Background
Children 2-16 years of age presenting to the Children's ED with their first afebrile generalised tonic-clonic seizure may be eligible for discharge from ED to the Epilepsy ANP clinic if they meet certain criteria.
Inclusion criteria:
- 2yrs -16yrs only
- 1st afebrile generalised tonic clonic seizure
Exclusion criteria:
- Any focal features to the seizure prior to being generalised or Todd's paralysis
- If abnormal development / ASD
- If neurological deficits or concerns (e.g. increasing headaches) are identified
Please refer children meeting exclusion criteria to the on-call paediatric registrar.
Families should expect a call from the Epilepsy ANP within a week and an appointment in less than a month.
Prior to discharge please ensure:
- Baseline bloods including U&E and glucose
- ECG complete
- Provide first seizure leaflet
- If first seizure required midazolam to abate – please prescribe appropriate dose buccal midazolam and provide basic seizure safety and buccal midazolam administration education
- Referral form to cANP Paediatric Epilepsy completed, sent by internal mail
Note: If patient present within cANP working day please phone 087 1149341 to discuss possibility of review on day of presentation review prior to discharge.