9 results
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
acute vs. chronic) 2) ... nausea, confusion, seizures ... history #Diagnosis #EM ... #IM #Nephro #Hyponatremia ... #Ddxof
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Epilepticus - Management ... Lorazepam 0.1 mg ... #management #treatment ... #algorithm #peds ... #pediatrics #neurology
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hypertonic Saline: seizure ... increasing Na ~5mEq 2. ... /CCF/CWRU EM Res ... Correction #goal #rate #management ... #nephrology
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment ... Algorithm for Convulsive ... IM once SECOND-LINE ... #management #neurology ... #seizures #ACEP
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... Fosphenytoin 20 PE/kg IM ... #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 Convulsive ... IM once Second-line ... #Algorithm #Management ... #Neurology #Pharmacology
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Management of Convulsive ... slowly over 2-5 ... OR • IM Midazolam ... #Management #neurology ... pediatrics #peds #algorithm
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... exertion/training - Seizures ... Hyperuricemia • Hyponatremia ... if levels > 8 mg ... #nephrology
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Treatment Protocol ... intranasal/buccal/IM ... mg/kg/hr 2) Propofol ... #Protocol #algorithm ... #neurology #management