
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
Medications Used in the Abortive Treatment of Ongoing Seizure Activity in the Emergency Department

INITIAL THERAPY
 -
Treatment of Ongoing Seizure ... Pentobarbital - Titrate to EEG ... Midazolam - Titrate to EEG ... #Neurology #Pharmacology ... #Dosing #Table
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... Protocol 1st line (seizures ... over 5 min (need EKG ... Treatment #Protocol #algorithm ... #neurology #management
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