| Guideline | Resources |
| Seizure Management of Adults in the ED: 2014 ACEP Clinical Policy | epocrates Guideline Synopsis |
Key Points
No need to start AED for resolved 1st unprovoked sz w/o evidence of brain dz/injury. When restarting/loading AEDs, route not important. If status epilepticus refractory to BZDs, add IV AED.
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Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Seizures. Ann Emerg Med. 2014;63:437-447.
Epocrates Guideline Synopsis Last Update:
Feb 7, 2017
Publication Year:
2014
Source:
ACEP
- American College of Emergency Physicians
Evidence Grade
| [A] | Generally accepted principles for pt care derived from ≥1 RCTs or multiple, retrospective observational studies |
| [B] | Recommendations for pt care supported by ≥1 retrospective, observational studies or consensus of case series/reports |
| [C] | Recommendations for pt care derived from case series/reports or expert consensus |
Abbreviations
| AED | antiepileptic drug |
| LOC | level of consciousness |
| PE | phenytoin equivalent |
| sz | seizure |
Evidence Grade
| A | = | Generally accepted principles for pt care derived from ≥1 RCTs or multiple, retrospective observational studies |
| B | = | Recommendations for pt care supported by ≥1 retrospective, observational studies or consensus of case series/reports |
| C | = | Recommendations for pt care derived from case series/reports or expert consensus |