9 results
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Diagnosis and Evaluation ... nausea, confusion, seizures ... ) 3) Assessment ... #IM #Nephro #Hyponatremia ... #Ddxof
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
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. ... /CCF/CWRU EM Res ... Correction #goal #rate #management
Status Epilepticus 
Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery
First line
Epilepticus Continuous seizure ... seizures without ... IV (10 mg IM if ... • Propofol (3- ... #Neurology #Epilepsy
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
02, suction 3. ... IM once SECOND-LINE ... is available or seizure ... : 0.5-3 mg/kg IV ... #neurology #seizures
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 ... over 2-3 minutes ... #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 ... /kg at 3-6 mg/kg ... #Algorithm #Neurology ... pharmacology #dosing #seizure
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... exertion/training - Seizures ... Hyperuricemia • Hyponatremia ... obstruction 3. ... if levels > 8 mg
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Protocol 1st line (seizures ... -30 mins) - If seizures ... 100mg/min) 3) ... mg/kg/hr 2) Propofol ... #neurology #management