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Is there anything Israelis cannot do with guns? >From: "mcglonerg" <[log in to unmask]> >Reply-To: [log in to unmask] >To: "Acad-ae-med" <[log in to unmask]> >CC: "Trevor Fleet" <[log in to unmask]> >Subject: Status Epilepticus >Date: Sun, 9 Jul 2000 19:34:18 +0100 >MIME-Version: 1.0 >Received: from [128.240.226.12] by hotmail.com (3.2) with ESMTP id >MHotMailBB320FC80016D820F39980F0E20CA2C80; Sun Jul 09 11:30:38 2000 >Received: from naga.mailbase.ac.uk (naga.mailbase.ac.uk [128.240.226.3])by >mailout2.mailbase.ac.uk (8.9.1a/8.9.1) with ESMTP id TAA04263;Sun, 9 Jul >2000 19:30:51 +0100 (BST) >Received: (from daemon@localhost) by naga.mailbase.ac.uk >(8.8.x/Mailbase) id TAA08758; Sun, 9 Jul 2000 19:30:18 +0100 (BST) >Received: from mailhost.netscapeonline.co.uk (mailhost.netscapeonline.co.uk >[194.200.20.13]) by naga.mailbase.ac.uk (8.8.x/Mailbase) with ESMTP >id TAA08742; Sun, 9 Jul 2000 19:30:09 +0100 (BST) >Received: from userag34.netscapeonline.co.uk ([62.125.130.121] >helo=d3u8f0)by mailhost.netscapeonline.co.uk with smtp (Exim 3.02 #1)id >13BLqB-00020r-00; Sun, 09 Jul 2000 18:30:08 +0000 >From [log in to unmask] Sun Jul 09 11:35:03 2000 >Message-ID: <000a01bfe9d4$6d6f1c00$79827d3e@d3u8f0> >X-Priority: 3 >X-MSMail-Priority: Normal >X-Mailer: Microsoft Outlook Express 5.00.2615.200 >X-MimeOLE: Produced By Microsoft MimeOLE V5.00.2615.200 >X-List: [log in to unmask] >X-Unsub: To leave, send text 'leave acad-ae-med' to [log in to unmask] >X-List-Unsubscribe: ><mailto:[log in to unmask]> >Sender: [log in to unmask] >Errors-To: [log in to unmask] >Precedence: list > >Last week we had a 26 yr old female heroin addict who had been fitting all >night (the partner did not phone for an ambulance till the morning! Despite >gallant attempts we couldn't get i.v. access, so I gave her 10 mg i.m. >midazolam (1). The fits stopped within 5 minutes. After another 20 minutes >she had some focal seizures and the dose was repeated. Following admission >she had one further fit lasting 45 seconds on the ward about 6 hours later. >Her CPK was in excess of 2,000 secondary to the fitting with a temperature >of 39.6C. > >She was discharged 2 days later having made a full recovery (well at least >from the fits!). > >Getting venous access in drug addicts can be difficult. I've seen an >"intraosseous bone gun" developed by an Isreali company at a BAEM stand in >April 1999. Does anyone have any experience of this? In the UK I would have >thought that Drug Addicts would have been the main use for this instrument. > >I.M. midazolam is superior to using IM lorazepam or IM diazepam because >these two are absorbed poorly and more slowly than IM Midazolam. What would >you have done with this patient? > >Regards, > > >Dr Ray McGlone >A&E Consultant >Lancaster >UK > > > >1. Towne et al. Use of intramuscular midazolam midazolam for status >epilepticus. The Journal of Emergency Medicine, Vol 17, No 2, pp 323-328, >1999 ________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%