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Seizure 

Seizure
Chapter:
Seizure
Author(s):

Olga Kovalerchik

DOI:
10.1093/med/9780190865412.003.0026
Page of

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date: 18 November 2019

Status epilepticus is defined as more than two seizures without recovery between the episodes or when seizure activity persists for 5 minutes or more. This chapter reviews management of a seizing patient in the emergency department, which begins with consideration of the airway, then breathing and circulation. The rapid treatment algorithm starts with benzodiazepines, the first-line medical therapy for seizure activity and status epilepticus, and may include second- and third-line agents. Diagnostic testing and the need for imaging will depend on details specific for the patient presenting with seizure-like activity. The chapter examines the topic based on the case of a patient brought to the emergency department having suffered a seizure.

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