Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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neurology convulsive pediatrics peds seizures acep addiction alcohol aws diagnosis epilepsy etoh hypothermia initiation inpatient methadone mgh opiate opioid pharmacology
Status Epilepticus - Management Seizure > 5 mins or two seizures without complete recovery between them PEDS Benzo Dose
Status Epilepticus ... #2 → Anti-epileptic ... #3 → Infusion ... #management #treatment ... #algorithm #peds
Status Epilepticus Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery First line
Status Epilepticus ... 20 mg/kg IV • Phenobarbital ... infusion) • Propofol ... (3-5 mg/kg bolus ... #Epilepticus #Management
Emergency Treatment Algorithm for Convulsive Status Epilepticus 1. ABCDEFG (ABC's and Don't Ever Forget the Glucose) 2. Airway:
Status Epilepticus ... - Propofol: 2-5 ... q12h PO/IV - Phenobaribital ... #Epilepticus #Treatment ... #Algorithm #Management
Emergency Treatment Algorithm for Convulsive Status Epilepticus 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment ... Status Epilepticus ... Propofol: 2-5 mg ... q12h PO/IV • Phenobaribital ... #Epilepticus #Treatment
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
Management of Convulsive ... Status Epilepticus ... Early Status Epilepticus ... #Management #neurology ... pediatrics #peds #algorithm
MGH Status Epilepticus Treatment Protocol 1st line (seizures ongoing for 5-10 mins): - Lorazepam 4mg IV
MGH Status Epilepticus ... Treatment Protocol ... mg/kg/hr 2) Propofol ... #Epilepticus #Treatment ... #Protocol #algorithm
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Algorithm Drugs ... flecainide) • Class 3 ... , sotalol) • Propofol ... Hypocalcemia (rarely) Treatment ... • Adult load: 2-
Alcohol Withdrawal Syndrome (AWS) - ICU OnePager Scoring Alcohol Withdrawal Syndrome (AWS): • PAWSS • CIWA-Ar •
hours) - 1-3 ... seizures - Status ... epilepticus occurs ... Barbituates • Propofol ... #management #etoh
Quick Guide: Methadone Starts in the Hospital Day 1: max daily dose 40 mg methadone First dose • Check
Guide: Methadone Starts ... in 1 hour Day 2: ... oriented/tranquil 3. ... Methadone #Initiation #Algorithm ... #Treatment #Management
Hypothermia - Protocol for ED CORE TEMP < 34º INITIAL THERAPY • Remove wet garments • Avoid rough
Hypothermia - Protocol ... INVESTIGATIONS • Stat ... arrhythmias • Max 3 ... #management #treatment ... #algorithm
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