10 results
A good approach when dealing with hypotension at the bedside includes using the following systematic four
systematic four step evaluation ... Heart Rate 2. ... Volume Status 3. ... #EM #IM #PCC #Hypotensive ... Hypotension #Approach #Algorithm
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... - Management Seizure ... Anti-epileptic #3 ... #treatment #algorithm ... #neurology
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Diagnosis and Evaluation ... acute vs. chronic) 2) ... confusion, seizures) 3) ... Assessment of volume status ... history #Diagnosis #EM
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... 02, suction 3. ... Midazolam 10 mg IM ... succinylcholine REFRACTORY ... #ACEP
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment Algorithm ... , 02, suction 3. ... Midazolam 10 mg IM ... IV (3000 mg) Refractory ... #Management #Neurology
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Management of Convulsive ... OR • IM Midazolam ... Refractory Status ... #neurology #pediatrics ... #peds #algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... event, follow ACC algorithm ... ACEi/ARBs - Hold ... medical and surgical management ... perioperative #Risk #Evaluation
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... for Status Epilepticus ... Fosphenytoin 20 PE/kg IM ... 20-40 mg/kg at 3- ... #Algorithm #Neurology
Scleroderma Renal Crisis (SRC)

Clinical Presentation of Scleroderma Renal Crisis:
1) Acute kidney injury
2) Abrupt onset of hypertension
3)
kidney injury 2) ... hypertension 3) ... , add other BP meds ... • Refractory ... #rheumatology #nephrology
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
intranasal/buccal/IM ... 100mg/min) 3) ... (30 - 60 mins) REFRACTORY ... Treatment #Protocol #algorithm ... #neurology #management