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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Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
- Management Seizure ... 5 mins or two seizures ... #Epilepticus #seizures ... #algorithm #peds ... #pediatrics #neurology
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... rely upon rapid seizure ... The longer the seizure ... aspiration, hyperkalemia ... #Seizures #Algorithm
Americal Epilepsy Society - Proposed treatment algorithm for status epilepticus.

#Management #Neurology #Status #Epilepticus #Refractory #Seizures #AES
Society - Proposed treatment ... algorithm for status ... #Management #Neurology ... #Refractory #Seizures ... #AES #Algorithm
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 β€’ Focal: Simple, Complex
 β€’ Generalized: Absence,
Causes of Seizures ... vasoconstriction syndrome ... Hypomagnesemia, Hypocalcemia ... Eclampsia, Prophyria #Seizures ... #Causes #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis
Clinical Features:
 β€’ Altered mental status (Either lethargy, confusion, or
Encephalopathy Syndrome ... Altered mental status ... agitation) β€’ Seizures ... constant, global, and refractory ... Immunomodulatory meds
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment ... for reversible cause ... is available or seizure ... succinylcholine REFRACTORY ... #seizures #ACEP
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia is usually caused ... demyelination syndrome ... of symptomatic (seizures ... options for severe/refractory ... #management #nephrology
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 β€’ Check and maintain ABC
Stabilization Phase (Seizure ... (Seizure 5-30 ... If seizure continues ... Refractory Status ... #pediatrics #peds
Rhabdomyolysis - Differential Diagnosis Framework
Rhabdomyolysis = Destruction of skeletal muscle with leakage of contents into circulation.
Strenuous exercise, Seizures ... Neuroleptic malignant syndrome ... Electrolytes: Hypokalemia ... Lipid-lowering drugs (statins ... #nephrology #table
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 ... (30 - 60 mins) REFRACTORY ... #Protocol #algorithm