8 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
- Management Seizure ... 5 mins or two seizures ... #Epilepticus #seizures ... #management #treatment ... #algorithm #peds
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 • Aim for 10-25% BP reduction within
Encephalopathy Syndrome ... (PRES) - Treatment ... reduction within first 2- ... are preferred Seizure ... #Neurology
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hypertonic Saline: seizure ... increasing Na ~5mEq 2. ... Demyelination Syndrome ... MH/CCF/CWRU EM Res ... rate #management #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
iniury, Compartment syndrome ... exertion/training, Seizures ... Shift of extracellular ... L/hour with goal ... Monitor potassium
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 ... : Treat with AEDs
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
exertion/training - Seizures ... Shift of extracellular ... L/hour with goal ... Monitor potassium ... #nephrology
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology
ICH Management:
1. Manage Blood Pressure
  •
volume and ICP 2. ... lidocaine, +/- pre-treatment ... then wait 3min, pre-ox ... (goal O2 >95%), ... Manage ICP and Seizures
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Status Epilepticus Treatment ... Protocol 1st line (seizures ... -30 mins) - If seizures ... min (need EKG pre ... #Protocol #algorithm