Seizures (Paedatrics)

Question 1

What is Status Epilepticus?

Answer 1

either > 5 mins of continuous seizure activity OR multiple seizures without full recovery of consciousness (i.e. back to baseline) between seizures

Question 2

What is Generalised Tonic Clonic Seizure (GTCS)?

Answer 2

Generalised tonic clonic movements of the extremities with altered conscious state

Question 3

What treatment can be given for seizures other than GCSE?

Answer 3

Midazolam may only be given following consultation via the clinician

Question 4

What other routes of administration may parents be able to self administer midazolam or diazepam?

Answer 4

• Buccal (midaz)
• Intranasal (midaz)
• Rectal (diaz)

Question 5

What do you do if a single seizure has spontaneously terminated?

Answer 5

Continue with initial management and transport to hospital

Question 6

What do you do if the patient refuses transport to hospital with history of seizures?

Answer 6

• they may be left in the care of a responsible third party.
• Advise the person of the actions to take for immediate continuing care if symptoms recur, and the importance of early contact with their primary care physician for follow up

Question 7

Recite the paediatric midazolam dosage chart.

Answer 7

Question 8

Recite the paediatric seizures CPG

Answer 8

Question 9

How can seizure activity appear differently in children?

Answer 9

• Vacant stare
• Lack of gross muscle tonicity
• nystagmus, lateral fixed gaze and/or facial muscle twitching