An Evidence-Based Guideline for Pediatric Prehospital Seizure Management Using GRADE Methodology

• 2014

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• Manish Shah; Charles Macias; Peter Dayan; Tasmeen Weik; Kathleen Brown; Susan Fuchs
PMID: 24298939DOI: https://doi.org/10.3109/10903127.2013.844874

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This article provides a guideline for managing seizures in children before they reach the hospital. It describes using blood sugar tests and non-IV methods like buccal, IM, or intranasal benzodiazepines to stop seizures quickly and safely. The recommendations aim to prevent breathing problems and seizure recurrence while considering cost and ease of use for emergency workers. Although most evidence is low quality, the guideline offers a clear plan that can be adapted locally by EMS agencies. Future research should focus on comparing medication routes' effectiveness and safety in real-world settings.

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Tags

Focus Area: Everyday Emergency

Audiences: EMS Clinicians; Physicians

Emergency Management Stages: Response; Preparedness (Prevention / Protection)

Keywords: Emergency Medical Services; Pediatrics; Seizures; Status Epilepticus; Guideline; Evidence-Based Practice; Evidence-Based Emergency Medicine; GRADE Approach

Institutions: Baylor College of Medicine; Texas Children's Hospital; Columbia University; Health Resources and Services Administration (HRSA); Northwestern University; Lurie Children’s Hospital of Chicago; Children's National Hospital

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