Summary

Emergency management of epileptic seizures: a consensus statement

García Morales i, Fernández Alonso C, Behzadi Koochani N, Serratosa Fernández JM, Gil-Nagel Rein A, Toledo M, González FJ, Santamarina Pérez E

Affiliation of the authors

Servicio Neurología. Unidad de Epilepsia. Hospital Clínico Universitario San Carlos, Madrid, Spain. Servicio Neurología, Programa de Epilepsia, Hospital Ruber Internacional, Madrid, Spain. Servicio Urgencias, Hospital Clínico Universitario San Carlos, Madrid, Spain. Servicio de Urgencias Médicas de La comunidad de Madrid SUMMA112, Spain. Servicio Neurología, Unidad Epilepsia, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain. Servicio Neurología, Unidad de Epilepsia, Hospital Vall d´Hebron, Barcelona, Spain. Servicio Neurología, Unidad de Epilepsia, Hospital General de Santiago de Compostela, Spain

DOI

Quote

García Morales i, Fernández Alonso C, Behzadi Koochani N, Serratosa Fernández JM, Gil-Nagel Rein A, Toledo M, et al. Emergency management of epileptic seizures: a consensus statement. Emergencias. 2020;32:353-62

Summary

This consensus statement was developed to optimize the emergency management of epileptic seizures in prehospital and hospital settings. A list of clinical questions was drafted and the literature on the emergency treatment of epileptic seizures was reviewed by a multidisciplinary team of emergency physicians, neurologists, and pediatric neurologists from 3 associations: the Spanish Epilepsy Society (SEEP), the Spanish Society of Emergency Medicine (SEMES), and the Spanish Neurology Society (SEN). The team members first answered the questions individually and then discussed them during a meeting of experts from the 3 associations, to reach consensus on the content of the present statement. The recommendations and protocols proposed attempt to standardize the emergency management epileptic seizures. Earlier concepts and definitions are reviewed, a new definition of an epileptic seizure emergency is proposed, treatment options are described for different clinical scenarios, and a crisis code for seizures is also set out.

 

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