Authors: Jan Claassen James J Riviello Robert Silbergleit
Publish Date: 2015/10/05
Volume: 23, Issue: 2, Pages: 136-142
Abstract
Patients with prolonged or rapidly recurring convulsions lasting more than 5 min are in status epilepticus SE and require immediate resuscitation Although there are relatively few randomized clinical trials available evidence and experience suggest that early and aggressive treatment of SE improves patient outcomes for which reason this was chosen as an Emergency Neurological Life Support protocol The current approach to the emergency treatment of SE emphasizes rapid initiation of adequate doses of firstline therapy as well as accelerated secondline anticonvulsant drugs and induced coma when these fail coupled with admission to a unit capable of neurological critical care and electroencephalography monitoring This protocol will focus on the initial treatment of SE but also review subsequent steps in the protocol once the patient is hospitalized
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