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?
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.
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.