13 results
Status Epilepticus 
Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery
First line
Epilepticus Continuous seizure ... 10 min OR >= 2 seizures ... Lorazepam 2-4 mg ... IV (10 mg IM if ... Epilepticus #Management #Neurology
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
IV at a maximum rate ... Fosphenytoin 20 PE/kg IM ... Management #Algorithm #Neurology ... #pharmacology # ... dosing #seizure
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Indications for ... Hypertonic Saline: seizure ... desmopressin MH ... Correction #goal #rate ... #management #nephrology
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
IM once SECOND-LINE ... is available or seizure ... succinylcholine REFRACTORY MEDICATION ... Convulsive #management #neurology ... #seizures #ACEP
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 ... Alternative medications ... #Management #neurology
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
/kg IV, max 4 mg ... IM once Second-line ... Refractory medications ... Algorithm #Management #Neurology ... #Pharmacology
Triptan Selection - Migraine Management
Choosing triptans:
 • Reponse to given triptan do not predict to others
month to avoid medication-overuse ... sumatriptan 6 mg ... Management #treatment #neurology ... #pharmacology # ... selection #headache #neurology
The first step is to separate seizures by how they begin in the brain. The type
is to separate seizures ... The type of seizure ... medication, possibilities ... Later on, the seizure ... #Diagnosis #Neurology
Medications Used in the Abortive Treatment of Ongoing Seizure Activity in the Emergency Department

INITIAL THERAPY
 -
Medications Used ... Midazolam - Preferred IM ... #Medications #Neurology ... #Pharmacology # ... Dosing #Table
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Protocol 1st line (seizures ... intranasal/buccal/IM ... -30 mins) - If seizures ... tx > 48hrs) #MGH ... Protocol #algorithm #neurology