Pediatric Seizures - Revision history

LiamG at 18:19, 4 October 2023

2023-10-04T18:19:46Z

← Older revision		Revision as of 18:19, 4 October 2023
Line 54:		Line 54:
	* [[media:Seizure_treatment_peds.pdf\|Seizure Treatment (Pediatrics) YKHC Clinical Guideline]]		* [[media:Seizure_treatment_peds.pdf\|Seizure Treatment (Pediatrics) YKHC Clinical Guideline]]


	~~[[:category:YKHC Guidelines\|YKHC Clinical Guidelines]]~~
	<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]		<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]

JenniferH at 21:24, 4 February 2021

2021-02-04T21:24:32Z

← Older revision		Revision as of 21:24, 4 February 2021
Line 18:		Line 18:
	*Mortality rate associated with seizures lasting >30 minutes as high as 19%		*Mortality rate associated with seizures lasting >30 minutes as high as 19%
	*'''Status Epilepticus (SE):''' Tonic-clonic (>5 min), Focal SE with impaired consciousness (>10 min), Absence SE (>10-15 min)		*'''Status Epilepticus (SE):''' Tonic-clonic (>5 min), Focal SE with impaired consciousness (>10 min), Absence SE (>10-15 min)
	*For all children at least 6months old or older who live in the village presenting with seizure activity, strongly consider dispensing an appropriate dose of Rectal Diastat upon discharge to the village. While village clinics are supposed to be stocked with midazolam, ~~diazepam~~, and phenobarbital; they may have used these medications and not had time to restock due to weather delay or recent use. The Rectal Diastat may be the only Antiseizure medication available in the village to treat your patient in status epilepticus.		*For all children at least 6months old or older who live in the village presenting with seizure activity, strongly consider dispensing an appropriate dose of Rectal Diastat upon discharge to the village. While village clinics are supposed to be stocked with midazolam, fosphenytoin, and phenobarbital; they may have used these medications and not had time to restock due to weather delay or recent use. The Rectal Diastat may be the only Antiseizure medication available in the village to treat your patient in status epilepticus.

	'''Management:'''		'''Management:'''

JenniferH: /* Resources/References */

2021-01-07T13:51:24Z

Resources/References

← Older revision		Revision as of 13:51, 7 January 2021
Line 47:		Line 47:
	*Dubos F, De la Rocque F, Levy C, Bingen E, Aujard Y, Cohen R, Bréart G; Bacterial Meningitis Study Group, Gendrel D, Chalumeau M. [https://pubmed.ncbi.nlm.nih.gov/18280844/ Sensitivity of the bacterial meningitis score in 889 children with bacterial meningitis]. ''J Pediatr''. 2008 Mar;152(3):378-82. doi: 10.1016/j.jpeds.2007.07.012. Epub 2007 Oct 22. PMID: 18280844.		*Dubos F, De la Rocque F, Levy C, Bingen E, Aujard Y, Cohen R, Bréart G; Bacterial Meningitis Study Group, Gendrel D, Chalumeau M. [https://pubmed.ncbi.nlm.nih.gov/18280844/ Sensitivity of the bacterial meningitis score in 889 children with bacterial meningitis]. ''J Pediatr''. 2008 Mar;152(3):378-82. doi: 10.1016/j.jpeds.2007.07.012. Epub 2007 Oct 22. PMID: 18280844.
	*Whelan H, Harmelink M, Chou E, Sallowm D, Khan N, Patil R, Sannagowdara K, Kim JH, Chen WL, Khalil S, Bajic I, Keval A, Greydanus D. [https://www.sciencedirect.com/science/article/pii/S001150291630102X?via%3Dihub Complex febrile seizures-A systematic review]. Dis Mon. 2017 Jan;63(1):5-23. doi: 10.1016/j.disamonth.2016.12.001. Epub 2017 Jan 12. PMID: 28089358.		*Whelan H, Harmelink M, Chou E, Sallowm D, Khan N, Patil R, Sannagowdara K, Kim JH, Chen WL, Khalil S, Bajic I, Keval A, Greydanus D. [https://www.sciencedirect.com/science/article/pii/S001150291630102X?via%3Dihub Complex febrile seizures-A systematic review]. Dis Mon. 2017 Jan;63(1):5-23. doi: 10.1016/j.disamonth.2016.12.001. Epub 2017 Jan 12. PMID: 28089358.
			*Subcommittee on Febrile Seizures, American Academy of Pediatrics. [https://pediatrics.aappublications.org/content/pediatrics/127/2/389.full.pdf Neurodiagnostic evaluation of the child with a simple febrile seizure]. ''Pediatrics'', 127 (2) (2011), pp. 389-394
	* [[media:Seizure -4-30-2019.pdf\|Pediatric Seizures 2019]] PowerPoint Presentation by Dr. Lindsey Morgan (SCH Neurology)		* [[media:Seizure -4-30-2019.pdf\|Pediatric Seizures 2019]] PowerPoint Presentation by Dr. Lindsey Morgan (SCH Neurology)
	*[[Seizures RMT\|Seizures RMT Guide]]		*[[Seizures RMT\|Seizures RMT Guide]]

JenniferH: /* Resources/References */

2021-01-07T13:46:07Z

Resources/References

← Older revision		Revision as of 13:46, 7 January 2021
Line 46:		Line 46:
	*Najaf-Zadeh, Abolfazl et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3557257/ Risk of bacterial meningitis in young children with a first seizure in the context of fever: a systematic review and meta-analysis.] PloS one vol. 8,1 (2013): e55270. doi:10.1371/journal.pone.0055270		*Najaf-Zadeh, Abolfazl et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3557257/ Risk of bacterial meningitis in young children with a first seizure in the context of fever: a systematic review and meta-analysis.] PloS one vol. 8,1 (2013): e55270. doi:10.1371/journal.pone.0055270
	*Dubos F, De la Rocque F, Levy C, Bingen E, Aujard Y, Cohen R, Bréart G; Bacterial Meningitis Study Group, Gendrel D, Chalumeau M. [https://pubmed.ncbi.nlm.nih.gov/18280844/ Sensitivity of the bacterial meningitis score in 889 children with bacterial meningitis]. ''J Pediatr''. 2008 Mar;152(3):378-82. doi: 10.1016/j.jpeds.2007.07.012. Epub 2007 Oct 22. PMID: 18280844.		*Dubos F, De la Rocque F, Levy C, Bingen E, Aujard Y, Cohen R, Bréart G; Bacterial Meningitis Study Group, Gendrel D, Chalumeau M. [https://pubmed.ncbi.nlm.nih.gov/18280844/ Sensitivity of the bacterial meningitis score in 889 children with bacterial meningitis]. ''J Pediatr''. 2008 Mar;152(3):378-82. doi: 10.1016/j.jpeds.2007.07.012. Epub 2007 Oct 22. PMID: 18280844.
			*Whelan H, Harmelink M, Chou E, Sallowm D, Khan N, Patil R, Sannagowdara K, Kim JH, Chen WL, Khalil S, Bajic I, Keval A, Greydanus D. [https://www.sciencedirect.com/science/article/pii/S001150291630102X?via%3Dihub Complex febrile seizures-A systematic review]. Dis Mon. 2017 Jan;63(1):5-23. doi: 10.1016/j.disamonth.2016.12.001. Epub 2017 Jan 12. PMID: 28089358.
	* [[media:Seizure -4-30-2019.pdf\|Pediatric Seizures 2019]] PowerPoint Presentation by Dr. Lindsey Morgan (SCH Neurology)		* [[media:Seizure -4-30-2019.pdf\|Pediatric Seizures 2019]] PowerPoint Presentation by Dr. Lindsey Morgan (SCH Neurology)
	*[[Seizures RMT\|Seizures RMT Guide]]		*[[Seizures RMT\|Seizures RMT Guide]]

JenniferH: /* Resources/References */

2021-01-07T13:35:35Z

Resources/References

← Older revision		Revision as of 13:35, 7 January 2021
Line 45:		Line 45:
	*Son YY, Kim GH, Byeon JH, Eun SH, Eun BL. [https://journals.lww.com/pec-online/Abstract/2018/03000/Need_for_Lumbar_Puncture_in_Children_Younger_Than.14.aspx Need for Lumbar Puncture in Children Younger Than 12 Months Presenting With Simple Febrile Seizure]. Pediatr Emerg Care. 2018 Mar;34(3):212-215. doi: 10.1097/PEC.0000000000000779. PMID: 27404463.		*Son YY, Kim GH, Byeon JH, Eun SH, Eun BL. [https://journals.lww.com/pec-online/Abstract/2018/03000/Need_for_Lumbar_Puncture_in_Children_Younger_Than.14.aspx Need for Lumbar Puncture in Children Younger Than 12 Months Presenting With Simple Febrile Seizure]. Pediatr Emerg Care. 2018 Mar;34(3):212-215. doi: 10.1097/PEC.0000000000000779. PMID: 27404463.
	*Najaf-Zadeh, Abolfazl et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3557257/ Risk of bacterial meningitis in young children with a first seizure in the context of fever: a systematic review and meta-analysis.] PloS one vol. 8,1 (2013): e55270. doi:10.1371/journal.pone.0055270		*Najaf-Zadeh, Abolfazl et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3557257/ Risk of bacterial meningitis in young children with a first seizure in the context of fever: a systematic review and meta-analysis.] PloS one vol. 8,1 (2013): e55270. doi:10.1371/journal.pone.0055270
			*Dubos F, De la Rocque F, Levy C, Bingen E, Aujard Y, Cohen R, Bréart G; Bacterial Meningitis Study Group, Gendrel D, Chalumeau M. [https://pubmed.ncbi.nlm.nih.gov/18280844/ Sensitivity of the bacterial meningitis score in 889 children with bacterial meningitis]. ''J Pediatr''. 2008 Mar;152(3):378-82. doi: 10.1016/j.jpeds.2007.07.012. Epub 2007 Oct 22. PMID: 18280844.
	* [[media:Seizure -4-30-2019.pdf\|Pediatric Seizures 2019]] PowerPoint Presentation by Dr. Lindsey Morgan (SCH Neurology)		* [[media:Seizure -4-30-2019.pdf\|Pediatric Seizures 2019]] PowerPoint Presentation by Dr. Lindsey Morgan (SCH Neurology)
	*[[Seizures RMT\|Seizures RMT Guide]]		*[[Seizures RMT\|Seizures RMT Guide]]

JenniferH: /* Resources/References */

2021-01-07T13:20:56Z

Resources/References

← Older revision		Revision as of 13:20, 7 January 2021
Line 44:		Line 44:
	*Fletcher EM, Sharieff G. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3656699/ Necessity of lumbar puncture in patients presenting with new onset complex febrile seizures]. West J Emerg Med. 2013;14(3):206-211. doi:10.5811/westjem.2012.8.12872		*Fletcher EM, Sharieff G. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3656699/ Necessity of lumbar puncture in patients presenting with new onset complex febrile seizures]. West J Emerg Med. 2013;14(3):206-211. doi:10.5811/westjem.2012.8.12872
	*Son YY, Kim GH, Byeon JH, Eun SH, Eun BL. [https://journals.lww.com/pec-online/Abstract/2018/03000/Need_for_Lumbar_Puncture_in_Children_Younger_Than.14.aspx Need for Lumbar Puncture in Children Younger Than 12 Months Presenting With Simple Febrile Seizure]. Pediatr Emerg Care. 2018 Mar;34(3):212-215. doi: 10.1097/PEC.0000000000000779. PMID: 27404463.		*Son YY, Kim GH, Byeon JH, Eun SH, Eun BL. [https://journals.lww.com/pec-online/Abstract/2018/03000/Need_for_Lumbar_Puncture_in_Children_Younger_Than.14.aspx Need for Lumbar Puncture in Children Younger Than 12 Months Presenting With Simple Febrile Seizure]. Pediatr Emerg Care. 2018 Mar;34(3):212-215. doi: 10.1097/PEC.0000000000000779. PMID: 27404463.
			*Najaf-Zadeh, Abolfazl et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3557257/ Risk of bacterial meningitis in young children with a first seizure in the context of fever: a systematic review and meta-analysis.] PloS one vol. 8,1 (2013): e55270. doi:10.1371/journal.pone.0055270
	* [[media:Seizure -4-30-2019.pdf\|Pediatric Seizures 2019]] PowerPoint Presentation by Dr. Lindsey Morgan (SCH Neurology)		* [[media:Seizure -4-30-2019.pdf\|Pediatric Seizures 2019]] PowerPoint Presentation by Dr. Lindsey Morgan (SCH Neurology)
	*[[Seizures RMT\|Seizures RMT Guide]]		*[[Seizures RMT\|Seizures RMT Guide]]

JenniferH: /* Resources/References */

2021-01-07T13:10:27Z

Resources/References

← Older revision		Revision as of 13:10, 7 January 2021
Line 43:		Line 43:
	* Burman, Richard J et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6530138/ A Comparison of Parenteral Phenobarbital vs. Parenteral Phenytoin as Second-Line Management for Pediatric Convulsive Status Epilepticus in a Resource-Limited Setting]. ''Frontiers in neurology'' vol. 10 506. 15 May. 2019, doi:10.3389/fneur.2019.00506		* Burman, Richard J et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6530138/ A Comparison of Parenteral Phenobarbital vs. Parenteral Phenytoin as Second-Line Management for Pediatric Convulsive Status Epilepticus in a Resource-Limited Setting]. ''Frontiers in neurology'' vol. 10 506. 15 May. 2019, doi:10.3389/fneur.2019.00506
	*Fletcher EM, Sharieff G. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3656699/ Necessity of lumbar puncture in patients presenting with new onset complex febrile seizures]. West J Emerg Med. 2013;14(3):206-211. doi:10.5811/westjem.2012.8.12872		*Fletcher EM, Sharieff G. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3656699/ Necessity of lumbar puncture in patients presenting with new onset complex febrile seizures]. West J Emerg Med. 2013;14(3):206-211. doi:10.5811/westjem.2012.8.12872
			*Son YY, Kim GH, Byeon JH, Eun SH, Eun BL. [https://journals.lww.com/pec-online/Abstract/2018/03000/Need_for_Lumbar_Puncture_in_Children_Younger_Than.14.aspx Need for Lumbar Puncture in Children Younger Than 12 Months Presenting With Simple Febrile Seizure]. Pediatr Emerg Care. 2018 Mar;34(3):212-215. doi: 10.1097/PEC.0000000000000779. PMID: 27404463.
	* [[media:Seizure -4-30-2019.pdf\|Pediatric Seizures 2019]] PowerPoint Presentation by Dr. Lindsey Morgan (SCH Neurology)		* [[media:Seizure -4-30-2019.pdf\|Pediatric Seizures 2019]] PowerPoint Presentation by Dr. Lindsey Morgan (SCH Neurology)
	*[[Seizures RMT\|Seizures RMT Guide]]		*[[Seizures RMT\|Seizures RMT Guide]]

JenniferH: /* Resources/References */

2021-01-07T13:03:52Z

Resources/References

← Older revision		Revision as of 13:03, 7 January 2021
Line 42:		Line 42:
	* Singh A, Stredny CM, Loddenkemper T. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6982635/ Pharmacotherapy for Pediatric Convulsive Status Epilepticus]. ''CNS Drugs''. 2020;34(1):47-63. doi:10.1007/s40263-019-00690-8		* Singh A, Stredny CM, Loddenkemper T. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6982635/ Pharmacotherapy for Pediatric Convulsive Status Epilepticus]. ''CNS Drugs''. 2020;34(1):47-63. doi:10.1007/s40263-019-00690-8
	* Burman, Richard J et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6530138/ A Comparison of Parenteral Phenobarbital vs. Parenteral Phenytoin as Second-Line Management for Pediatric Convulsive Status Epilepticus in a Resource-Limited Setting]. ''Frontiers in neurology'' vol. 10 506. 15 May. 2019, doi:10.3389/fneur.2019.00506		* Burman, Richard J et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6530138/ A Comparison of Parenteral Phenobarbital vs. Parenteral Phenytoin as Second-Line Management for Pediatric Convulsive Status Epilepticus in a Resource-Limited Setting]. ''Frontiers in neurology'' vol. 10 506. 15 May. 2019, doi:10.3389/fneur.2019.00506
			*Fletcher EM, Sharieff G. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3656699/ Necessity of lumbar puncture in patients presenting with new onset complex febrile seizures]. West J Emerg Med. 2013;14(3):206-211. doi:10.5811/westjem.2012.8.12872
	* [[media:Seizure -4-30-2019.pdf\|Pediatric Seizures 2019]] PowerPoint Presentation by Dr. Lindsey Morgan (SCH Neurology)		* [[media:Seizure -4-30-2019.pdf\|Pediatric Seizures 2019]] PowerPoint Presentation by Dr. Lindsey Morgan (SCH Neurology)
	*[[Seizures RMT\|Seizures RMT Guide]]		*[[Seizures RMT\|Seizures RMT Guide]]

JenniferH: /* Resources/References */

2021-01-06T15:03:26Z

Resources/References

← Older revision		Revision as of 15:03, 6 January 2021
Line 41:		Line 41:
	*Kapur J, Elm J, Chamberlain JM, Barsan W, Cloyd J, Lowenstein D, Shinnar S, Conwit R, Meinzer C, Cock H, Fountain N, Connor JT, Silbergleit R; NETT and PECARN Investigators. [https://www.nejm.org/doi/full/10.1056/NEJMoa1905795 Randomized Trial of Three Anticonvulsant Medications for Status Epilepticus]. ''N Engl J Med''. 2019 Nov 28;381(22):2103-2113. doi: 10.1056/NEJMoa1905795. PMID: 31774955; PMCID: PMC7098487.		*Kapur J, Elm J, Chamberlain JM, Barsan W, Cloyd J, Lowenstein D, Shinnar S, Conwit R, Meinzer C, Cock H, Fountain N, Connor JT, Silbergleit R; NETT and PECARN Investigators. [https://www.nejm.org/doi/full/10.1056/NEJMoa1905795 Randomized Trial of Three Anticonvulsant Medications for Status Epilepticus]. ''N Engl J Med''. 2019 Nov 28;381(22):2103-2113. doi: 10.1056/NEJMoa1905795. PMID: 31774955; PMCID: PMC7098487.
	* Singh A, Stredny CM, Loddenkemper T. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6982635/ Pharmacotherapy for Pediatric Convulsive Status Epilepticus]. ''CNS Drugs''. 2020;34(1):47-63. doi:10.1007/s40263-019-00690-8		* Singh A, Stredny CM, Loddenkemper T. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6982635/ Pharmacotherapy for Pediatric Convulsive Status Epilepticus]. ''CNS Drugs''. 2020;34(1):47-63. doi:10.1007/s40263-019-00690-8
			* Burman, Richard J et al. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6530138/ A Comparison of Parenteral Phenobarbital vs. Parenteral Phenytoin as Second-Line Management for Pediatric Convulsive Status Epilepticus in a Resource-Limited Setting]. ''Frontiers in neurology'' vol. 10 506. 15 May. 2019, doi:10.3389/fneur.2019.00506
	* [[media:Seizure -4-30-2019.pdf\|Pediatric Seizures 2019]] PowerPoint Presentation by Dr. Lindsey Morgan (SCH Neurology)		* [[media:Seizure -4-30-2019.pdf\|Pediatric Seizures 2019]] PowerPoint Presentation by Dr. Lindsey Morgan (SCH Neurology)
	*[[Seizures RMT\|Seizures RMT Guide]]		*[[Seizures RMT\|Seizures RMT Guide]]

JenniferH: /* Resources/References */

2021-01-06T15:01:31Z

Resources/References

← Older revision		Revision as of 15:01, 6 January 2021
Line 40:		Line 40:
	* Sharge, et al. [https://pediatrics.aappublications.org/content/145/6/e20193182 Levetiracetam Versus Phenobarbital for Neonatal Seizures: A Randomized Controlled Trial]. ''Pediatrics'' Jun 2020, 145 (6) e20193182; DOI: 10.1542/peds.2019-3182		* Sharge, et al. [https://pediatrics.aappublications.org/content/145/6/e20193182 Levetiracetam Versus Phenobarbital for Neonatal Seizures: A Randomized Controlled Trial]. ''Pediatrics'' Jun 2020, 145 (6) e20193182; DOI: 10.1542/peds.2019-3182
	*Kapur J, Elm J, Chamberlain JM, Barsan W, Cloyd J, Lowenstein D, Shinnar S, Conwit R, Meinzer C, Cock H, Fountain N, Connor JT, Silbergleit R; NETT and PECARN Investigators. [https://www.nejm.org/doi/full/10.1056/NEJMoa1905795 Randomized Trial of Three Anticonvulsant Medications for Status Epilepticus]. ''N Engl J Med''. 2019 Nov 28;381(22):2103-2113. doi: 10.1056/NEJMoa1905795. PMID: 31774955; PMCID: PMC7098487.		*Kapur J, Elm J, Chamberlain JM, Barsan W, Cloyd J, Lowenstein D, Shinnar S, Conwit R, Meinzer C, Cock H, Fountain N, Connor JT, Silbergleit R; NETT and PECARN Investigators. [https://www.nejm.org/doi/full/10.1056/NEJMoa1905795 Randomized Trial of Three Anticonvulsant Medications for Status Epilepticus]. ''N Engl J Med''. 2019 Nov 28;381(22):2103-2113. doi: 10.1056/NEJMoa1905795. PMID: 31774955; PMCID: PMC7098487.
			* Singh A, Stredny CM, Loddenkemper T. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6982635/ Pharmacotherapy for Pediatric Convulsive Status Epilepticus]. ''CNS Drugs''. 2020;34(1):47-63. doi:10.1007/s40263-019-00690-8
	* [[media:Seizure -4-30-2019.pdf\|Pediatric Seizures 2019]] PowerPoint Presentation by Dr. Lindsey Morgan (SCH Neurology)		* [[media:Seizure -4-30-2019.pdf\|Pediatric Seizures 2019]] PowerPoint Presentation by Dr. Lindsey Morgan (SCH Neurology)
	*[[Seizures RMT\|Seizures RMT Guide]]		*[[Seizures RMT\|Seizures RMT Guide]]

← Older revision		Revision as of 18:19, 4 October 2023
Line 54:		Line 54:
	* [[media:Seizure_treatment_peds.pdf\|Seizure Treatment (Pediatrics) YKHC Clinical Guideline]]		* [[media:Seizure_treatment_peds.pdf\|Seizure Treatment (Pediatrics) YKHC Clinical Guideline]]


	~~[[:category:YKHC Guidelines\|YKHC Clinical Guidelines]]~~
	<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]		<br/>[[Practicing Medicine in Bush Alaska—Some ABCs\|Common/Unique Medical Diagnoses]]