Initial management
- Ensure patent airway
- Position, suction, ventilate
- 100% O2
- Check glucose
- IV or IO access if no delay (otherwise buccal or IM midazolam to stop the seizing)
- STOP the seizure
- Cefotaxime, acyclovir and erythromycin if aetiology unclear
- No Lumbar Puncture if reduced level of consciousness
> 3 months Mx Algorithm
≤ 3 months Mx Algorithm
Links
CUH only
We have complex Epileptic Children who regularly attend the ED. The Paediatric Neurology team have created bespoke plans for them. These files are securely protected but can be accessed by:
- Admin staff will recognise when a patient gets checked in that they have a HIU (High Incidence User) Report and should print it and bring it to the Nurse looking after the patient
- These charts can be found on the BI screens from the Home screen by selecting 'Unscheduled Care' and 'Paediatric Seizure Care Plans'