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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The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... continues, the more refractory ... cause aspiration, hyperkalemia ... #Refractory #Seizures ... #Algorithm #PulmCrit
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 ... IV (3000 mg) Refractory ... : - Propofol: ... #Treatment #Algorithm
Treatment algorithm for malignancy-associated hypercalcemia.
Hypercalcemia
 - Renal Failure β†’ Dialysis with low Ca++ bath
Aggressive IV hydration
Treatment algorithm ... for malignancy-associated ... +/- Calcitonin Refractory ... or Denosumab #malignancy ... #Treatment #algorithm
Treatment algorithm for malignancy-associated hypercalcemia
 β€’ Aggressive IV hydration
 β€’ IV Bisphosphonate +/- Calcitonin
 β€’ Renal
Treatment algorithm ... for malignancy-associated ... hypercalcemia ... corticosteroids β€’ Refractory ... #algorithm #malignancy
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment ... Algorithm for Convulsive ... succinylcholine REFRACTORY ... β€’ Propofol: 2 ... #Treatment #Algorithm
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 β€’ Class 1a (quinidine,
Recurrent Polymorphic ... Pointes - Management Algorithm ... , sotalol) β€’ Propofol ... Hypomagnesemia β€’ Hypokalemia ... Hypocalcemia (rarely) Treatment
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... Treatment Protocol ... (30 - 60 mins) REFRACTORY ... #Treatment #Protocol ... #algorithm #neurology