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Publication Date

7-2016

Disclaimer

These guidelines do not establish a standard of care to be followed in every case. It is recognized that each case is different and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare guidelines for each. Accordingly, these guidelines should guide care with the understanding that departures from them may be required at times.

Objective of the Guideline

The objective of this guideline, besides standardizing care and the benefits associated with care standardization, is to reduce unnecessary testing and assure appropriate follow-up is obtained.

Target Users

ED providers- physicians, fellows, resident physicians, advance practice nurses, and direct care nurses.

Clinical Questions Answered by Guideline

1. For the child who presents to the emergency department (ED) after a first nonfebrile seizure should laboratory studies be obtained as part of the acute evaluation?

2. For the child who presents to the ED after a first nonfebrile seizure should a lumbar puncture to evaluate CSF be obtained as part of the acute evaluation?

3. For the child who presents to the ED after a first nonfebrile seizure should an electroencephalogram (EEG) be obtained as part of the acute evaluation?

4. For the child who presents to the ED after a first nonfebrile seizure should a computed tomography (CT) be obtained as part of the acute evaluation?

5. For the child who presents to the ED after a first nonfebrile seizure should a magnetic resonance imaging (MRI) be obtained as part of the acute evaluation?

6. For the child who presents to the ED after a first nonfebrile seizure should the child be admitted to the hospital?

7. For the child who presents to the ED after a first afebrile seizure what anticipatory guidance should be offered to families?

8. For the child who presents to the ED after a first afebrile seizure what follow-up should be arranged?

Keywords

Seizure; Nonfebrile; Afebrile

Disciplines

Pediatrics

Seizures, First Nonfebrile Seizure

Included in

Pediatrics Commons

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