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 ... #Management #Neurology ... Epilepticus #Refractory #Seizures ... #Algorithm #PulmCrit
Status Epilepticus 
Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery
First line
Epilepticus Continuous seizure ... 10 min OR >= 2 seizures ... 4 mg IV (10 mg IM ... infusion) • Propofol ... #Neurology #Epilepsy
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... for reversible cause ... Midazolam 10 mg IM ... is available or seizure ... #neurology #seizures
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... Alternative causes ... disorder and avoid seizure ... #Management #Alcohol ... #Protocol #PulmCrit
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Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Stabilization Phase (Seizure ... Epilepticus (Seizure ... If seizure continues ... #Epilepticus #seizure ... #Management #neurology
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... Fosphenytoin 20 PE/kg IM ... mg/kg/hr or • Propofol ... #Algorithm #Neurology ... pharmacology #dosing #seizure
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment Algorithm ... for reversible cause ... Midazolam 10 mg IM ... epilepticus: - Propofol ... #Management #Neurology
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 ... #algorithm #neurology ... #management
Medications Used in the Abortive Treatment of Ongoing Seizure Activity in the Emergency Department

INITIAL THERAPY
 -
Treatment of Ongoing Seizure ... Midazolam - Preferred IM ... Phenytoin - May cause ... #Abortive #Seizure ... #Medications #Neurology