Pediatric Status Epilepticus: A Primer

YouTube LinkStatus epilepticus has been redefined from 30 minutes to just 5 minutes of continuous seizure activity, aligning better with current treatment approaches that emphasize early intervention. This includes recognizing non-convulsive status, which often presents as a prolonged postictal state with subtle eye movements or gaze deviation.• Systematic assessment includes history of seizures, medications, shunts, trauma, potential ingestions• Lab evaluation should include glucose, electrolytes, calcium, pregnancy testing when applicable• Initial treatment involves two doses of benzodiazepines via IV, rectal, buccal, or intranasal routes• Simplified dosing: midazolam/diazepam 0.2 mg/kg (max 10mg); lorazepam 0.1 mg/kg (max 4-5mg)• Second-line agents include levetiracetam (60 mg/kg), fosphenytoin (20 PE/kg), or valproate• For refractory status, consider ketamine, phenobarbital, or continuous infusions after intubation• Propofol is generally avoided in children under age 3 and carries risk of propofol infusion syndromeSeason two of "The Pit" is in production with writers writing, actors acting, and producers producing. It's scheduled for release in January of next year.