Approach to Adult First Time Seizure in the ED – Core EM
WEBMar 8, 2017 · Look for a post-ictal period and get an EKG in all patients. Review the differential for seizure in all patients, particularly those with a 1st time seizure. Consider vital sign abnormalities, toxic/metabolic, CNS and infectious causes.
CORE EM: Approach to Adult First Time Seizure in the ED
WEBFeb 1, 2019 · In 1st time seizures, always carefully consider whether the seizure was provoked or unprovoked and whether the patient is back at his baseline as this can drastically effect management. There is no specific testing that is required in all patients with a 1st time seizure.
EM Cases: Emergency Approach to Resolved Seizures
WEBDec 18, 2020 · Should patients with a first time seizure be loaded on an anti-seizure medication in the ED? Our experts agree with the recommendations from the American Academy of Neurology, that first-time unprovoked seizure patients who are back to baseline and suitable for discharge do not require loading on anti-seizure medications.
Evaluation and management of the first seizure in adults
WEBMay 2, 2024 · The differential diagnosis and clinical features of seizures and the diagnostic evaluation of the first seizure in adults are reviewed here. Other paroxysmal events that can mimic seizure in adults, including syncope, convulsive syncope, migraine, transient ischemic attack, and psychogenic nonepileptic seizures, are reviewed separately:
Anticonvulsant levels and reloading - WikEM
WEBIV load can be performed with phenobarbital, phenytoin, valproate, levetiracetam; Oral loading can be spread over day or more to avoid GI upset; May use IV vs PO reload at physican discretion; Initial Loading
First-time seizure - WikEM
WEBIndications for Head CT due to Seizure [5] If patient has returned to a normal baseline: When feasible, perform a neuroimaging of the brain in the ED on patients with a first-time seizure. Deferred outpatient neuroimaging may be used when reliable follow-up is …
Emergency Approach Resolved Seizure | EM Cases Podcast
WEBNov 19, 2019 · Should patients with a first time seizure be loaded on an anti-seizure medication in the ED? Our experts agree with the recommendations from the American Academy of Neurology, that first-time unprovoked seizure patients who are back to baseline and suitable for discharge do not require loading on anti-seizure medications.
Convulsive status epilepticus in adults: Management - UpToDate
WEBJul 3, 2024 · Patients with generalized convulsive seizures that are frequent or separated by a period of significantly impaired consciousness (ie, status epilepticus) or who are medically unstable require immediate assessment and treatment in an acute care setting (emergency department or intensive care unit).
Initial treatment of epilepsy in adults - UpToDate
WEBApr 30, 2024 · This topic will discuss the approach to the initial treatment of seizures and epilepsy. Other topics discuss the evaluation of patients with seizures and epilepsy, other aspects of epilepsy therapy, and features of specific antiseizure medications.
Status Epilepticus: Emergency Management - First10EM
WEBJun 3, 2019 · Unlike simple seizures, which will resolve without any intervention and require clinical constraint to avoid overtreatment, status epilepticus is a medical emergency that requires immediate management.