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 ... #Epilepticus #seizures ... #algorithm #peds ... #pediatrics #neurology
Algorithm for the differentiation between simple and complex febrile seizures. Guidelines for evaluation of each. #Diagnosis
complex febrile seizures ... Guidelines for evaluation ... #Diagnosis #Management ... #EM #Neuro #Peds ... FebrileSeizure #Fever #Seizure
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 ... Diagnosis #EM #IM ... #Ddxof
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 ... #Epilepticus #Management ... #Neurology #Epilepsy
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
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... Midazolam 10 mg IM ... ADVANCED AIRWAY MANAGEMENT ... is available or seizure ... #neurology #seizures
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 • Aim for 10-25% BP reduction within
reduction within first 2- ... titratable IV meds ... are preferred Seizure ... Syndrome #Treatment #Management ... #Neurology
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 ... StatusEpilepticus #Management ... #Algorithm #Neurology ... pharmacology #dosing #seizure
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
• Headache • Seizures ... • Headache • Seizures ... Constipation, Seizures ... 3 mEq/L • Seizures ... Syndrome #diagnosis #management