Module 3: Assessment
Status epilepticus: Comprehensive assessment (cont’d)
Within the first 5 minutes, the initial management strategy involves
- concurrent assessment and management of airway, breathing and circulation by securing the airway, administering O2;
- assessing vital signs;
- obtaining an intravenous access; and
- timing the seizure from its onset.
Neurologic examination of the patient should look for signs and symptoms of the underlying etiology, and particularly life-threatening conditions (e.g., meningitis, intracranial mass), in order to provide effective treatment.
In the emergent stage, a finger stick blood glucose reading should be obtained prior to initiating any initial pharmacological agents. For adults, if the glucose is < 3.3 mmol/L (60 mg/dL), IV administration of thiamine followed by D50W should commence (Glauser et al., 2015: Section 4)
- Glauser, T., Shinnar, S., Gloss, D., Alldredge, B., Arya, R., Bainbridge, J., … Treiman, D. M. (2016). Evidence-Based Guideline: Treatment of Convulsive Status Epilepticus in Children and Adults: Report of the Guideline Committee of the American Epilepsy Society. Epilespy Currents, 16(1), 48–61. doi:10.5698/1535-7597-16.1.48