Episode 6: Status epilepticus with Gracia Mui

In this episode of Critical Care Scenarios, Brandon Noto and Brian Bolling interview Dr. Gratia Moy, a neurointensivist, about the evaluation and management of a 27-year-old female patient presenting with a witnessed seizure. The discussion covers initial steps such as obtaining a head CT and lab work, deciding whether to discharge or admit the patient after the first seizure, and addressing subsequent seizures, including the use of benzodiazepines and anti-epileptic drugs like phenytoin, fosphenytoin, and levotriacetam. Dr. Mui also discusses the importance of continuous EEG monitoring, anesthetic choices like propofol and midazolam, and further diagnostic testing such as MRIs and lumbar punctures to determine the underlying cause of the seizures, as well as long-term management strategies and potential neurological sequelae.