Consultation with neurology should be sought to guide therapy. Patients with status epilepticus require hospital admission, often to an intensive care setting.
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ACEP Now: Vol 43 – No 07 – July 2024Case Conclusion
Following stabilization of airway, breathing, and circulation, antiepileptic therapy is indicated. This patient has already received first-line treatment with a benzodiazepine. Specific antiepileptic therapy should be initiated with another agent, such as fosphenytoin, phenytoin, levetiracetam, or valproic acid. Neurology consultation should be initiated, and the patient should be admitted to the ICU.
Disclaimer
This article is not a comprehensive review of diagnosis and treatment of status epilepticus but an overview of management and future directions. Authoritative sources should be used for diagnostic and treatment decisions.
References
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One Response to “The Current Status of Continuous-Seizure Management”
July 30, 2024
Scott Weiner, MD, MPHI appreciate this article, and this is by no means meant to be a personal attack or discrediting the validity of the information contained in the article. I consult for a pharma company and disclose it whenever I speak or write about something related to that work. In this case, the Open Payments website shows that one of the authors has received over $128,000 from Ceribell, a company that makes a POC EEG system (https://openpaymentsdata.cms.gov/physician/803367). I do not discourage this type of consulting, as I believe it is important for knowledgeable physicians to inform device manufacturers and pharma companies, but I respectfully request that ACEPNow include such disclosures within its articles so readers can be aware of potential biases.