Status Epilepticus: Time-Critical Emergency Management
This session reviews Status Epilepticus: Time-Critical Emergency Management and its most clinically relevant points for exam preparation and bedside decision-making.
Duration
00:02:35
File size
1.23 MB
Practitioner-Guided Note
For Status Epilepticus: Time-Critical Emergency Management, prioritize Current definition: ≥5 min continuous seizure or ≥2 seizures without full recovery, First-line: IV lorazepam (preferred over diazepam for brain retention); IM midazolam if no IV access, and Second-line: IV fosphenytoin, valproate, or levetiracetam when choosing therapy, counseling about risk, planning monitoring, and deciding when closer follow-up or escalation is needed.
Key Takeaways
Current definition: ≥5 min continuous seizure or ≥2 seizures without full recovery; First-line: IV lorazepam (preferred over diazepam for brain retention), IM midazolam if no IV access; Second-line: IV fosphenytoin, valproate, or levetiracetam; Refractory: anesthetic-dose infusions (midazolam, propofol, pentobarbital) targeting burst-suppression on continuous EEG; Most common cause in known epilepsy: medication non-adherence/changes