ACEP: Clinical Policy: Critical Issues in the Management of Adult Patients Presenting to the Emergency Department With Seizures: Approved by the ACEP Board of Directors, April 17, 2024

פוסט זה זמין גם ב: עברית

American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Seizures; Michael D Smith, Christopher S Sampson, Stephen P Wall, Deborah B Diercks; Members of the American College of Emergency Physicians Clinical Policies Committee (Oversight Committee); Deborah B Diercks, John D Anderson, Richard Byyny, Christopher R Carpenter, Benjamin W Friedman, Seth R Gemme, Charles J Gerardo, Steven A Godwin, Sigrid A Hahn, Benjamin W Hatten, Jason S Haukoos, Amy Kaji, Heemun Kwok, Bruce M Lo, Sharon E Mace, Amal Mattu, Maggie Moran, Susan B Promes, Kaushal H Shah, Richard D Shih, Scott M Silvers, Andrea Slivinski, Michael D Smith, Molly E W Thiessen, John T Thompson, Christian A Tomaszewski, Stacy A Trent, Jonathan H Valente, Lauren M Westafer, Stephen P Wall, Yanling Yu, John T Finnell, Travis Schulz, Kaeli Vandertulip

Policy statements and clinical policies are the official policies of the American College of Emergency Physicians and, as such, are not subject to the same peer review process as articles appearing in the journal. Policy statements and clinical policies of ACEP do not necessarily reflect the policies and beliefs of Annals of Emergency Medicine and its editors.

ABSTRACT     

This clinical policy from the American College of Emergency Physicians (ACEP) addresses key issues in the evaluation and management of adult emergency department patients presenting with seizure. A writing committee conducted a systematic review of the literature to derive evidence-based recommendations to answer the following clinical question: In emergency department patients with generalized convulsive status epilepticus who continue to have seizures despite receiving optimal dosing of benzodiazepine, which agent or agents should be administered next to terminate seizures? Evidence was graded, and recommendations were made based on the strength of the available data