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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The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... generalized status epilepticus ... cause aspiration, hyperkalemia ... #Management #Neurology ... Refractory #Seizures #Algorithm
Updated phenobarbital alcohol withdrawal protocol

See old algorithm here: https://www.grepmed.com/images/1485/phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol

The protocol was consequently modified as shown below,
See old algorithm ... phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol ... received sufficient treatment ... #Management #Alcohol ... #Monotherapy #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 ... : - Propofol: ... #Treatment #Algorithm ... #Management #Neurology
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment ... Algorithm for Convulsive ... β€’ Induction: propofol ... β€’ Propofol: 2 ... #Treatment #Algorithm
Alcohol Withdrawal Syndrome (AWS) - ICU OnePager

Scoring Alcohol Withdrawal Syndrome (AWS):
 β€’ PAWSS
 β€’ CIWA-Ar
 β€’
- Status epilepticus ... diaphoresis) Treatment ... Barbituates β€’ Propofol ... AWS #diagnosis #treatment ... #management #etoh
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 β€’ Class 1a (quinidine,
Algorithm Drugs ... , sotalol) β€’ Propofol ... Hypomagnesemia β€’ Hypokalemia ... Hypocalcemia (rarely) Treatment ... #Algorithm
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... Treatment Protocol ... #Treatment #Protocol ... #algorithm #neurology ... #management