9 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
between them PEDS ... Lorazepam 0.1 mg ... management #treatment #algorithm ... #peds #pediatrics ... #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis
Clinical Features:
 • Altered mental status (Either lethargy, confusion, or
Syndrome (PRES) ... agitation) • Seizures ... constant, global, and refractory ... Immunomodulatory meds ... #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 • Aim for 10-25% BP reduction within
Syndrome (PRES) ... reduction within first 2- ... are preferred Seizure ... #Syndrome #Treatment ... #Management #Neurology
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
papilledema • Horner syndrome ... status, analgesics refractory ... fever, myalgia), seizures ... • Hypertensive encephalopathy ... #neurology #PHANTOMS
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... is available or seizure ... succinylcholine REFRACTORY ... Epilepticus #Treatment #Algorithm ... #seizures #ACEP
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
slowly over 2-5 ... Refractory Status ... #Management #neurology ... #pediatrics #peds ... #algorithm
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Posterior Reversible Encephalopathy ... level (mean 58 mg ... : Treat with AEDs ... Posterior #Reversible #Encephalopathy ... #management #neurology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Compartment syndrome ... exertion/training - Seizures ... Shift of extracellular ... if levels > 8 mg ... causes #treatment #nephrology
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Protocol 1st line (seizures ... -30 mins) - If seizures ... (30 - 60 mins) REFRACTORY ... mg/kg/hr 2) Propofol ... Treatment #Protocol #algorithm