Status Epilepticus

Question 1

What is Status Epilepticus?

Answer 1

Continuous seizures for >5mins or when convulsive seizures occur w/ no period of recovery

Question 2

What investigations are appropriate in suspected Status Epilepticus?

Answer 2

Pulse oximetry
Blood gases
Glucose, U&Es, LFTs, clotting
CT head
LPs

Question 3

What is the emergency management of Status Epilepticus?

Answer 3

ABCDE - 100% O2, IV access, glucose, ABG, ECG
IV lorazepam (4mg bolus)
Finger prick glucose
IV Pabrinex (if alcoholism)
IV phenytoin (15mg/kg)
Intubation if seizures >20mins