Paediatric Seizures

Question 1

What is the Mx if a child is suspected to have Subtle SE OR Other SE or a Seizure that has resolved?

Answer 1

If currently seizing, consult for IM Midazolam.

• BLS
• Monitor airway, ventilation, conscious state and BP

Question 2

What is the Mx if a child is currently having GCSE?

Answer 2

1. Mx airway and ventilation
2. If patent airway, administer high flow O2
3. IM Midazolam
   Newborn = 0.5mg
   Small/large infant (<12mths) = 1mg
   Small child (1-4) = 2.5mg IM
   Medium child (5-11) = 2.5 - 5mg IM

Question 3

At what time can a further dose of midazolam be administered in a paediatric seizure, and what amount?

Answer 3

Same dose as original, can be repeated once only after 10 minutes.

Question 4

If paediatric seizure acitivity ceases, what is the management?

Answer 4

• BLS

- Continue to monitor airway, ventilation, conscious state and BP.

Question 5

What is the IM Midazolam dose for a seizing newborn?

Answer 5

0.5mg in 0.1mL

Question 6

What is the IM Midazolam dose for a seizing infant <12mths?

Answer 6

1mg in 0.2mL

Question 7

What is the IM Midazolam dose for a seizing small child?

Answer 7

2.5mg in 0.5mL

Question 8

What is the IM Midazolam dose for a seizing medium child?

Answer 8

2.5 - 5mg in 0.5 - 1mL