Objectives(1) To evaluate adherence to local status epilepticus (SE) guidelines. (2) To characterise patients with SE and identify causes and predisposing factors.MethodsWe reviewed notes of patients presenting to Morriston Hospital with SE in 2019/20. The cause of SE and compliance with local guidelines were evaluated, and it was documented whether SE patients with previous epilepsy (SEPE) had been reviewed in the 12 months prior to admission.PreliminaryResults57 cases were identified. Of the 13 reviewed so far, 11 correctly received an initial ben- zodiazepine. 5 of the 9 patients who did not respond to two doses of benzodiazepines correctly received levetiracetam. Those who failed to respond to medication were intubated. 4 of the 9 patients requiring a second intervention were intubated where guidelines recommend levetiracetam. Of the SEPE cases, 50% were reviewed in the 12 months pre-admission. The commonest causes of SE were cerebrovascular disease, background epilepsy, and alcohol withdrawal.ConclusionPreliminary findings suggest that 61.5% of patients received treatment in compliance with local guidelines, and further work will evaluate whether deviations have impacted outcomes. After iden- tifying common causes of SE and evaluating how patients are reviewed, we can consider implementing improvements in its management.950448@swansea.ac.uk
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