Detailed emergency medical services midazolam administration by dose and route

This is a table describing the use of midazolam in the treatment of out-of-hospital status epilepticus at a local EMS agency. Specifically, it calculates the frequency of cases where intramuscular, intranasal, intraosseous, or intravenous midazolam is administered and stratifies these frequencies by dose.Funding provided by: American Academy of NeurologyCrossref Funder Registry ID: http://dx.doi.org/10.13039/100005339Award Number:These data were collected through the prehospital electronic medical record

Diagnosis of Tensilon-Negative Ocular Myasthenia Gravis By Daily Selfie

Primitive neuroectodermal tumors (PNET) of the central nervous system (CNS) are a heterogeneous group of embryonal malignancies that are composed of undifferentiated or poorly differentiated neuroepithelial cells. Supratentorial PNET is the second most common CNS embryonal malignancy in children, but it is rare in adults. We report the case of a 31-year-old woman with bilateral vision loss and a bitemporal hemianopia. Neuroimaging revealed a suprasellar mass, and pathology was consistent with PNET. After surgical debulking of the tumor followed by radiation therapy and chemotherapy, the patient had significant visual recovery and remained stable over 14 months of follow-up

Diagnosis of Tensilon-Negative Ocular Myasthenia Gravis By Daily Selfie.

The initial symptoms of myasthenia gravis are usually ptosis and diplopia. The diagnosis is often confirmed by testing for anti-acetylcholine receptor antibodies or by observing the effects of intravenous edrophonium (Tensilon) injection. However, these standard tests may be negative in patients with isolated ocular findings. We present the case of an 83-year-old woman with negative serologic and Tensilon testing. She was asked to photograph herself daily. The resulting sequence of daily selfies captured striking fluctuations in her ocular alignment and ptosis. Daily selfies may be a useful strategy for confirming the clinical diagnosis of ocular myasthenia gravis