Status epilepticus is one of the true neurologic emergencies, where minutes may actually count. Prompt and definitive treatment often yields excellent outcomes, whereas sluggish or inappropriate treatment can have severe consequences. Management has changed substantially over the past decade including a new definition of convulsive status epilepticus (>5 minutes of seizing, rather than >30 minutes) and the emergence of newer and safer anti-epileptics (e.g. evetiracetam, lacosamide, and ketamine). Like all of critical care this remains an area of considerable controversy, but new evidence is helping to provide some clarity (e.g. the ESETT trial).
The IBCC chapter is located here.
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