Brainstorm - A Pediatric Epilepsy Review-Brainstorm Slide Deck

Brainstorm Slide Deck

Pdf Summary

The document is a presentation for EMS providers focusing on pediatric seizure management, part of the STARS Program learning series. The main theme is that seizures are a common pediatric emergency, yet treatment approaches vary widely, highlighting the need for consistent best practices. <br /><br />The presentation covers several key objectives, including defining seizures, understanding seizure types (generalized, focal, convulsive, non-convulsive), status epilepticus, and current prehospital treatment standards. It explains that seizures result from excessive neuronal excitation, leading to a brain 'electrical storm,' and identifies the different types of seizures by their origin in the brain and their characteristics.<br /><br />A critical focus is on dispelling myths about seizures, such as the presence of incontinence or partial awareness. The document emphasizes understanding the epilepsy umbrella, noting co-morbidities such as learning disabilities, depression, and risks like SUDEP (Sudden Unexpected Death in Epilepsy).<br /><br />The presentation also addresses side effects of anti-epileptic drugs (A.E.D.) and introduces alternative treatments such as the ketogenic diet and vagal nerve stimulators. In-depth guidance is provided on the management of seizures during EMS response, including rescue medications like Diastat and Nayzilam, stressing the importance of parental involvement and proper documentation.<br /><br />For emergencies like status epilepticus, the document advises against delays for IV access, advocates for intramuscular or intranasal routes, and underscores the importance of rapid benzodiazepine administration to prevent permanent neuronal injury. The RAMPART study findings support these recommendations.<br /><br />Overall, the presentation highlights the importance of early and accurate treatment to prevent complications and improve outcomes, urging EMS providers to be well-versed in protocols and interventions for pediatric seizures.

Keywords

pediatric seizures

EMS providers

STARS Program

status epilepticus

seizure management

anti-epileptic drugs

ketogenic diet

vagal nerve stimulators

RAMPART study

benzodiazepine administration