An Algorithm for the Management of Seizures

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An Algorithm for the Management of Seizures



The management of active seizures is algorithmic, starting with a rapid assessment of airway patency, supporting ventilation (with appropriate positioning, nasopharyngeal airway adjuncts and bag-valve mask if needed) and ensuring adequate perfusion. Patients should have continuous vital sign monitoring, supplemental oxygen to maintain oxygen saturation >92% and intravenous access1.



Pharmacologic treatment follows a stepwise approach, detailed in the algorithm below. The focus is on immediate stabilization and progressively escalating anti-epileptic drugs eventually requiring endotracheal intubation and continuous infusions of sedatives.



- Dr. Tom Fadial https://twitter.com/thame



#Seizure #Algorithm #Management #Emergency #Neurology
Contributed by

Dr. Tom Fadial
@tomfadial
Educational Technology and Innovation Officer at McGovern Medical School | Department of Emergency Medicine. Creator of ddxof.com, ecgstampede.com | www.twitter.com/thame | www.instagram.com/ddxofmd
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