title: Emergency Department Management of Pediatric Unprovoked Seizures and Status Epilepticus in the State of Illinois.
abstract: The purpose of this survey and record review was to characterize emergency department management of unprovoked seizures and status epilepticus in children in Illinois. The survey was sent to 119 participating emergency departments in the Emergency Medical Services for Children program; responses were received from 103 (88% response rate). Only 44% of the emergency departments had a documented protocol for seizure management. Only 12% of emergency departments had child neurology consultation available at all times. Record review showed that 58% of patients were discharged home, 26% were transferred to another institution, and 10% were admitted to a non-intensive care unit setting. Ninety percent of patients were treated with anticonvulsants. Seizure education was provided by the primary emergency department nurse (97%) and the treating physician (79%). This project demonstrated strengths and weaknesses in the current management of pediatric seizure patients in Illinois emergency departments.
authors: Pediatrics, University of Chicago, Chicago, IL, USA connietaylor@post.harvard.edu.
authors: Connie
authors: C
authors: Taylor
authors: Pediatrics, University of Chicago, Chicago, IL, USA.
authors: Juan
authors: J
authors: Piantino
authors: Pediatrics, University of Chicago, Chicago, IL, USA Pediatrics, North Shore University Health System, Evanston, IL, USA.
authors: Joseph
authors: J
authors: Hageman
authors: Illinois Department of Public Health, Chicago, IL, USA.
authors: Evelyn
authors: E
authors: Lyons
authors: Illinois Emergency Medical Services for Children, Loyola University Chicago, Maywood, IL, USA.
authors: Kathryn
authors: K
authors: Janies
authors: Illinois Emergency Medical Services for Children, Loyola University Chicago, Maywood, IL, USA.
authors: Daniel
authors: D
authors: Leonard
authors: Pediatrics, North Shore University Health System, Evanston, IL, USA.
authors: Kent
authors: K
authors: Kelley
authors: Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
authors: Susan
authors: S
authors: Fuchs
mesh_terms: D000293:Adolescent; D000927:Anticonvulsants / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D004632:Emergency Medical Services / Q000706:statistics & numerical data*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D006801:Humans; D007087:Illinois; D007223:Infant; D010353:Patient Education as Topic / Q000706:statistics & numerical data; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012640:Seizures / Q000628:therapy*; D013226:Status Epilepticus / Q000628:therapy*
chemical_list: D000927:Anticonvulsants
keywords: seizure protocol; status epilepticus; unprovoked seizure