Here, we review the treatment options for pediatric refractory status epilepticus, provide an example of a protocol based on our experience and the limited available data, and highlight key issues that future investigations must confront.
The treatment protocol (Ege Pediatric Status Epilepticus Protocol or EPSEP) was developed based on an operational definition of pediatric SE according to the duration of seizure activity.
NO Status Epilepticus. YES. Pediatric Medical Section Protocols. Notify Destination or Contact Medical Control. Active Seizure in Known or Suspected Pregnancy > 20 Weeks. Exit to Obstetrical Emergency Protocol. Pearls.
Multiple protocols for management of childhood status epilepticus are available, without much consensus.
Pediatric Status Epilepticus And Intubation. The Internet Journal of Pediatrics and Neonatology.
11. Abend NS, Dlugos DJ: Treatment of refractory status epilepticus: literature review and a proposed protocol. Pediatr Neurol 38:377-390, 2008.
Pediatric Status Epilepticus. Author: Rajesh Ramachandrannair, MBBS, MD, FRCPC.
! LPCH Pediatric Status Epilepticus Pathway. Immediate Management (0-5 minutes): • Non-invasive airway protection with optimal head/jaw positioning for airway patency.
Pediatric altered mental status. Protocol P8. Approved: 10/30/13. Effective: 4/01/14. For pediatric patients in coma, with evolving neurological deficit, or with altered mental status of unknown etiology
§ Refer to Status Epilepticus protocol. When child is stable… § Consult with Neurologist (or Intensivist).