You do not have to be an Emergency Physician for very long before you encounter your first case of status epilepticus. You are taught early in your career of the well known pathway of how to treat status. Thankfully most cases of status do not progress further down this pathway than your initial intervention. For […]
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Status Epilepticus
CONTENTS Getting started: (1) Initial approach to status 🚀 (2) After the dust has settled 🚀 Causes Diagnosis & definition Definition of status epilepticus Seizure mimics Differentiation from pseudoseizure Treatment overview Initial treatment Benzodiazepine Hypoglycemia, hyponatremia, and thiamine deficiency Conventional antiseizure medication Neurolytic intubation Subsequent management NORSE Neuromonitoring Waking & weaning Supportive medical management Approach […]
IBCC chapter & cast – Status epilepticus
Status epilepticus is one of the true neurologic emergencies, where minutes may actually count. Prompt and definitive treatment often yields excellent outcomes, whereas sluggish or inappropriate treatment can have severe consequences. Management has changed substantially over the past decade including a new definition of convulsive status epilepticus (>5 minutes of seizing, rather than >30 minutes) […]
IBNCC – Nonconvulsive status epilepticus
We throw around the term “nonconvulsive status epilepticus” a lot, and generally think that we know what that is. However, nonconvulsive status epilepticus is an enormously complex and heterogeneous diagnosis. This chapter attempts to clarify matters based on the most recent definitions, but in some situations the diagnosis may remain murky. The IBCC chapter is […]
SMACC Back 2 – IVC for Decisions on Fluid Status
A SMACC Back on Justin Bowra’s IVC Ultrasound bashing.
EMCrit 155 – Status Epilepticus with Tom Bleck
Tom Bleck on Status Epilepticus
PulmCrit- Resuscitationist’s guide to status epilepticus
In 2014 I wrote a post suggesting an aggressive, streamlined approach to status epilepticus involving early intubation. The fundamentals of that post remain valid. However, much has changed over the last few years. This post aims to refresh and extend the prior post. It will also serve as a reference to explain my algorithm for […]
Rapid Sequence Termination (RST) of status epilepticus
[PLEASE NOTE: This post has been updated with a new post. If you have time, consider reading them in sequence, starting with this post first] 0 Introduction 0 Status Epilepticus is our favorite neurologic emergency. If managed correctly, patients will often have excellent neurologic outcomes and short ICU stays. Incorrect management increases risk of […]
EMCrit 276 – The Rapid Code Status Conversation with Kei Ouchi
Rapid Code Status Conversations are essential to render proper and compassionate care…
EMCrit Wee – Advanced Ultrasound Assessment of Volume Status
Advanced uses of ultrasound to assess volume status
Nonconvulsive Status Epilepticus (NCSE)
CONTENTS Definition of NCSE Epidemiology and causes of NCSE Various clinical presentations General clues to the diagnosis of NCSE Common differential diagnostic considerations EEG: Indications to obtain an EEG Duration of continuous EEG monitoring Antiepileptic trial for ictal/interictal continuum abnormalities Management of NCSE Subtypes of NCSE NCSE with coma Absence NCSE with onset in adulthood […]
EMCrit 315 – NeuroEMCrit – EEGs with Casey Albin (for NonConvulsive Status Epilepticus)
EEGs: What to do when you have them and also when you don’t!!
Welcome — Statistics Done Wrong
Welcome — Statistics Done Wrong Read this to understand why published studies are routinely screwed
EMCrit RACC Wee – State of the Crit
what’s going on with the EMCrit Project
IBCC chapter & cast – Hyperosmolar Hyperglycemic State
Hyperosmolar Hyperglycemic State (previously known as “Hyperosmolar Hyperglycemic Nonketotic Syndrome” and, before that, “Hyperosmolar Hyperglycemic Nonketotic Coma”) is a bit of a slippery animal. Despite being redefined several times, the precise definition remains elusive. This may cause it to be over-diagnosed in anyone with severe hyperglycemia. The treatment likewise remains a bit controversial, with different […]
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