Episode 94: Mastering seizure pharmacology with Tom Bleck

In this episode of Critical Care Scenarios, hosts Brian Bolling and Brandon Odo interview Dr. Tom Bleck, a neurocritical care expert, about the management of seizures in emergency medicine and critical care. The discussion covers the initial treatment of seizures with benzodiazepines, including the choice of drug (lorazepam vs. midazolam), appropriate dosing strategies, and the importance of rapid EEG assessment. Dr. Bleck provides insights into when to treat seizures, the use of anti-seizure medications like levotriacetam, and alternative treatments such as ketamine. The conversation also addresses the management of refractory status epilepticus, the role of continuous EEG monitoring, and considerations for transferring patients to specialized neuro centers.