2005;366(9481):205-10.Chin RF, Neville BG, Peckham C, Wade A, Bedford H, Scott RC. G - M

These patients should avoid swimming and being in a bathtub unsupervised. Match Treatment of community-onset, childhood convulsive status epilepticus: a prospective, population-based study. Risk Management Pitfalls These include medications that are given as a dissolving tablet, a rectal gel, or a nasal spray. T - Z

Describing seizures with pictures This publication was developed with funding from the federal Maternal and Child Health Bureau, Health Services and Resources Administration under grant #H98MCO 3905-03-01 funded to the USC UCEDD Children's Hospital Los Angeles, through its initiative, Project Access: Improving Care for Children with Epilepsy. Predictors of epilepsy in children who have experienced febrile seizures. The next steps will focus on terminating the seizure and the goal is to terminate all seizure activity within 60 seconds.In an actively seizing child, IV and IO access may be difficult and time-consuming. For your first dose of benzodiazepines, consider either intranasal, buccal, intramuscular or rectal dosing of the following medications:There have been many studies evaluating the different benzodiazepines and routes of administration.

Alford EL, Wheless JW, Phelps SJ.

Parents are frightened and frantic, and those involved in the care of the child may also be anxious. If the eyes are open, the eye movements are normal as opposed to deviated. Leader Spotlights The term epilepsy is not synonymous with seizures. Pediatrics. Emergency Medicine Practice. Seizures range from benign to life-threatening, and while some resolve rapidly, others progress to status epilepticus requiring airway and circulatory management. For these reasons Phenytoin and fosphenytoin are less effective for the treatment of seizures due to toxins or drugs and may intensify seizures caused by cocaine, other local anesthetics, theophylline, or lindane. Epilepsy, which comes from the Greek epilepsia meaning “taking hold of”, is a chronic disorder characterized by the tendency for spontaneous, recurrent seizures and requires at least … Some commonly prescribed rescue medicines are diazepam, clonazepam, and midazolam. Learn more about the different medications.

1997;29(4):518-23.Hirtz D, Berg A, Bettis D, et al. Health Policy 215-590-1719. There are many types of medications used to treat seizures and epilepsy. 2003;60(2):166-75.

This topic was chosen based on a nation-wide needs assessment study conducted by TREKK (Translating Emergency Knowledge for Kids), a collaborator with EM Cases.With the help of two of Canada’s Pediatric Emergency Medicine seizure experts hand picked by TREKK, Much of the distinction between true pediatric seizures and mimics will hinge on elements gathered from the history. Pearl. Treating pediatric seizures in the emergency department poses myriad challenges for the ED physician. Career Planning Ann Emerg Med. However, the recovery from a breath-holding spell is rapid and complete without a post-ictal phase.These tend to be seen in the adolescent population since younger children cannot feign seizure activity for secondary gain. Pediatric seizures are common. In another randomized trial, buccal midazolam was superior to rectal diazepam at stopping seizure activity.Phenytoin and fosphenytoin are the same active medication. Lancet Neurol.

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2015;20(4):260-89.Welch RD, Nicholas K, Durkalski-mauldin VL, et al.

2008;7(8):696-703.Shearer P, Park D. Seizures and Status Epilepticus: Diagnosis and Management in the Emergency Department. Editorials If seizure occurs > 24 hours after fever onset, suspect a bacterial cause.