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Published on: June 13, 2016
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Emergency management of epileptic seizures: a consensus statement
Irene García Morales1, Cesáreo Fernández Alonso2, Navid Behzadi Koochani3
1Servicio Neurología. Unidad de Epilepsia. Hospital Clínico Universitario San Carlos, Madrid, España. Servicio Neurología, Programa de Epilepsia, Hospital Ruber Internacional, Madrid, España.
Summary
This consensus statement optimizes emergency care for epileptic seizures, proposing standardized protocols and a new definition for seizure emergencies in prehospital and hospital settings.
Area of Science:
- Neurology
- Emergency Medicine
- Epileptology
Background:
- Epileptic seizures require optimized emergency management strategies.
- Current prehospital and hospital protocols for seizure emergencies lack standardization.
Purpose of the Study:
- To develop a consensus statement for optimizing the emergency management of epileptic seizures.
- To standardize emergency treatment protocols for epileptic seizures in prehospital and hospital settings.
Main Methods:
- A multidisciplinary expert team (emergency physicians, neurologists, pediatric neurologists) from three Spanish societies (SEEP, SEMES, SEN) was assembled.
- Clinical questions were drafted, and literature on emergency seizure treatment was reviewed.
- Expert consensus was reached through individual assessments and group discussions.
Main Results:
- Earlier concepts and definitions of epileptic seizures were reviewed.
- A novel definition for an epileptic seizure emergency was proposed.
- Treatment options were detailed for various clinical scenarios, including a proposed seizure crisis code.
Conclusions:
- The developed recommendations and protocols aim to standardize the emergency management of epileptic seizures.
- The consensus statement provides a framework for consistent and effective emergency care of seizure emergencies.
- Implementation of these guidelines is expected to improve patient outcomes in emergency settings.
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