Status Epilepticus - Defining and Treating
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- Опубликовано: 13 сен 2024
- Thanks for watching! Status epilepticus is a life-threatening seizure crisis that requires urgent treatment with IV medications. In this video, I discuss the definition of and treatments for status epilepticus. Please note, however, that this video was originally recorded in early 2016 (although not posted on this channel until 2018). The guidelines for treating SE have been updated a little since then and the Medscape article referenced below includes those updates.
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Good Medscape article reference: emedicine.meds...
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PLEASE NOTE: All of the content in this video and all other videos on this channel are solely the opinion of the creator. These videos should NOT be used as medical advice or medical care. If you have any concerns of medical conditions or injuries, you are officially advised to seek immediate medical attention in a hospital or medical clinic. 
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Hey, thanks for watching this! Want to learn how to read ECGs? Check out another one of my videos - ruclips.net/video/FFUnBTe6c-Y/видео.html
Amazing tutorial. Well Appreciated. Simple and straight forward.
Thank you for watching and commenting!
Thank you for this. Keppra and Fosphenytoin are the only IV meds that have pulled my son out of status. Unfortunately, not every emergency room doctor knows this and rely too heavily on versed which then causes my son to have self injurious behaviors.
Well summarized
Thank you for explaining it so nicely
thank you very comprehensive
Thank you for your great video, really helpful
Thank you for this educational material.
Thank you soo much!
Thank you for this wonderful video
Thanks. Consider that tiamine and glucose/dextrose should be administrated before the benzodiazepines?
Great !!! Thank's for the video
Thank you sir hope more from you
Thanks for your comment! Want to learn how to read ECGs? Check out another one of my videos - ruclips.net/video/FFUnBTe6c-Y/видео.html
No mention of valproate or propofol?
Hey, thanks for watching and commenting! Yes, valproate and propofol play a role in the treatment guidelines for SE now. While not posted on this channel until 2018, I actually made this recording in early 2016 for my students. At that time, I was using the Medscape article posted at the bottom of some of the slides in the video as the main resource. That link is still active and Medscape has since updated it several times (most recently 2018). In later 2016, AFTER recording of this video new guidelines for the treatment of SE were published and do include Valproate and anesthetics like Propofol. Here's an excerpt from the updated Medscape article about that:
"In 2016, the American Epilepsy Society (AES) issued new guidelines for the treatment of SE. The guidelines provide a time-dependent treatment algorithm that includes four phases.
In the stabilization phase, standard first-aid for seizures should be initiated.
In the initial therapy phase, a benzodiazepine (specifically IM midazolam, IV lorazepam, or IV diazepam) is recommended as initial therapy.
In the second phase, options include IV fosphenytoin, valproic acid, or levetiracetam. If none of these is available, IV phenobarbital is a reasonable alternative.
In the third phase, if a patient experiences 40+ minutes of seizure activity, treatment considerations should include repeating second-line therapy or anesthetic doses of thiopental, midazolam, pentobarbital, or propofol."
So your comment is spot on! It's just that the video is a little old and newer guidelines are available now. Thanks for bringing this up. I'm going to make mention of this in the video description. Thanks for watching! Please follow along. :)
Can you please tell us after treating this
How long does the person need to restore the memory and brain functions to the normal state
Phenobarbital given with midazolam and morphine to a child would be very dangerous then?
My mom has always had to go on phenobarbital. Rest In Peace
She went into status epilepticus multiple times related to acute ischemia in multiple parts of the brain related to thrombosis
I have a seizure disorder, caused by a head injury, what are my risks of stopping the meds?
I’m sorry, but this channel is not for providing medical advice. Please ask your medical provider or set up an appointment with a Neurologist.
Very well explained, I pay $15,000 a semester so I can learn from youtube for free>>
My son has been in status for over 6 weeks without stopping. Dr's have used every drug possible. Anyone have any ideas?
So sorry, my mom has been in it for 5 days now..Has he made any progress?
@@susuu_3 thanks for the reply but no. Hes a little worse off but we're still trying everything we can think of. Therapies, supplements, diet, etc. Any progress on your ma?
@@jakesmithsonian388 Hi i’m sorry to hear that I hope things get better soon. 🙏 Day 6 now. They’re starting to lighten up sedation and trying different meds. Is your son on a vent?
@sueeeoc yes, ventilated and extubated 3 times. The back and forth was really rough on him. He's breathing on his own thankfully but he's not doing very well overall :(
NONE of the meds worked, we will be trying neuro-feedback and biofeedback as a last ditch effort. Is your mum responding to any meds?
@@jakesmithsonian388 Oh my, I am so so sorry and I pray that you guys can find what will work for him🙏🙏🙏. My mom is on Keppra and Vimpat and so far she is responding very well to that, God willing she will continue to do well on those meds.
What is the CS effect?
Hello, Tom. I'm not sure what you're referring to, sorry. Can you elaborate?
Hi is there some way to contact you please. My 12 year old son has been asleep for almost 2 weeks now. He responds when going to toilet and eating but eyes are always closed. Sleeps constantly when while chewing
Hello, Tasneem. It sounds like he needs some immediate medical attention. I am not set up to be able to do distant contacts. I would advise you to seek medical attention wherever you are. Best wishes to you and your son.
At last, not a foreigner that can barely speak english.