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epilepticus status diagnosis peds treatment hyponatremia pediatrics acep approach classification convulsive correction differential dosing epilepsy euvolemic fever goal hypervolemic hypotension
Status Epilepticus - Management Seizure > 5 mins or two seizures without complete recovery between them PEDS Benzo Dose
Seizure > 5 mins ... or two seizures ... Anti-epileptic #3 ... #Epilepticus #seizures ... #algorithm #peds
Differential Diagnosis and Evaluation of Hyponatremia: 1) Identification of onset (acute vs. chronic) 2) Presence of symptoms (HA,
Diagnosis and Evaluation ... acute vs. chronic) 2) ... nausea, confusion, seizures ... ) 3) Assessment ... #Ddxof
Serious Bacterial Illness (SBI): 1) UTI and pyelonephritis Most common cause of SBI Accounts for 3-8% of uncharacterized fevers Female
Consider BCx, CSF evaluation ... 97% specificity 2) ... Protein > 80 - Seizure ... complex febrile seizure ... Diagnosis #Peds #EM
Status Epilepticus Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery First line
Epilepticus Continuous seizure ... seizures without ... 4 mg IV (10 mg IM ... • Propofol (3- ... #Neurology #Epilepsy
A good approach when dealing with hypotension at the bedside includes using the following systematic four
systematic four step evaluation ... Heart Rate 2. ... Volume Status 3. ... #EM #IM #PCC #Hypotensive ... Hypotension #Approach #Algorithm
Emergency Treatment Algorithm for Convulsive Status Epilepticus 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... 02, suction 3. ... Midazolam 10 mg IM ... is available or seizure ... #neurology #seizures
Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with
Hypertonic Saline: seizure ... increasing Na ~5mEq 2. ... 10-12 mEq/day 3. ... MH/CCF/CWRU EM ... Correction #goal #rate #management
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 ... 20-40 mg/kg at 3- ... #Algorithm #Neurology ... pharmacology #dosing #seizure
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 ... 100mg/min) 3) ... #neurology #management
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