10 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... #2 → Anti-epileptic ... #3 → Infusion ... #Epilepticus #seizures ... management #treatment #algorithm
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... ABC's and Don't Ever ... 02, suction 3. ... Ketamine: 0.5-3 ... #seizures #ACEP
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
SBI Accounts for 3- ... Consider BCx, CSF evaluation ... 97% specificity 2) ... ) #Diagnosis #Peds ... #EM #Classification
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Diagnosis and Evaluation ... acute vs. chronic) 2) ... ) 3) Assessment ... of volume status ... history #Diagnosis #EM
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Early Status Epilepticus ... Epilepticus (Seizure ... Epilepticus (Seizure ... #Epilepticus #seizure ... #algorithm
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment Algorithm ... ABC's and Don't Ever ... , 02, suction 3. ... Ketamine: 0.5-3 ... #Neurology #Pharmacology
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... for Status Epilepticus ... 20-40 mg/kg at 3- ... #Neurology #pharmacology ... #dosing #seizure
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Altered mental status ... Risk factors 3. ... epilepticus ... 3 mEq/L • Seizures ... : Treat with AEDs
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... or family - Ever ... event, follow ACC algorithm ... ACEi/ARBs - Hold ... perioperative #Risk #Evaluation
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... Protocol 1st line (seizures ... -30 mins) - If seizures ... 100mg/min) 3) ... #Protocol #algorithm