11 results
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
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
for Convulsive ... Midazolam 10 mg IM ... is available or seizure ... #Convulsive #management ... #neurology #seizures
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
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Management of Convulsive ... Stabilization Phase (Seizure ... Epilepticus (Seizure ... If seizure continues ... #Management #neurology
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 Glucose)
2. Airway:
Emergency Treatment Algorithm ... for Convulsive ... , 02, suction 3. ... Midazolam 10 mg IM ... #Management #Neurology
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 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