neurology

Status Epilepticus: Go-To-Meds

Your patient is seizing, your benzo didn't work, what's next?  

Knowing your action plan for a patient in status epilepticus is crucial. Preparation = success! Review this chart until you've got a 1st, 2nd & 3rd line medication, with doses, always ready in your mind. If you've got this down already, how about for pediatrics?

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Thrombolysis in Acute Stroke

Ever wonder where the the current American Heart Association and American Stroke Association (AHA/ASA) guidelines for thrombolysis in acute ischemic stroke come from?   Included is a summary of the landmark studies that have contributed to these recommendations (NINDS& ECASS III) as well as a review of IST-3. 

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An Alternative Abortive Therapy in Refractory Trigeminal Neuralgia Pain Crisis

A 34 yo female with a history of trigeminal neuralgia presented to the Emergency Department with a chief complaint of 5 days of severe, worsening paroxysms of pain in the left trigeminal nerve distribution. The pain was refractory to carbamazepine and gabapentin. Neurology was consulted and an unconventional therapy was recommended.

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