6 results
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Diagnosis and Evaluation ... nausea, confusion, seizures ... Assessment of volume status ... Diagnosis #EM #IM ... #Nephro #Hyponatremia
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... Midazolam 10 mg IM ... is available or seizure ... #management #neurology ... #seizures #ACEP
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Early Status Epilepticus ... OR • IM Midazolam ... Epilepticus (Seizure ... Epilepticus (Seizure ... #Epilepticus #seizure
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... for Status Epilepticus ... Fosphenytoin 20 PE/kg IM ... #Neurology #pharmacology ... #dosing #seizure
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 • first seizure occurred
you start Anti-Epileptic ... occurred during ... identified on neuro-Imaging ... Initiation #start #Algorithm ... #Neurology #SHINE
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 ... #Protocol #algorithm