10 results
Status Epilepticus 
Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery
First line
Status Epilepticus ... Continuous seizure ... 10 min OR >= 2 seizures ... 4 mg IV (10 mg IM ... infusion #Status #Epilepticus
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Convulsive Status Epilepticus ... Midazolam 10 mg IM ... is available or seizure ... succinylcholine REFRACTORY MEDICATION ... management #neurology #seizures
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Convulsive Status Epilepticus ... Early Status Epilepticus ... OR • IM Midazolam ... Established Status Epilepticus ... Alternative medications
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Convulsive Status Epilepticus ... Midazolam 10 mg IM ... Refractory medications ... in status epilepticus ... Management #Neurology #Pharmacology
Onset of Intramuscular (IM) Medications for Severe Agitation
Ketamine (2-5 mg/kg IM) 3-7m
Droperidol (5 mg IM) 5-10m
Midazolam
Intramuscular (IM ... ) Medications for ... Ketamine (2-5 mg/kg ... #Medications #Agitation ... Agitation #Duration #Pharmacology
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Algorithm for Status Epilepticus ... IM or IV at 150 ... IV at 1-5 mg/kg ... Algorithm #Neurology #pharmacology ... #dosing #seizure
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Indications for ... Hypertonic Saline: seizure ... in water @ 3cc/kg ... MH/CCF/CWRU EM
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
• Headache • Seizures ... • Headache • Seizures ... Electrolyte abnormality, Medication ... • EEG: With persistent ... nonconvulsive status epilepticus
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... Protocol 1st line (seizures ... intranasal/buccal/IM ... -30 mins) - If seizures ... #MGH #Status #Epilepticus
Medications Used in the Abortive Treatment of Ongoing Seizure Activity in the Emergency Department

INITIAL THERAPY
 -
Medications Used ... Treatment of Ongoing Seizure ... Midazolam - Preferred IM ... #Abortive #Seizure ... #Pharmacology #