Re: seizure treatment in flight.

["Marco Victor Hermeto" <marco@hermeto.net>]

In all the reviews on status epilepticus, the 1st choice antiseizure drugs
are diazepan and/or lorazepan. Diazepan is the most indicated. Soon after,
we must use phenytoin. Midazolan is a third choice drug, mainly for
continuos infusion in patients refractary to phenytoin. In this situation,
most patients will be intubated.
Marco Hermeto
Flight Physician
Uniminas/Helimed Aeromedical
marco@hermeto.net

----- Original Message -----
From: "Jeff Brosius" <reno316@hotmail.com>
To: <flightmed@flightweb.com>
Sent: Tuesday, June 25, 2002 11:38 PM
Subject: Re: seizure treatment in flight.


> >
> >Midazolam is a poor antiseizure medication (get respiratory depression
> >before much seizure control)
>
> Care to share the data that supports this, or is it simply wild conjecture
> and anecdotal "I once had this guy who..." experience?
>
>
> ------------
> JRB
>
> Jeff Brosius,
> Paramedic, etc.
> Atlanta, GA
> www.prehospital-perspective.com
> brosius@prehospital-perspective.com
> "What we imagine is order is merely
> the prevailing form of chaos."
> -- Kerry Thornley
>
>
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