Naslov
Status epilepticus:prehospital treatment
(Status epilepticus: prehospital treatment)

Autori
Šepić Grahovac, Dubravka ; Bielen, Ivan ; Cvitanović-Šojat, Ljerka ; Paučić-Kirinčić, Ela ; Grahovac, Tanja

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Abstracts. Neurologia Croatica Volume 51 Suppl.2 / - Zagreb : Hrvatsko neurološko društvo, 2002, 53-54

Skup
5th Croatian Symposium on Epilepsy

Mjesto i datum
Osijek, Hrvatska, 12.06.2002. - 15.06.2002

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Domaća recenzija

Ključne riječi
Status epilepticus ; Treatment

Sažetak
Status epilepticus (SE) is a neurological emergency that, despite recent improvements in the diagnosis and treatment, continues to be associated with a significant mortality, 3% in children and 22% in adults. It is a serious threat to life and is associated with a significant health care cost. A recent definition describes SE as more than 30 minutes of continuous seizure activity, or two or more sequential seizures without full recovery of consciousness between seizures. It has variable clinical presentation and may be general, partial convulsive or non-convulsive. SE complications the clinical management of approximately 10% of patients with epilepsy, and 75% of patients who develop SE do not have prior epilepsy. Patients with symptomatic seizures are more likely to experience SE. There is a consensus that a patient with SE needs to be treated as quickly as possible in order to prevent serious neurological damage. The treatment of SE can be divided in two steps: prehospital and hospital. Prehospital management of SE starts immediately on the spot were the patient is found, and very often-complete recovery depends on first aid. It is necessary in order to priority, to maintain vital functions, to treat the cause of seizures, to initiate rapid glucose determination and correction, to provide prophylaxis against further seizures, and to monitor the situation. Establish IV access ideally in large vein, because IV administration is the preferred route for anticonvulsants in SE. Benzodiazepines remain the mainstay of initial drug therapy for acute seizures. Diazepam administered IV or per rectum, has been and still is considered as one of the drugs of choice for the first line management of SE, especially in prehospital setting.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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