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Ped EM: Seizures - Dr. Bryant

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Some pediatric dosing important to memorize:
  • Lorazepam - 0.1mg/kg  
  • Midazolam - 0.2mg/kg  
  • Diazepam - 0.2mg/kg 
  • Phenytoin - 20/mg/kg 
  • Fosphenytoin - 20 PE mg/kg 
  • Phenobarbital - 20mg/kg  


Neonatal status epilepticus 
  • Slightly different then pediatric status epilepticus
  • Neonatal status epilepticus - not a Benzo deficiency (See PedEMMorsel)
  • Load with Phenobarbital (classic) or fosphenytoin  


Important causes of pediatric status epilepticus: Remember GLITTER!
  • GLucose 
  • Infection  (Don’t forget: “Glitter is the herpes of craft supplies” - Remember HSV!) 
  • Trauma (Remember to look for NAT!)
  • Tox 
  • Electrolytes 
  • Random - Remember B6!


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