9 results
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
rely upon rapid seizure ... The longer the seizure ... which may cause ... may cause aspiration ... #Management #Neurology
Status Epilepticus 
Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery
First line
Status Epilepticus ... Continuous seizure ... 10 min OR >= 2 seizures ... 4 mg IV (10 mg IM ... #Management #Neurology
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
for reversible cause ... Midazolam 10 mg IM ... ADVANCED AIRWAY MANAGEMENT ... is available or seizure ... #neurology #seizures
Status Epilepticus Management

 • Definition of Status Epilepticus
 • Diagnostic Workup
 • Potential Causes

Treatment of Status
Management ... • Potential Causes ... #Management #epilepsy ... #neurology #seizure ... #management #treatment
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Management of Convulsive ... Status Epilepticus ... OR • IM Midazolam ... #seizure #Management ... #neurology #pediatrics
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Convulsive Status Epilepticus ... for reversible cause ... Midazolam 10 mg IM ... Treatment #Algorithm #Management ... #Neurology #Pharmacology
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 ... #Algorithm #Neurology ... pharmacology #dosing #seizure
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
may precede the neurologic ... nonconvulsive status epilepticus ... the underlying cause ... Syndrome #diagnosis #management ... #neurology
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Protocol 1st line (seizures ... intranasal/buccal/IM ... -30 mins) - If seizures ... Protocol #algorithm #neurology ... #management