7 results
Differential Diagnosis of Syncope
First, is it syncope? History is very important for distinguishing syncope from other
Diagnosis of Syncope First ... (seizure, dizziness ... #Diagnosis #EM # ... Neuro #IM #Sycope ... #Algorithm #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 ... #IM #Nephro #Hyponatremia ... #Differential #Algorithm
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
for reversible cause ... FIRST-LINE AGENTS ... Midazolam 10 mg IM ... is available or seizure ... #seizures #ACEP
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 • first seizure occurred
time seizure? ... seizure occurred ... during Sleep ... Antiepileptics #Drugs #Seizure ... Initiation #start #Algorithm
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... for Status Epilepticus ... lateral decubitus) First-line ... Fosphenytoin 20 PE/kg IM ... #dosing #seizure
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 ... #Pharmacology #Dosing
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 ... Treatment #Protocol #algorithm ... #neurology #management