9 results
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... rely upon rapid seizure ... The longer the seizure ... #Management #Neurology ... Epilepticus #Refractory #Seizures
Pathyophysiology - hyperglycemic crises in patients with diabetes 
Key signs/symptoms of HHS/DKA:
Both: Polyuria, polydipsia, weight loss,
altered mental status ... lethargy, coma, seizure ... ) #Pathophys #EM ... #IM #Endo #DKA ... #HHS #Ddxof
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
, confusion, seizures ... Assessment of volume status ... history #Diagnosis #EM ... #Differential #Algorithm ... #Ddxof
Differential Diagnosis of Syncope
First, is it syncope? History is very important for distinguishing syncope from other
(seizure, dizziness ... Common causes of ... #Diagnosis #EM # ... Neuro #IM #Sycope ... #Algorithm #Ddxof
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
for reversible cause ... Midazolam 10 mg IM ... is available or seizure ... #management #neurology ... #seizures #ACEP
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment ... Algorithm for Convulsive ... for reversible cause ... Midazolam 10 mg IM ... #Neurology #Pharmacology
Medications Used in the Abortive Treatment of Ongoing Seizure Activity in the Emergency Department

INITIAL THERAPY
 -
of Ongoing Seizure ... Midazolam - Preferred IM ... Phenytoin - May cause ... #Abortive #Seizure ... #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 ... #Neurology #pharmacology ... #dosing #seizure
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
1st line (seizures ... intranasal/buccal/IM ... -30 mins) - If seizures ... #Protocol #algorithm ... #neurology #management