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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14 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 ... #3 β†’ Infusion ... #algorithm #peds
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... 02, suction 3. ... Propofol: 2-5 mg ... : 0.5-3 mg/kg IV ... #seizures #ACEP
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment Algorithm ... , 02, suction 3. ... - Propofol: 2-5 ... : 0.5-3 mg/kg IV ... #Algorithm #Management
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 ... (3-5 mg/kg bolus ... #Epilepticus #Management
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 β€’ Check and maintain ABC
Management of Convulsive ... Status Epilepticus ... Early Status Epilepticus ... over 2-3 minutes ... pediatrics #peds #algorithm
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... 100mg/min) 3) ... mg/kg/hr 2) Propofol ... #Status #Epilepticus ... #management
Epistaxis Management Algorithm / Checklist

1. blow out clots 
2. vasoconstrictor spray 
3. nose clip or direct
Epistaxis Management ... Algorithm / Checklist ... blow out clots 2. ... vasoconstrictor spray 3. ... soaked pledget (500 mg
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 β€’ Class 1a (quinidine,
Algorithm Drugs ... flecainide) β€’ Class 3 ... , sotalol) β€’ Propofol ... β€’ Adult load: 2- ... #Algorithm
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Hyperkalemia Treatment Algorithm ... minutes, lasts -2 ... monitor glucose x 3 ... offending agent (ACE-I ... #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... hypertension Rx 2 ... hypoperfusion) Rx 3 ... NSAlDs, ACE-inhibitors