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Febrile Status Epilepticus

BROWSE INFORMATION REPOSITORY
 
 
Key Resources 

Algorithm: Status Epilepticus  (2022)

Algorithm: Status Epilepticus

Download

Dr. Katherine Muir and Dr. Sarah Buttle & TREKK Network; and Dr. Manish Shah & EIIC Network

Dr. Katherine Muir and Dr. Sarah Buttle & TREKK Network; and Dr. Manish S...

Pediatric status epilepticus algorithm

Bottom Line Recommendations: Status Epilepticus  (2022)

Bottom Line Recommendations: Status Epilepticus

Download

Dr. Katherine Muir and Dr. Sarah Buttle & TREKK Network; and Dr. Manish Shah & EIIC Network

Dr. Katherine Muir and Dr. Sarah Buttle & TREKK Network; and Dr. Manish S...

Bottom Line recommendations for assessment and management of status epilepticus in children over 1 month of age. May 2022. Version 1.0

Emergency Medicine Cases Podcast: Emergency management of pediatric seizures - Guidance and podcast  (2015)

Emergency Medicine Cases Podcast: Emergency management of pediatric seizures - Guidance and podcast

Visit

Helman A

Helman A

With the help of two of Canada's Pediatric Emergency Medicine seizure experts handpicked by TREKK, Dr. Lawrence Richer and Dr. Angelo Mikrogianakis, we'll give you all the tools you need to approach the child who presents to the ED with a seizure with the utmost confidence.

Bottom Line: Managing febrile seizures infographic  (2015)

Bottom Line: Managing febrile seizures infographic

Visit

Stahl-Timmins W

Stahl-Timmins W

This infographic provides general information on managing febrile seizures.

Algorithm: Status Epilepticus  (2022)

Algorithm: Status Epilepticus

Download

Dr. Katherine Muir and Dr. Sarah Buttle & TREKK Network; and Dr. Manish Shah & EIIC Network

Dr. Katherine Muir and Dr. Sarah Buttle & TREKK Network; and Dr. Manish S...

Pediatric status epilepticus algorithm

Bottom Line Recommendations: Status Epilepticus  (2022)

Bottom Line Recommendations: Status Epilepticus

Download

Dr. Katherine Muir and Dr. Sarah Buttle & TREKK Network; and Dr. Manish Shah & EIIC Network

Dr. Katherine Muir and Dr. Sarah Buttle & TREKK Network; and Dr. Manish S...

Bottom Line recommendations for assessment and management of status epilepticus in children over 1 month of age. May 2022. Version 1.0

Emergency Medicine Cases Podcast: Emergency management of pediatric seizures - Guidance and podcast  (2015)

Emergency Medicine Cases Podcast: Emergency management of pediatric seizures - Guidance and podcast

Visit

Helman A

Helman A

With the help of two of Canada's Pediatric Emergency Medicine seizure experts handpicked by TREKK, Dr. Lawrence Richer and Dr. Angelo Mikrogianakis, we'll give you all the tools you need to approach the child who presents to the ED with a seizure with the utmost confidence.

Bottom Line: Managing febrile seizures infographic  (2015)

Bottom Line: Managing febrile seizures infographic

Visit

Stahl-Timmins W

Stahl-Timmins W

This infographic provides general information on managing febrile seizures.

Summaries of systematic reviews 

BMJ Clinical Review: Febrile seizures  (2015)

BMJ Clinical Review: Febrile seizures

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Patel N, Ram D, Swiderska N, Mewasingh LD, Newton RW, Offringa M

Patel N, Ram D, Swiderska N, Mewasingh LD, Newton RW, Offringa M

This review aims to summarise how to recognise a febrile seizure and rule out other underlying causes, how to manage febrile seizures and how to deal with common questions posed by parents in this situation.

Review: Evaluation and Management of Pediatric Febrile Seizures in the Emergency Department  (2011)

Review: Evaluation and Management of Pediatric Febrile Seizures in the Emergency Department

Visit

Hampers LC, Spina LA

Hampers LC, Spina LA

This review describes the differences between simple and complex febrile seizures in pediatric patients. The document provides an overview of clinical assessment, laboratory testing, imaging and discharge instructions.

BMJ Clinical Review: Febrile seizures  (2015)

BMJ Clinical Review: Febrile seizures

Visit

Patel N, Ram D, Swiderska N, Mewasingh LD, Newton RW, Offringa M

Patel N, Ram D, Swiderska N, Mewasingh LD, Newton RW, Offringa M

This review aims to summarise how to recognise a febrile seizure and rule out other underlying causes, how to manage febrile seizures and how to deal with common questions posed by parents in this situation.

Review: Evaluation and Management of Pediatric Febrile Seizures in the Emergency Department  (2011)

Review: Evaluation and Management of Pediatric Febrile Seizures in the Emergency Department

Visit

Hampers LC, Spina LA

Hampers LC, Spina LA

This review describes the differences between simple and complex febrile seizures in pediatric patients. The document provides an overview of clinical assessment, laboratory testing, imaging and discharge instructions.

Systematic reviews 

Review: Febrile seizures: emergency medicine perspective  (2015)

Review: Febrile seizures: emergency medicine perspective

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Kimia AA, Bachur RG, Torres A, Harper MB

Kimia AA, Bachur RG, Torres A, Harper MB

This review describes current evidence on the evaluation of febrile seizures in the acute setting, the need for further outpatient assessment, and predictors regarding long-term outcomes of these patients

Review: Management of febrile convulsion in children  (2015)

Review: Management of febrile convulsion in children

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Paul SP, Rogers E, Wilkinson R, Paul B

Paul SP, Rogers E, Wilkinson R, Paul B

This article discusses the aetiology, clinical presentation, diagnosis and management of children with febrile convulsion, and best practice for care in EDs.

Systematic Review: Risk of bacterial meningitis in young children with a first seizure in the context of fever: a systematic review and meta-analysis  (2013)

Systematic Review: Risk of bacterial meningitis in young children with a first seizure in the context of fever: a systematic review and meta-analysis

Visit

Najaf-Zadeh A, Dubos F, Hue V, Pruvost I, Bennour A, Martinot A

Najaf-Zadeh A, Dubos F, Hue V, Pruvost I, Bennour A, Martinot A

This systematic review assesses the risk of bacterial meningitis among various subgroups of young children with a first seizure in the context of fever, and the utility of routine lumbar puncture in children with an apparent first febrile seizure.

Review: Febrile seizures: emergency medicine perspective  (2015)

Review: Febrile seizures: emergency medicine perspective

Visit

Kimia AA, Bachur RG, Torres A, Harper MB

Kimia AA, Bachur RG, Torres A, Harper MB

This review describes current evidence on the evaluation of febrile seizures in the acute setting, the need for further outpatient assessment, and predictors regarding long-term outcomes of these patients

Review: Management of febrile convulsion in children  (2015)

Review: Management of febrile convulsion in children

Visit

Paul SP, Rogers E, Wilkinson R, Paul B

Paul SP, Rogers E, Wilkinson R, Paul B

This article discusses the aetiology, clinical presentation, diagnosis and management of children with febrile convulsion, and best practice for care in EDs.

Systematic Review: Risk of bacterial meningitis in young children with a first seizure in the context of fever: a systematic review and meta-analysis  (2013)

Systematic Review: Risk of bacterial meningitis in young children with a first seizure in the context of fever: a systematic review and meta-analysis

Visit

Najaf-Zadeh A, Dubos F, Hue V, Pruvost I, Bennour A, Martinot A

Najaf-Zadeh A, Dubos F, Hue V, Pruvost I, Bennour A, Martinot A

This systematic review assesses the risk of bacterial meningitis among various subgroups of young children with a first seizure in the context of fever, and the utility of routine lumbar puncture in children with an apparent first febrile seizure.

Key studies 

Key Study: Utility of initial EEG in first complex febrile seizure  (2015)

Key Study: Utility of initial EEG in first complex febrile seizure

Visit

Harini C, Nagarajan E, Kimia AA, de Carvalho RM, An S, Bergin AM, Takeoka M, Pearl PL, Loddenkemper T

Harini C, Nagarajan E, Kimia AA, de Carvalho RM, An S, Bergin AM, Takeoka M, ...

This retrospective study examined the utility of detected epileptiform abnormalities on the initial EEG following a first complex febrile seizure in predicting subsequent epilepsy.

Key Study: Emergency Management of febrile status epilepticus: results of the FEBSTAT study  (2014)

Key Study: Emergency Management of febrile status epilepticus: results of the FEBSTAT study

Visit

Seinfeld S, Shinnar S, Sun S, Hesdorffer DC, Deng X, Shinnar RC, O'Hara K, Nordli DR Jr, Frank LM, Gallentine W, Mosh SL, Pellock JM

Seinfeld S, Shinnar S, Sun S, Hesdorffer DC, Deng X, Shinnar RC, O'Hara K, No...

The FEBSTAT study is a prospective study of the consequences of febrile status epilepticus. Acute management, and the relationship between treatment delay, total seizure duration and associated morbidity are analyzed.

Key Study: Acute EEG findings in children with febrile status epilepticus: results of the FEBSTAT study  (2012)

Key Study: Acute EEG findings in children with febrile status epilepticus: results of the FEBSTAT study

Visit

Nordli DR Jr, Mosh SL, Shinnar S, Hesdorffer DC, Sogawa Y, Pellock JM, Lewis DV, Frank LM, Shinnar RC, Sun S

Nordli DR Jr, Mosh SL, Shinnar S, Hesdorffer DC, Sogawa Y, Pellock JM, Lewis ...

Objective: The FEBSTAT (Consequences of Prolonged Febrile Seizures) study prospectively addresses the relationships among serial EEG, MRI, and clinical follow-up in a cohort of children followed from the time of presentation with febrile status epilepticus.

Key Study: Risk of intracranial pathologic conditions requiring emergency intervention after a first complex febrile seizure episode among children  (2006)

Key Study: Risk of intracranial pathologic conditions requiring emergency intervention after a first complex febrile seizure episode among children

Visit

Teng D, Dayan P, Tyler S, Hauser WA, Chan S, Leary L, Hesdorffer D

Teng D, Dayan P, Tyler S, Hauser WA, Chan S, Leary L, Hesdorffer D

Objective: To determine the likelihood of intracranial pathologic conditions requiring emergency neurosurgical or medical intervention among children without meningitis who presented to the pediatric emergency department after a first complex febrile seizure.

Key Study: Meningitis is a common cause of convulsive status epilepticus with fever  (2005)

Key Study: Meningitis is a common cause of convulsive status epilepticus with fever

Visit

Chin RF, Neville BG, Scott RC

Chin RF, Neville BG, Scott RC

Objective: In children with convulsive status epilepticus with fever, to determine the likelihood of acute bacterial meningitis, the proportion that are treated with antibiotics, and the proportion that have diagnostic CSF sampling.

Key Study: Utility of initial EEG in first complex febrile seizure  (2015)

Key Study: Utility of initial EEG in first complex febrile seizure

Visit

Harini C, Nagarajan E, Kimia AA, de Carvalho RM, An S, Bergin AM, Takeoka M, Pearl PL, Loddenkemper T

Harini C, Nagarajan E, Kimia AA, de Carvalho RM, An S, Bergin AM, Takeoka M, ...

This retrospective study examined the utility of detected epileptiform abnormalities on the initial EEG following a first complex febrile seizure in predicting subsequent epilepsy.

Key Study: Emergency Management of febrile status epilepticus: results of the FEBSTAT study  (2014)

Key Study: Emergency Management of febrile status epilepticus: results of the FEBSTAT study

Visit

Seinfeld S, Shinnar S, Sun S, Hesdorffer DC, Deng X, Shinnar RC, O'Hara K, Nordli DR Jr, Frank LM, Gallentine W, Mosh SL, Pellock JM

Seinfeld S, Shinnar S, Sun S, Hesdorffer DC, Deng X, Shinnar RC, O'Hara K, No...

The FEBSTAT study is a prospective study of the consequences of febrile status epilepticus. Acute management, and the relationship between treatment delay, total seizure duration and associated morbidity are analyzed.

Key Study: Acute EEG findings in children with febrile status epilepticus: results of the FEBSTAT study  (2012)

Key Study: Acute EEG findings in children with febrile status epilepticus: results of the FEBSTAT study

Visit

Nordli DR Jr, Mosh SL, Shinnar S, Hesdorffer DC, Sogawa Y, Pellock JM, Lewis DV, Frank LM, Shinnar RC, Sun S

Nordli DR Jr, Mosh SL, Shinnar S, Hesdorffer DC, Sogawa Y, Pellock JM, Lewis ...

Objective: The FEBSTAT (Consequences of Prolonged Febrile Seizures) study prospectively addresses the relationships among serial EEG, MRI, and clinical follow-up in a cohort of children followed from the time of presentation with febrile status epilepticus.

Key Study: Risk of intracranial pathologic conditions requiring emergency intervention after a first complex febrile seizure episode among children  (2006)

Key Study: Risk of intracranial pathologic conditions requiring emergency intervention after a first complex febrile seizure episode among children

Visit

Teng D, Dayan P, Tyler S, Hauser WA, Chan S, Leary L, Hesdorffer D

Teng D, Dayan P, Tyler S, Hauser WA, Chan S, Leary L, Hesdorffer D

Objective: To determine the likelihood of intracranial pathologic conditions requiring emergency neurosurgical or medical intervention among children without meningitis who presented to the pediatric emergency department after a first complex febrile seizure.

Key Study: Meningitis is a common cause of convulsive status epilepticus with fever  (2005)

Key Study: Meningitis is a common cause of convulsive status epilepticus with fever

Visit

Chin RF, Neville BG, Scott RC

Chin RF, Neville BG, Scott RC

Objective: In children with convulsive status epilepticus with fever, to determine the likelihood of acute bacterial meningitis, the proportion that are treated with antibiotics, and the proportion that have diagnostic CSF sampling.