Tachycardia

Basic Approach Step 1: Is this SINUS tachycardia? P before every QRS? Treat the underlying condition Step 2: Is this a NARROW and REGULAR rhythm? SVT Treat with vagal maneuvers or adenosine Another new trend is treating with calcium channel blockers!! ORTHOdromic Wolf Parkinson White Treat with adenosine Atrial flutter with fixed block Treat with […]

Status Epilepticus

Introduction Simple seizure Seizure ends in <5 minutes AND Patient wakes up before next seizure No meds required Status epilepticus Seizure lasts >5 minutes OR Patient has a 2nd seizure before waking up from 1st Initiate status epilepticus pathway Approach to Status Epilepticus Step 1: Give a benzodiazepine Lorazepam (IV) Diazepam (IV or PR) Midazolam […]