1 / 8

A Proposed Timeline for Status Epilepticus Patient Treatment

A Proposed Timeline for Status Epilepticus Patient Treatment. Edward P. Sloan, MD, MPH Associate Professor Department of Emergency Medicine University of Illinois College of Medicine Chicago, IL.

kalei
Download Presentation

A Proposed Timeline for Status Epilepticus Patient Treatment

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. A Proposed Timeline forStatus Epilepticus Patient Treatment

  2. Edward P. Sloan, MD, MPHAssociate ProfessorDepartment of Emergency MedicineUniversity of Illinois College of MedicineChicago, IL

  3. Attending PhysicianEmergency MedicineUniversity of Illinois HospitalOur Lady of the Resurrection HospitalChicago, IL

  4. Clinical Questions • How rapidly can the initiation of AEDs be provided in the Emergency Department? • How rapidly can the actively seizing patient be controlled in order to reduce morbidity and mortality? • What is a reasonable standard of care for SE treatment in the ED?

  5. SE Protocol Timeline • 0 - 20 min: Initial Rx Benzodiazepines • 20 - 40 min: Phenytoins • 40 - 65 min: IV bolus medications • 65 - 90 min: IV infusions

  6. SE Protocol Timeline • 0 - 20 min: Benzodiazepines • 20 - 40 min: Phenytoins • 40 - 65 min: Phenobarbital Valproate • 65 - 90 min: Propofol Midazolam

  7. SE Recommendations • Develop a SE protocol • Make all therapies available in ED • Dose in a full mg/kg basis • Anticipate the use of the next Rx • Watch the clock continually • Document the timing of the Rx

  8. Questions?? Edward P. Sloan, MD, MPHedsloan@uic.edu312 413 7490

More Related