Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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12 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... Lorazepam 0.1 mg ... #2 β†’ Anti-epileptic ... SarahFoohey #Status ... management #treatment #algorithm
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment Algorithm ... Epilepticus 1. ... for reversible cause ... - Propofol: 2-5 ... #Algorithm #Management
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... for reversible cause ... β€’ Induction: propofol ... Propofol: 2-5 mg ... #Algorithm #Convulsive
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
of generalized status ... epilepticus was ... may cause permanent ... cause aspiration ... #Seizures #Algorithm
Status Epilepticus 
Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery
First line
Status Epilepticus ... Lorazepam 2-4 mg ... infusion) β€’ Propofol ... hr infusion #Status ... #Epilepticus #Management
Causes of Hyperpyrexia (Temp > 106.7Β° F) - Differential Diagnosis
 β€’ Heat Stroke
 β€’ Drug-induced: Amphetamines,
Causes of Hyperpyrexia ... damage: Hemorrhage, Status ... Epilepticus, Hypothalamic ... Washington University ID ... Differential #Diagnosis #Causes
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 β€’ Check and maintain ABC
of Convulsive Status ... Epilepticus in ... Early Status Epilepticus ... Refractory Status ... pediatrics #peds #algorithm
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... Treatment Protocol ... tx > 48hrs) #MGH ... #Status #Epilepticus ... #algorithm #neurology
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
- SEE UPDATED ALGORITHM ... phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... -If 15 mg/kg phenobarbital ... Alternative causes ... #Protocol #PulmCrit
β–Ί
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 β€’ Class 1a (quinidine,
Pointes - Management Algorithm ... , sotalol) β€’ Propofol ... 1b (lidocaine)- case ... β€’ Load: 1-1.5 mg ... TDP #Management #Algorithm