Clinical Issues in Acute Childhood Seizure Management in the Emergency Department
- 1 October 1998
- journal article
- Published by SAGE Publications in Journal of Child Neurology
- Vol. 13 (1_suppl), S7-S10
- https://doi.org/10.1177/0883073898013001031
Abstract
Generalized tonic-clonic seizure activity in infants and children frequently leads to an emergency department visit, often after emergency medical service personnel, such as paramedics, provide initial evaluation and treatment. Important subsets of patients who present to the emergency department include those with non-seizure-mediated movements, those with nongeneralized seizure activity, those with complications of anticonvulsant therapy, and those with status epilepticus. Recognizing, diagnosing, and treating these conditions and minimizing complications are key issues to be considered in the refinement of emergency department practice. Of the children with seizures who are seen in the emergency department, those with febrile convulsions or exacerbations of underlying seizure disorders predominate, while those with new-onset epilepsy or other seizure disorders account for a smaller proportion. Current issues in the emergency department management of seizures in children include: (1) modifying interventions to stabilize patients and simultaneously minimize the physiologic deterioration accompanying generalized seizures; (2) selection, initiation, administration, and refinement of anticonvulsant therapy; (3) minimizing complications of prolonged seizures and their treatment; (4) rapid recognition and treatment of life-threatening illnesses that underlie seizure presentations; (5) selection of appropriate diagnostic measures; and (6) use of electroencephalography in selected patients. (J Child Neurol 1998;13(Suppl 1):S7-S10).Keywords
This publication has 18 references indexed in Scilit:
- A prospective, randomized study comparing intramuscular midazolam with intravenous diazepam for the treatment of seizures in childrenPediatric Emergency Care, 1997
- Febrile Seizures: Is the EEG a Useful Predictor of Recurrences?Clinical Pediatrics, 1997
- Midazolam in the Treatment of Refractory Neonatal SeizuresClinical Neuropharmacology, 1996
- Children with seizures presenting to accident and emergency.Emergency Medicine Journal, 1996
- Pathophysiology of Status EpilepticusJournal of Clinical Neurophysiology, 1995
- Effect of prehospital treatment on the outcome of status epilepticus in childrenPediatric Neurology, 1995
- Rectal Diazepam for Prehospital Pediatric Status EpilepticusAnnals of Emergency Medicine, 1994
- Absence of serum chemistry abnormalities in pediatric patients presenting with seizuresPediatric Emergency Care, 1992
- Seizures presenting as apnoea.Archives of Disease in Childhood, 1989
- Pediatric Prehospital Care in a Southern Regional Emergency Medical Service SystemSouthern Medical Journal, 1988