Hey, thanks for watching this! Want to learn how to read ECGs? Check out another one of my videos - kzread.info/dash/bejne/eHqJ0KSNlZnJXbw.html

Amazing tutorial. Well Appreciated. Simple and straight forward.

@minimedlessons

4 жыл бұрын

Thank you for watching and commenting!

Thank you for this. Keppra and Fosphenytoin are the only IV meds that have pulled my son out of status. Unfortunately, not every emergency room doctor knows this and rely too heavily on versed which then causes my son to have self injurious behaviors.

Thank you for explaining it so nicely

Well summarized

Thank you for your great video, really helpful

thank you very comprehensive

Thank you for this educational material.

No mention of valproate or propofol?

@minimedlessons

4 жыл бұрын

Hey, thanks for watching and commenting! Yes, valproate and propofol play a role in the treatment guidelines for SE now. While not posted on this channel until 2018, I actually made this recording in early 2016 for my students. At that time, I was using the Medscape article posted at the bottom of some of the slides in the video as the main resource. That link is still active and Medscape has since updated it several times (most recently 2018). In later 2016, AFTER recording of this video new guidelines for the treatment of SE were published and do include Valproate and anesthetics like Propofol. Here's an excerpt from the updated Medscape article about that: "In 2016, the American Epilepsy Society (AES) issued new guidelines for the treatment of SE. The guidelines provide a time-dependent treatment algorithm that includes four phases. In the stabilization phase, standard first-aid for seizures should be initiated. In the initial therapy phase, a benzodiazepine (specifically IM midazolam, IV lorazepam, or IV diazepam) is recommended as initial therapy. In the second phase, options include IV fosphenytoin, valproic acid, or levetiracetam. If none of these is available, IV phenobarbital is a reasonable alternative. In the third phase, if a patient experiences 40+ minutes of seizure activity, treatment considerations should include repeating second-line therapy or anesthetic doses of thiopental, midazolam, pentobarbital, or propofol." So your comment is spot on! It's just that the video is a little old and newer guidelines are available now. Thanks for bringing this up. I'm going to make mention of this in the video description. Thanks for watching! Please follow along. :)

Thank you for this wonderful video

Thanks. Consider that tiamine and glucose/dextrose should be administrated before the benzodiazepines?

Thank you soo much!

Thank you sir hope more from you

@minimedlessons

4 жыл бұрын

Thanks for your comment! Want to learn how to read ECGs? Check out another one of my videos - kzread.info/dash/bejne/eHqJ0KSNlZnJXbw.html

Phenobarbital given with midazolam and morphine to a child would be very dangerous then?

Great !!! Thank's for the video

Can you please tell us after treating this How long does the person need to restore the memory and brain functions to the normal state

I have a seizure disorder, caused by a head injury, what are my risks of stopping the meds?

@minimedlessons

Жыл бұрын

I’m sorry, but this channel is not for providing medical advice. Please ask your medical provider or set up an appointment with a Neurologist.

My mom has always had to go on phenobarbital. Rest In Peace

@sylviaclef7540

Жыл бұрын

She went into status epilepticus multiple times related to acute ischemia in multiple parts of the brain related to thrombosis

My son has been in status for over 6 weeks without stopping. Dr's have used every drug possible. Anyone have any ideas?

@susuu_3

9 ай бұрын

So sorry, my mom has been in it for 5 days now..Has he made any progress?

@jakesmithsonian388

9 ай бұрын

@@susuu_3 thanks for the reply but no. Hes a little worse off but we're still trying everything we can think of. Therapies, supplements, diet, etc. Any progress on your ma?

@susuu_3

9 ай бұрын

@@jakesmithsonian388 Hi i’m sorry to hear that I hope things get better soon. 🙏 Day 6 now. They’re starting to lighten up sedation and trying different meds. Is your son on a vent?

@jakesmithsonian388

9 ай бұрын

@sueeeoc yes, ventilated and extubated 3 times. The back and forth was really rough on him. He's breathing on his own thankfully but he's not doing very well overall :( NONE of the meds worked, we will be trying neuro-feedback and biofeedback as a last ditch effort. Is your mum responding to any meds?

@susuu_3

8 ай бұрын

@@jakesmithsonian388 Oh my, I am so so sorry and I pray that you guys can find what will work for him🙏🙏🙏. My mom is on Keppra and Vimpat and so far she is responding very well to that, God willing she will continue to do well on those meds.

What is the CS effect?

@minimedlessons

6 жыл бұрын

Hello, Tom. I'm not sure what you're referring to, sorry. Can you elaborate?

Very well explained, I pay $15,000 a semester so I can learn from youtube for free>>

Hi is there some way to contact you please. My 12 year old son has been asleep for almost 2 weeks now. He responds when going to toilet and eating but eyes are always closed. Sleeps constantly when while chewing

@minimedlessons

4 жыл бұрын

Hello, Tasneem. It sounds like he needs some immediate medical attention. I am not set up to be able to do distant contacts. I would advise you to seek medical attention wherever you are. Best wishes to you and your son.

At last, not a foreigner that can barely speak english.