Status Epilepticus

Question 1

Define Generalised Convulsive Status Epileptics

Answer 1

Generalised seizures causing a loss of consciousness and effecting the entire brain. This is a result of abnormal or excessive neuron activity.

Acitvity >5min or multiple seizures without COMPLETE regain of consciousness between seizures.

Question 2

Continuous Generalised Seizure Management

Answer 2

• Protect patient from injury
• OP/NP airway
• Oxygen via NR mask or assist ventilations if required
• Administer Midazolam IM
• Repeat dose once only after 10/60 if required
• Consider MICA

Question 3

Midazolam Doses

Answer 3

Newborn (1 day old) = 0.5mg
Small/large Infant (< 12 months) = 1mg
Small Child (1-4 years) = 2.5mg
Medium Child (5-11 years) = 2.5-5mg

• Administer High Flow 02
• Repeat Initial dose ONCE ONLY after 10/60 if seizure continues

Question 4

Define Febrile Convulsions

Answer 4

A generalised seizure in children occurring typically between 6 months and 5 years. Usually associated with infection (viral/respiratory) and high temperature.

• Sudden temp spike over 39 degrees
• Due to an immature hypothalamus
• Not related to epilepsy although seizure can look the same
• Seizure is generally self limiting otherwise treat with Midaz