
An Evidence-Based Guideline for Pediatric Prehospital Seizure Management Using GRADE Methodology 2014 Manish Shah; Charles Macias; Peter Dayan; Tasmeen Weik; Kathleen Brown; Susan Fuchs PMID: 24298939DOI: https://doi.org/10.3109/10903127.2013.844874 Access Resources Journal ArticleEN Ask aRCie About This Resource About 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. 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; Ann and Robert H. Lurie Children’s Hospital; Children's National Hospital More like this Creation and Delphi-Method Refinement of Pediatric Disaster Triage Simulations 2014 · Yale University, Yale School of Medicine, Hasbro Children’s Hospital, Brown University, University of Massachusetts, University of British Columbia, Ann and Robert H. Lurie Children’s Hospital, Boston Children's Hospital, Harvard Medical School, U.S. Department of Health and Human Services (HHS), Children's National Hospital, University of Colorado, Pediatric Emergency Research Canada, University of Connecticut School of Medicine Pediatric Mental Health Boarding in US Emergency Departments, 2018-2022 2025 · Ann and Robert H. Lurie Children’s Hospital, Northwestern University, University of California San Francisco, Children's National Hospital, George Washington University, Seattle Children's Hospital, UH Rainbow Babies & Children's Hospital, Case Western Reserve University School of Medicine, Pediatric Pandemic Network (PPN), Harbor-UCLA Medical Center, University of California, Los Angeles Clinician Management Practices for Infants with Hypothermia in the Emergency Department 2023 · Ann and Robert H. Lurie Children’s Hospital, Pediatric Emergency Medicine Associates (PEMA), LLC, Children's Healthcare of Atlanta, Yale University, Baylor College of Medicine, University of Michigan The information provided on this website is for educational purposes only. It does not substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Access Resources Journal ArticleEN Ask aRCie About This Resource

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

2014
Manish Shah; Charles Macias; Peter Dayan; Tasmeen Weik; Kathleen Brown; Susan Fuchs

PMID: 24298939DOI: https://doi.org/10.3109/10903127.2013.844874

Access Resources

About

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.

More like this

Creation and Delphi-Method Refinement of Pediatric Disaster Triage Simulations 2014 · Yale University, Yale School of Medicine, Hasbro Children’s Hospital, Brown University, University of Massachusetts, University of British Columbia, Ann and Robert H. Lurie Children’s Hospital, Boston Children's Hospital, Harvard Medical School, U.S. Department of Health and Human Services (HHS), Children's National Hospital, University of Colorado, Pediatric Emergency Research Canada, University of Connecticut School of Medicine Pediatric Mental Health Boarding in US Emergency Departments, 2018-2022 2025 · Ann and Robert H. Lurie Children’s Hospital, Northwestern University, University of California San Francisco, Children's National Hospital, George Washington University, Seattle Children's Hospital, UH Rainbow Babies & Children's Hospital, Case Western Reserve University School of Medicine, Pediatric Pandemic Network (PPN), Harbor-UCLA Medical Center, University of California, Los Angeles Clinician Management Practices for Infants with Hypothermia in the Emergency Department 2023 · Ann and Robert H. Lurie Children’s Hospital, Pediatric Emergency Medicine Associates (PEMA), LLC, Children's Healthcare of Atlanta, Yale University, Baylor College of Medicine, University of Michigan

The information provided on this website is for educational purposes only. It does not substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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

Access Resources

About

Tags

More like this

Access Resources