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ER Management of Status Epilepticus in Children
Prompt and effective management of status epilepticus in children is critical to prevent neurological complications and long-term sequelae. Initial management involves ensuring the child's safety and stabilizing vital signs, followed by rapid administration of antiepileptic medications. Benzodiazepines such as lorazepam or midazolam are first-line agents for terminating seizures and preventing progression to status epilepticus. If seizures persist, second-line agents such as phenytoin, fosphenytoin, or levetiracetam may be administered intravenously to achieve seizure control. In refractory cases, continuous infusions of anesthetic agents such as midazolam or propofol may be initiated in the intensive care unit. Timely neuroimaging studies may be indicated to rule out structural abnormalities or identify potential reversible causes of status epilepticus.
About the Speaker
Dr. Col Om Prakash Singh
Professor & HOD Pediatrics Narayana Medical College, Patna
Dr. Om Prakash Singh is currently working as Professor & HOD Pediatrics in Narayana Medical College,Patna. He has 21 years of experience and 10+ yrs as Professor in Pediatrics. He has 27 publications across India. He is a life member of Indian Pediatric Association (IAP) & National Neonatal Forum ( NNF).
Upcoming Case Discussions
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Hyperlipidemia: From Diagnosis to Treatment
Hyperlipidemia is a condition characterized by elevated levels of lipids, such as cholesterol and triglycerides, in the blood, which can increase the risk of cardiovascular diseases. Diagnosis typically involves blood tests measuring lipid profiles, while treatment focuses on lifestyle changes, such as diet and exercise, alongside medications like statins to manage cholesterol levels and reduce cardiovascular risk. Regular monitoring is essential for effective management and prevention of complications.
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Lung Ultrasound in Acute Respiratory Failure
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Gallstone Disease & Cholecystitis: When to Operate?
iGallstone disease and cholecystitis are common conditions requiring careful evaluation to determine the need for surgery. Symptomatic gallstones causing recurrent pain, nausea, or complications like cholecystitis often necessitate cholecystectomy. Acute cholecystitis, characterized by inflammation, fever, and right upper quadrant pain, typically requires early surgical intervention to prevent complications like perforation or sepsis. In high-risk patients, conservative management with antibiotics and drainage may be considered. Elective surgery is recommended for asymptomatic patients with high-risk factors, such as large gallstones or gallbladder polyps, to prevent future complications.
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Dr. Col Om Prakash Singh's Talks on Assimilate
- 8th-April-2024, TIME : 05:00PM - 06:00PM
- 0
Prompt and effective management of status epilepticus in children is critical to prevent neurological complications and long-term sequelae. Initial management involves ensuring the child's safety and stabilizing vital signs, followed by rapid administration of antiepileptic medications. Benzodiazepines such as lorazepam or midazolam are first-line agents for terminating seizures and preventing progression to status epilepticus. If seizures persist, second-line agents such as phenytoin, fosphenytoin, or levetiracetam may be administered intravenously to achieve seizure control. In refractory cases, continuous infusions of anesthetic agents such as midazolam or propofol may be initiated in the intensive care unit. Timely neuroimaging studies may be indicated to rule out structural abnormalities or identify potential reversible causes of status epilepticus.
- 8th-April-2024, TIME : 05:00PM - 06:00PM
- 0
Prompt and effective management of status epilepticus in children is critical to prevent neurological complications and long-term sequelae. Initial management involves ensuring the child's safety and stabilizing vital signs, followed by rapid administration of antiepileptic medications. Benzodiazepines such as lorazepam or midazolam are first-line agents for terminating seizures and preventing progression to status epilepticus. If seizures persist, second-line agents such as phenytoin, fosphenytoin, or levetiracetam may be administered intravenously to achieve seizure control. In refractory cases, continuous infusions of anesthetic agents such as midazolam or propofol may be initiated in the intensive care unit. Timely neuroimaging studies may be indicated to rule out structural abnormalities or identify potential reversible causes of status epilepticus.
- 8th-April-2024, TIME : 05:00PM - 06:00PM
- 0
Prompt and effective management of status epilepticus in children is critical to prevent neurological complications and long-term sequelae. Initial management involves ensuring the child's safety and stabilizing vital signs, followed by rapid administration of antiepileptic medications. Benzodiazepines such as lorazepam or midazolam are first-line agents for terminating seizures and preventing progression to status epilepticus. If seizures persist, second-line agents such as phenytoin, fosphenytoin, or levetiracetam may be administered intravenously to achieve seizure control. In refractory cases, continuous infusions of anesthetic agents such as midazolam or propofol may be initiated in the intensive care unit. Timely neuroimaging studies may be indicated to rule out structural abnormalities or identify potential reversible causes of status epilepticus.