• Emerg Med Pract · Jan 2015

    Review

    Clinical decision making in seizures and status epilepticus.

    • Felipe Teran, Katrina Harper-Kirksey, and Andy Jagoda.
    • Emerg Med Pract. 2015 Jan 1;17(1):1-24; quiz 24-5.

    AbstractSeizures and status epilepticus are frequent neurologic emergencies in the emergency department, accounting for 1% of all emergency department visits. The management of this time-sensitive and potentially life-threatening condition is challenging for both prehospital providers and emergency clinicians. The approach to seizing patients begins with differentiating seizure activity from mimics and follows with identifying potential secondary etiologies, such as alcohol-related seizures. The approach to the patient in status epilepticus and the patient with nonconvulsive status epilepticus constitutes a special clinical challenge. This review summarizes the best available evidence and recommendations regarding diagnosis and resuscitation of the seizing patient in the emergency setting.

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