Paediatric Status epilepticus
Initial management
- Ensue patent airway (position, suction, adjuncts, BMV)
- 100% O2
- Check glucose
- IV or IO access if no delay (otherwise PR Diazepam to stop fit after checking BM)
- STOP THE FITING Algorithm
- Tepid sponging and Paracetamol if fever
- Cefotaxime, acyclovir and erythromycin if aetiology unclear
- No Lumbar Puncture if reduced level of consciousness
APLS Algorithm
Other Drugs
| Drug | Brand name | Dose | Potential side effects |
|---|---|---|---|
| Diazepam | Stesolid: Rectal tubes 5mg, 10mg Diazepam Rectubes: 2.5mg (unlicensed) |
0.5mg/kg OR 1month - 2 years: 5mg 2 - 12 years 10mg |
Drowsiness, unsteadiness, blurred vision, amnesia, vertigo |
| Buccal Midazolam | < 6 months 0.3mg/kg (max 2.5mg) 6 - 12 months: 2.5mg 1 - 4 years: 5mg 5 - 9 years: 7.5mg 10 years and over: 10mg |
Drowsiness, unsteadiness, blurred vision, amnesia, vertigo |
