13 results
Algorithm for the differentiation between simple and complex febrile seizures. Guidelines for evaluation of each. #Diagnosis
complex febrile seizures ... #Diagnosis #Management ... #EM #Neuro #Peds ... FebrileSeizure #Fever ... #Seizure #Algorithm
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
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
ABC's and Don't Ever ... 02, suction 3. ... Midazolam 10 mg IM ... is available or seizure ... #neurology #seizures
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
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