PubHawk
N Engl J Med July 2021 PMID 34260837

Initial Management of Seizure in Adults.

Phil E M Smith

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Mentions

166
Peak: 78 in Dec 2024
across 4 sources since Jul 2021

Extended reach

253,996
potential audience

Total likes

552

Video views

2,501

Mentions per month

Jul 2021 – Sep 2025

Where it's discussed

  • X / Twitter157 posts
  • Facebook4 posts
  • News3 articles
  • YouTube2 videos

AI synopsis

What people are saying

Several discussions highlight significant aspects of the publication, such as the need for quick intervention with benzodiazepines for prolonged seizures. For instance, phrases like 'critical for patient safety' and 'essential protocols' suggest a serious approach to implementing these guidelines. The choice of words and the urgency in tone convey the potential importance and impact of the publication in the medical community.

AgreementModerate agreement

Most discussions reflect a general support for the publication, with users appreciating its guidelines.

InterestHigh interest

There is high curiosity towards the management of seizures, showcasing its relevance in clinical practice.

EngagementModerate engagement

While some posts share basic information, others dive deeper into clinical guidelines and implications, suggesting moderate engagement.

ImpactHigh impact

Many believe that the publication will significantly influence clinical practices surrounding seizure management.

Abstract in brief

  • The initial management of seizures in adults focuses on ensuring patient safety and maintaining airway protection.
  • It typically involves administering benzodiazepines for rapid seizure control if seizures last more than five minutes.
  • Additional follow-up care may include identifying the underlying cause and initiating appropriate treatment for the specific condition.
Read the full abstract

Top posts

Most liked on X and Bluesky
Medicina Interna HCSBA
@MHcsba · X

New England Journal of Medicine 2021: Manejo inicial de un episodio convulsivo DOI:10.1056/NEJMcp2024526 #MedEd #MedX #MedTwitter https://t.co/rdEk3KB1PL

Dec 6, 2024 · 333 likes · 99 shares · 8,853 followers View post →
Mauricio Ambriz
@AmbrizMau · X

Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 107 likes · 36 shares · 71,517 followers View post →
MedClub
@MedClubPage · X

Smith P. Initial Management of Seizure in Adults. New England Journal of Medicine. 2021;385(3):251-263.

Aug 17, 2021 · 12 likes · 2 shares · 35,223 followers View post →
Oscar Macho
@osmachope · X

Initial Management of Seizure in Adults | @NEJM https://t.co/sJmrm6iVgf

Jul 15, 2021 · 11 likes · 5 shares · 3,038 followers View post →
Neurología Hospital Ramón y Cajal
@NeurologiaRyC · X

Initial Management of Seizure in Adults https://t.co/WlIuzRDax5

Jul 18, 2021 · 8 likes · 5 shares · 3,550 followers View post →
Gary Álvarez.•.
@garinho29 · X

Very useful for management of epilepsy. Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/AR0E7UApwB

Jul 16, 2021 · 7 likes · 954 followers View post →

All mentions

Mar家庭医
@gene_fam_aura · X

成人の初発のseizure(てんかん発作)についてのNEJMのReview ・再発リスクは2年間で最大60％で、特にEEGの異常所見や神経学的異常を伴うケースでハイリスク ・失神、PNESなどとの鑑別が重要 ・初発の焦点発作では頭部MRI撮像が必須 https://t.co/wDpvIABDID

Sep 25, 2025 · 112 followers View post →
Esme
@emar_AK · X

RT @Juli0BS: 〽️Manejo Inicial de Episodio Convulsivo en Adulto

May 23, 2025 · 93 shares · 29 followers View post →
Belén
@bezadii · X

RT @MHcsba: New England Journal of Medicine 2021: Manejo inicial de un episodio convulsivo DOI:10.1056/NEJMcp2024526 #MedEd #MedX #MedTwit…

May 21, 2025 · 99 shares · 273 followers View post →
Ngouagna Frank
@zngouagna · X

To know more https://t.co/SpCSfOgxyK

Feb 17, 2025 · 1 like · 286 followers View post →
DraDousseange
@DraDousseange · X

RT @MHcsba: New England Journal of Medicine 2021: Manejo inicial de un episodio convulsivo DOI:10.1056/NEJMcp2024526 #MedEd #MedX #MedTwit…

Dec 10, 2024 · 99 shares · 42 followers View post →
Malvado dr. quesillo
@trama_doc · X

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Dec 9, 2024 · 99 shares · 97 followers View post →
i r i s
@irizcruz2107 · X

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Dec 8, 2024 · 99 shares · 62 followers View post →
Dr. Luis Camero
@DrLuisCamero · X

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Dec 8, 2024 · 99 shares · 482 followers View post →
Bias master
@BiasArchitect · X

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Dec 8, 2024 · 99 shares · 20 followers View post →
alexisponce94
@alexisponce1904 · X

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Dec 8, 2024 · 99 shares · 21 followers View post →
Paulina T
@PaulinaTrancoso · X

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Dec 8, 2024 · 99 shares · 240 followers View post →
Alexander Avila
@Alexand46739413 · X

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Dec 8, 2024 · 99 shares · 271 followers View post →
Victor Liberale
@VictorLiberale · X

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Dec 8, 2024 · 99 shares · 54 followers View post →
Leonardo Jimenez
@Leo_JimenezR · X

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Dec 8, 2024 · 99 shares · 87 followers View post →
HijaDelNorte
@almondeyedgal · X

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Dec 8, 2024 · 99 shares · 524 followers View post →
Aarón CB
@AarnCB · X

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Dec 7, 2024 · 99 shares · 10 followers View post →
DRG
@doiver70 · X

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Rafael Radaeli
@rfradaeli · X

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Héctor Rodrigo Rodríguez
@HRodrigoRV · X

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o ɔ ɹ ɐ ɯ
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@AugustoR04 · X

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Eder Cadrazco
@ecadrazcog · X

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Tincho
@_mavib · X

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Daniel
@DiazAsin · X

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felipe castro
@fcastro13 · X

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Miguel Angel
@miguelacm89 · X

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@davidgaonab · X

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Carlos Eduardo Mazza Diaz
@CarlosMazzaDiaz · X

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Marco
@MarcoAlvarado02 · X

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Rebeca Auru
@RebecaAuru · X

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Ivan Jaramillo
@ivancjmontoya · X

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Karin Puente
@karinpuente · X

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Dec 7, 2024 · 99 shares · 381 followers View post →
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@Arthur_pediatra · X

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Dr. R
@DrR_medicina · X

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Óscar Huesca
@Anaesthetist_81 · X

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Heralmu
@hernanmaurinho · X

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Eli⁷~ I'll be there for you ✨️
@Eli_MarinOrozco · X

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Andrés Bezares
@ABristori · X

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Mile
@mile_valle · X

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Adnane Lahlou
@mac_eden · X

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Jess
@baron_Jess · X

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Dr.Ezhil Mugunthan
@Ezhil_mugunthan · X

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Alberto Pérez Dguez
@AlbertoPrezDgue · X

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HERNAN ALEJANDRO
@alextekton1 · X

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Dec 7, 2024 · 99 shares · 39 followers View post →
Vademon24292
@CarlosA09557330 · X

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Dec 7, 2024 · 99 shares · 540 followers View post →
Andrés Arias Casierra
@AriasCasierra · X

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Juan
@Juan81849119 · X

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EmilioMC
@Lorosinfuturo · X

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Dec 7, 2024 · 99 shares · 325 followers View post →
j..
@josue_ · X

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Martrax
@Anarchy_023 · X

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Dec 7, 2024 · 99 shares · 18 followers View post →
Diana Pulido
@p_dianaisabel · X

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Dec 7, 2024 · 99 shares · 42 followers View post →
Glad ♛
@GladHMO · X

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Dr. Shay
@IsaiVillagran · X

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@AlanOSCM · X

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diego gonzalez
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Sol
@ArualSogar · X

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@ongbenghooi1 · X

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@gzwagner · X

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@drlitoaguirre1 · X

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@leoenmarquez · X

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Kelvin J. Nava, MD
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César Eduardo
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@oBCO62 · X

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Novus-Homo, M.D.
@NovusHomoMD · X

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@LuisAlb18369529 · X

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@MHcsba · X

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@RUrgencioloco · X

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@RUrgencioloco · X

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@sharingaja7 · X

RT @interneurona: Manejo inicial de las #crisis #convulsivas en el adulto #seizure Vía @NEJM https://t.co/fj36mD3lNX @sesologia @DavidM…

Aug 18, 2023 · 28 shares · 43 followers View post →
Dr. MAURICIO BERNAL.
@internistaneumo · X

RT @Juli0BS: 〽️Manejo Inicial de Episodio Convulsivo en Adulto

Apr 9, 2022 · 93 shares · 542 followers View post →
Dr. MAURICIO BERNAL.
@internistaneumo · X

RT @Juli0BS: 〽️Dx diferenciales de Crisis Convulsivas

Apr 9, 2022 · 20 shares · 542 followers View post →
Nitzeha Serrano
@Nitzeha · X

RT @Juli0BS: 〽️Manejo Inicial de Episodio Convulsivo en Adulto

Mar 23, 2022 · 93 shares · 138 followers View post →
J
@JuanCossmic · X

RT @interneurona: Manejo inicial de las #crisis #convulsivas en el adulto #seizure Vía @NEJM https://t.co/fj36mD3lNX @sesologia @DavidM…

Nov 28, 2021 · 28 shares · 110 followers View post →
erog
@rogedj1 · X

RT @doctorhumano: ¿Algún paciente con crisis convulsivas de reciente inicio y sin causa identificable? ¿Cuándo se deja tratamiento y cuánd…

Nov 12, 2021 · 11 shares · 6 followers View post →
Divergente
@ok_ggomez · X

RT @doctorhumano: ¿Algún paciente con crisis convulsivas de reciente inicio y sin causa identificable? ¿Cuándo se deja tratamiento y cuánd…

Nov 7, 2021 · 11 shares · 1,958 followers View post →
Daniela
@dradanielasg · X

Manejo inicial: Convulsiones en Adultos. https://t.co/k20AZqSuha

Nov 3, 2021 · 6 followers View post →
José Uribe
@Jmu286 · X

RT @doctorhumano: ¿Algún paciente con crisis convulsivas de reciente inicio y sin causa identificable? ¿Cuándo se deja tratamiento y cuánd…

Nov 2, 2021 · 11 shares · 163 followers View post →
Pedro Betancourt
@Pedrob251 · X

RT @doctorhumano: ¿Algún paciente con crisis convulsivas de reciente inicio y sin causa identificable? ¿Cuándo se deja tratamiento y cuánd…

Oct 27, 2021 · 11 shares · 1,829 followers View post →
Dr Carlos Q.
@CarlosJ70206975 · X

RT @doctorhumano: ¿Algún paciente con crisis convulsivas de reciente inicio y sin causa identificable? ¿Cuándo se deja tratamiento y cuánd…

Oct 27, 2021 · 11 shares · 400 followers View post →
Dra. Nefelibata❇️
@pauudenni2 · X

RT @doctorhumano: ¿Algún paciente con crisis convulsivas de reciente inicio y sin causa identificable? ¿Cuándo se deja tratamiento y cuánd…

Oct 27, 2021 · 11 shares · 303 followers View post →
Juls VeL X
@julsph26 · X

RT @MedClubPage: Smith P. Initial Management of Seizure in Adults. New England Journal of Medicine. 2021;385(3):251-263.

Aug 17, 2021 · 2 shares · 91 followers View post →
Jaqueline
@MgbBecca · X

RT @MedClubPage: Smith P. Initial Management of Seizure in Adults. New England Journal of Medicine. 2021;385(3):251-263.

Aug 17, 2021 · 2 shares · 87 followers View post →
MedClub
@MedClubPage · X

Smith P. Initial Management of Seizure in Adults. New England Journal of Medicine. 2021;385(3):251-263.

Aug 17, 2021 · 12 likes · 2 shares · 35,223 followers View post →
jow lewis
@jow_lewis · X

https://t.co/nFXbkIjV1p

Aug 6, 2021 · 299 followers View post →
Dr. J Russell
@UCPracticeTips · X

EEG is more sensitive the sooner after a seizure. AEDs are indicated if The risk of subsequent seizure exceeds 60% in the next 10 years…and many more 1st time seizure pearls here: https://t.co/GQDqYEskq5 @spoonfedEM

Aug 4, 2021 · 1 like · 203 followers View post →
emdocr8
@emdocr8 · X

Initial Management of Seizure in Adults | NEJM https://t.co/WYzXqqYAUi

Jul 23, 2021 · 6 followers View post →
Neurology
@PracUpNeuro · X

Initial Management of Seizure in Adults https://t.co/xIs7wydFJh #neurology

Jul 22, 2021 · 567 followers View post →
Elliott Guerrero
@DoctorElliottBG · X

Initial Management of Seizure in Adults https://t.co/roC7tG0gky

Jul 20, 2021 · 43 followers View post →
UnNeurocx
@Unneurocx · X

RT @NeurologiaRyC: Initial Management of Seizure in Adults https://t.co/WlIuzRDax5

Jul 18, 2021 · 5 shares · 4,077 followers View post →
pisan
@pisanchezal · X

RT @NeurologiaRyC: Initial Management of Seizure in Adults https://t.co/WlIuzRDax5

Jul 18, 2021 · 5 shares · 253 followers View post →
Alicia Hernando Asensio
@AsensioHernando · X

RT @NeurologiaRyC: Initial Management of Seizure in Adults https://t.co/WlIuzRDax5

Jul 18, 2021 · 5 shares · 590 followers View post →
crisguijarro
@crisguijarro1 · X

RT @NeurologiaRyC: Initial Management of Seizure in Adults https://t.co/WlIuzRDax5

Jul 18, 2021 · 5 shares · 1,877 followers View post →
Neurología Hospital Ramón y Cajal
@NeurologiaRyC · X

Initial Management of Seizure in Adults https://t.co/WlIuzRDax5

Jul 18, 2021 · 8 likes · 5 shares · 3,550 followers View post →
John H. Randall
@JohnHRandall1 · X

RT @JohnHRandall1: Initial Management of Seizure in Adults | NEJM https://t.co/nSt1TxOw4H

Jul 17, 2021 · 1 share · 44 followers View post →
John H. Randall
@JohnHRandall1 · X

Initial Management of Seizure in Adults | NEJM https://t.co/nSt1TxOw4H

Jul 17, 2021 · 1 share · 44 followers View post →
Manuel Vazquez V
@ManuelVVidaurre · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 17, 2021 · 36 shares · 276 followers View post →
Quintard hervé
@QuintardH · X

RT @anarlfasso: Initial Management of Seizure in Adults | NEJM https://t.co/13xkzPnDCj

Jul 17, 2021 · 3 shares · 161 followers View post →
david couret
@davidcouret974 · X

RT @anarlfasso: Initial Management of Seizure in Adults | NEJM https://t.co/13xkzPnDCj

Jul 16, 2021 · 3 shares · 23 followers View post →
Jorge Cruz MD AAN/ACP
@JorgeCr54952944 · X

Initial Management of Seizure in Adults | NEJM https://t.co/YUKosqQeK9

Jul 16, 2021 · 290 followers View post →
Ivanna Jaramillo
@ivannaje1 · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 16, 2021 · 36 shares · 36 followers View post →
H. Bassama
@HBanesth · X

RT @anarlfasso: Initial Management of Seizure in Adults | NEJM https://t.co/13xkzPnDCj

Jul 16, 2021 · 3 shares · 122 followers View post →
ANARLF
@anarlfasso · X

Initial Management of Seizure in Adults | NEJM https://t.co/13xkzPnDCj

Jul 16, 2021 · 3 likes · 3 shares · 1,228 followers View post →
Jared siñani
@JaredSinani · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 16, 2021 · 36 shares · 10 followers View post →
Miguel Cedeño Moreno
@miguecedeno · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 16, 2021 · 36 shares · 305 followers View post →
Favio varon suarez
@faviomagno777 · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 16, 2021 · 36 shares · 87 followers View post →
Mile
@mile_valle · X

RT @osmachope: Initial Management of Seizure in Adults | @NEJM https://t.co/sJmrm6iVgf

Jul 16, 2021 · 5 shares · 180 followers View post →
Gary Álvarez.•.
@garinho29 · X

Very useful for management of epilepsy. Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/AR0E7UApwB

Jul 16, 2021 · 7 likes · 954 followers View post →
Freedom
@kamikazeogawa · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 16, 2021 · 36 shares · 2 followers View post →
Álvaro
@chewie_15 · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 547 followers View post →
Jhon M. Ch.
@Jhon2129hugo · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 144 followers View post →
Denisse Tinajero
@dnts_92 · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 227 followers View post →
Jorge Rojas
@DrJorgeRojasR · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 3,934 followers View post →
Kevs
@Kevs_518 · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 16 followers View post →
Mesmer96
@mesmer96 · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 53 followers View post →
Juan José Espitia De La Hoz, MD,MSc.
@jjeh3010 · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 850 followers View post →
lucero
@lucymatsu · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 153 followers View post →
Alan G. Soriano
@GS_alanMX · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 567 followers View post →
Emeflo
@Emanuelmeja2 · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 62 followers View post →
Seronoser
@AndresBernalT · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 94 followers View post →
David Domínguez G
@davidando98 · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 680 followers View post →
読書感想文
@readmedicine · X

Initial Management of Seizure in Adults | NEJM https://t.co/sfdgdmqhP0

Jul 15, 2021 · 16 followers View post →
perropanson
@citarabino · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 1,443 followers View post →
Malvado dr. quesillo
@trama_doc · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 97 followers View post →
Ricardo Quintero.
@rquinteromd · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 1,430 followers View post →
Daniel Flores
@Dan_F94 · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 245 followers View post →
Carlos Ávila
@CarlosAR016 · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 279 followers View post →
Dr. Diógenes el Ansioso
@DrDiogenesxxx · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 14,211 followers View post →
Prófugos Del Acido Fólico
@somoprofugos · X

RT @AmbrizMau: Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 36 shares · 5,278 followers View post →
Mauricio Ambriz
@AmbrizMau · X

Initial Management of Seizure in Adults. NEJM 2021;385:251-63. https://t.co/flGeBr2dW9

Jul 15, 2021 · 107 likes · 36 shares · 71,517 followers View post →
Mohamed Hamedh MSc, MD
@mohamedhamedh2 · X

Initial Management of Seizure in Adults | NEJM https://t.co/IprDO2HCad

Jul 15, 2021 · 615 followers View post →
Dr. Jonathan Medina
@MedinaGeriatria · X

RT @osmachope: Initial Management of Seizure in Adults | @NEJM https://t.co/sJmrm6iVgf

Jul 15, 2021 · 5 shares · 250 followers View post →
john morley
@drjohnmorley · X

Initial Management of Seizure in Adults | NEJM https://t.co/e3XqD41muo

Jul 15, 2021 · 8,310 followers View post →
Joseph KAMTCHUM TATUENE
@JTatuene · X

Initial Management of Seizure in Adults | NEJM https://t.co/0VL9jsD1B0

Jul 15, 2021 · 606 followers View post →
semeg_es
@semeg_es · X

RT @osmachope: Initial Management of Seizure in Adults | @NEJM https://t.co/sJmrm6iVgf

Jul 15, 2021 · 5 shares · 6,277 followers View post →
ILozano
@i_lozanomontoya · X

RT @osmachope: Initial Management of Seizure in Adults | @NEJM https://t.co/sJmrm6iVgf

Jul 15, 2021 · 5 shares · 774 followers View post →
Oscar Macho
@osmachope · X

Initial Management of Seizure in Adults | @NEJM https://t.co/sJmrm6iVgf

Jul 15, 2021 · 11 likes · 5 shares · 3,038 followers View post →
GimmeAWhale
@GimmeAWhale · X

RT @medpedshosp: Initial Management of Seizure in Adults | NEJM https://t.co/H6bOYkn7yx

Jul 14, 2021 · 1 share · 62 followers View post →
Med Peds Hospitalist
@medpedshosp · X

Initial Management of Seizure in Adults | NEJM https://t.co/H6bOYkn7yx

Jul 14, 2021 · 1 like · 1 share · 14,250 followers View post →
Melvin Parasram, DO, MS
@mel_para · X

Initial Management of Seizure in Adults | NEJM https://t.co/kXWStBSrcy

Jul 14, 2021 · 2 likes · 1,051 followers View post →
Jerrold Levy, MD
@JerroldLevy · X

Initial Management of Seizure in Adults | NEJM https://t.co/wkXxb8N2Jl

Jul 14, 2021 · 2,476 followers View post →