12 results
Differential Diagnosis of Syncope
First, is it syncope? History is very important for distinguishing syncope from other
other causes (seizure ... precipitating events ... #Diagnosis #EM # ... Neuro #IM #Sycope ... #Differential #Algorithm
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
nausea, confusion, seizures ... history #Diagnosis #EM ... #IM #Nephro #Hyponatremia ... #Differential #Algorithm
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... cause FIRST-LINE AGENTS ... Midazolam 10 mg IM ... is available or seizure ... management #neurology #seizures
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... IM or IV at 150 ... StatusEpilepticus #Management #Algorithm ... #pharmacology #dosing ... #seizure
Differential Diagnosis of Hypoglycemia
Evaluation of Hypoglycemia
Patients with known diabetes who are not systemically ill and can
blood cultures - ECG ... antibodies #Diagnosis #EM ... #IM #Hypoglycemia ... #Differential #Algorithm
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment Algorithm ... First-line agents ... Midazolam 10 mg IM ... Second-line agents ... Epilepticus #Treatment #Algorithm
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Stabilization Phase (Seizure ... Epilepticus (Seizure ... OR • IM Midazolam ... If seizure continues ... pediatrics #peds #algorithm
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology
ICH Management:
1. Manage Blood Pressure
  •
Avoid vasodilating agents ... Fentanyl 3mcg/kg ... sedation • During ... Manage ICP and Seizures ... : • Osmotic agents
Medications Used in the Abortive Treatment of Ongoing Seizure Activity in the Emergency Department

INITIAL THERAPY
 -
Treatment of Ongoing Seizure ... Midazolam - Preferred IM ... dose of 20 mg/kg ... #Abortive #Seizure ... #Pharmacology #Dosing
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 • first seizure occurred
on a first time seizure ... Mnemonic: • first seizure ... occurred during ... abnormalities on EEG ... Initiation #start #Algorithm