13 results
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Epilepticus 1. ... Midazolam 10 mg IM ... Refractory medications ... in status epilepticus ... Management #Neurology #Pharmacology
Status Epilepticus 
Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery
First line
Status Epilepticus ... 4 mg IV (10 mg IM ... then 0.5-10 mg/kg ... hr infusion #Status ... #Epilepticus #Management
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
for Convulsive Status ... Epilepticus ... Midazolam 10 mg IM ... succinylcholine REFRACTORY MEDICATION ... IN STATUS EPILEPTICUS
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
Many authors state ... aVR is a good ECG ... #Clinical #EM #IM ... #Cardiology #EKG
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 of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
of Convulsive Status ... Epilepticus in ... Early Status Epilepticus ... OR • IM Midazolam ... Alternative medications
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
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... intranasal/buccal/IM ... mins) REFRACTORY STATUS ... EPILEPTICUS: 1 ... 48hrs) #MGH #Status
Medications Used in the Abortive Treatment of Ongoing Seizure Activity in the Emergency Department

INITIAL THERAPY
 -
Medications Used ... monitor respiratory status ... Midazolam - Preferred IM ... Abortive #Seizure #Medications ... #Neurology #Pharmacology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Altered mental status ... Altered mental status ... Electrolyte abnormality, Medication ... • EEG: With persistent ... epilepticus