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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The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... epilepticus may cause ... aspiration, hyperkalemia ... #Management #Neurology ... #Algorithm #PulmCrit
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... Anti-epileptic #3 ... #management #treatment ... #algorithm #peds ... #pediatrics #neurology
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment ... Algorithm for Convulsive ... 02, suction 3. ... for reversible cause ... Ketamine: 0.5-3
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
attention to volume status ... Assess volume status ... the underlying cause ... of symptomatic (seizures ... #management #nephrology
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 β€’ first seizure occurred
Anti-Epileptic Drugs (AEDs ... Remote Symptomatic Cause ... #FirstTime #Initiation ... #start #Algorithm ... #Neurology #SHINE
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 β€’ Check and maintain ABC
: 8 mg) over 2-3 ... IV infusion of 3 ... #Management #neurology ... #pediatrics #peds ... #algorithm
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment ... Algorithm for Convulsive ... , 02, suction 3. ... for reversible cause ... Ketamine: 0.5-3
The algorithm below shows how pre-test probability could be combined with various criteria to determine which
short course of treatment ... and lowers the seizure ... HSV PCR would cause ... and immunologic status ... #HSV #PulmCrit
Myasthenia Gravis - Summary
 β€’ an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
More likely to cause ... myasthenia usually β€’ Starts ... glucocorticoids - can cause ... should precede initiation ... years and within 3
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Treatment Protocol ... 1st line (seizures ... -30 mins) - If seizures ... 100mg/min) 3) ... #Protocol #algorithm