Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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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10 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
- Management Seizure ... Lorazepam 0.1 mg ... β†’ Benzo Dose 2 ... #2 β†’ Anti-epileptic ... #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 ... : - Propofol: ... 2-5 mg/kg IV, then ... Consider consulting anesthesia ... #Management #Neurology
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... β€’ Induction: propofol ... β€’ Propofol: 2 ... Consider consulting anesthesia ... #Treatment #Algorithm
Status Epilepticus 
Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery
First line
Status Epilepticus ... Midazolam 2-4 mg ... infusion) β€’ Propofol ... infusion #Status #Epilepticus ... #Management #Neurology
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 β€’ Check and maintain ABC
Management of Convulsive ... slowly over 2-5 ... slowly over 2-5 ... #seizure #Management ... pediatrics #peds #algorithm
Epistaxis Management Algorithm / Checklist

1. blow out clots 
2. vasoconstrictor spray 
3. nose clip or direct
Epistaxis Management ... Algorithm / Checklist ... blow out clots 2. ... soaked pledget (500 mg ... #Management
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... mg/kg/hr 2) Propofol ... tx > 48hrs) #MGH ... #algorithm #neurology ... #management
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
. alteplase 10 mg ... i.v. then 90 mg ... over 2 h (>65 kg ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 β€’ Class 1a (quinidine,
Torsades de Pointes - Management ... Algorithm Drugs ... , sotalol) β€’ Propofol ... β€’ Adult load: 2- ... #Algorithm
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
MH is rare. ... common causes (see 2- ... possible. ❹ Call for MH ... Intraoperative #Checklist ... #Diagnosis #Management