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Excited to Dr. @AnjniJoiner sharing with @dukeemergency on #seizure and management.

First step is knowing the classifications!
2/ Seizure Mimics are key! Its important to keep a broad differential diagnosis as you approach a seizing patient!
3/ Management of seizure:

1⃣ The first step in management is ABCs!
2⃣ ✅ a blood glucose!!
3⃣Determine if Sz vs mimic: (mimics can look like true seizures. Get a good Hx/PE. (Thanks @GeraldMDMD for this great DDx chart!)
4/ There's not a great consensus on getting a Head CT for first-time Seizure.

#MedEd colleagues, what are your thoughts?

@EMHighAK @alvarezzzy @moyinscrubs @ALiEMFac @ALiEMteam @TChanMD @MikeGisondi @dukeemergency
5/ Here are a few thoughts on getting a CT head for FIRST time seizure.
6/ AED (anti-epileptic drug) or not for first time seizure? Thanks .@ACEPNow for a guideline on this!!

Pearl: Everyone gets 1⃣ free unprovoked seizure for free per lifetime 😅
7/ Thanks Dr. @AnjniJoiner for this great #MedEd Clinical cheat sheet for AEDs and Adverse effects/Clinical Consideration!
8/ Status Epilepticus pearls!
8/ Second line AEDs for Status Epilepticus
9/ Great discussion regarding Seizures in our chat bar too! Thanks Dr .@EDmullet !

Remember the antidotes for other causes of Seizure!
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Keep Current with Sree Natesan, MD

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