Status Epilepticus in the Pre-hospital Setting | Ketamine Evidence & Pediatric Seizure Management

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The Inflection Point: Conversations in Care, Culture and Change. Designed for Paramedics.

Ryan Cichowski and Jakob Rodger.

39 episodes

2 days ago

The Inflection Point is the podcast that brings paramedics, EMS providers, and healthcare professionals the latest in prehospital medicine, critical care, cardiac and trauma management, pharmacology, and system design. Jakob Rodger and Ryan Cichowski dive deep into the intricacies of frontline care—combining clinical expertise, research, human factors, leadership, and interdisciplinary collaboration to help you think differently and perform at a higher level. We aim to take a holistic approach to sharing high-quality information that supports paramedics and healthcare professionals.

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Status Epilepticus in the Pre-hospital Setting | Ketamine Evidence & Pediatric Seizure Management

The Inflection Point: Conversations in Care, Culture and Change. Designed for Paramedics.

22 minutes 29 seconds

5 months ago

Status Epilepticus in the Pre-hospital Setting | Ketamine Evidence & Pediatric Seizure Management

In this episode, we dive into the intricacies of managing status epilepticus in prehospital settings. We discuss the significant risks associated with delayed or underdosed benzodiazepines, and the evolving guidelines that now define status epilepticus as a seizure lasting more than 5 minutes or multiple seizures without full recovery. Experts explore the pros and cons of ketamine as an adjunctive treatment, emphasizing the need for robust clinical trials to establish its efficacy. The episode also highlights the importance of a randomized controlled trial to determine safe and effective protocols for seizure management. Additionally, the conversation extends to pediatric considerations and the new 'treat and discharge' pathways, which allow certain patients to stay home, effectively unburdening the healthcare system. We also address the common pitfalls and misconceptions paramedics encounter, stressing the importance of taking informed action. This episode provides crucial insights for healthcare professionals aiming to improve patient outcomes in emergency care scenarios.Chapters:00:00 Understanding Status Epilepticus00:44 Pre-Hospital Management of Seizures02:26 Challenges with Benzodiazepines02:50 Exploring Alternative Treatments03:44 The Need for Rigorous Studies10:40 Managing Seizures in Pediatric Patients15:57 Common Pitfalls in Seizure Management18:08 Treat and Refer Pathway for Epilepsy📚 References:PMID: 39058382PMID: 37276174PMC: 11627481PMC: 9396974 #ems #science #paramedic #emergencymedicine #prehospitalcare #paramedic #emt #firefighter#ambulance #medic #emergency #rescue#firstresponders #emtlife #health #healthcare #healthcareheros #simulation #humanfactors #medicine #science #healthcare #healthquality #healthsafetycourse Get in Touch Here or in The Comments:LinkedIn: https://www.linkedin.com/in/ryan-cichowski-787b99274/https://www.linkedin.com/in/jakob-rodger-b60571141/Disclaimer:This video is for educational purposes only and does not constitute medical advice. Always follow your local medical directives, protocols, and the guidance of your medical director or regulatory authority.