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Management of status epilepticus in children prior to medical retrieval: Deviations from the guidelines
Author(s) -
Uppal Preena,
Cardamone Michael,
Webber Christopher,
Briggs Nancy,
Lawson John A
Publication year - 2019
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/jpc.14448
Subject(s) - medicine , status epilepticus , guideline , emergency medicine , intubation , pediatrics , odds ratio , medical emergency , intensive care medicine , epilepsy , anesthesia , psychiatry , pathology
Aim To evaluate the influence of adherence to treatment guidelines on outcomes in children presenting with status epilepticus (SE) using the Newborn and Paediatric Emergency Transport Service, New South Wales prospective registry. Methods We reviewed the treatment of children with SE, transported by the Newborn And Paediatric Emergency Transport Service to a tertiary paediatric hospital, over 1 year. We evaluated variation in management from the New South Wales clinical practice guideline. Results There was excessive administration of benzodiazepines (BZD) and a delay in administration of appropriate second‐line treatment of status (median 45 min). There was excessive use of BZD, with five or more doses of BZD associated with significantly higher odds for intubation. Conclusion There is considerable scope to improve clinician compliance with the SE clinical practice guidelines.